Department of Neurosurgery, Sir Charles Gairdner Hospital, Perth, Western Australia, Australia.
J Digit Imaging. 2013 Dec;26(6):1008-12. doi: 10.1007/s10278-013-9608-5.
The purpose of this study was to determine whether it would be possible to minimise the delay that occurs between the time a radiological image becomes available for viewing on PACS and the time that it is actually seen by the requesting physician. The study was conducted at Sir Charles Gairdner Hospital in Perth Western Australia. Participants in the study were all junior doctors. The first part of the study measured the current time delay between images being available on PACS and actually being viewed. In the second part of the study, the doctors were notified by a paging system when the images were available. The reduction in time delay was then compared. Following pager notification, the mean average time delay reduced from a mean of 180.02 min (95 % confidence interval (CI), 135.1 to 225 min) to a mean of 33.94 min (95 % CI, 24.1 to 43.8 min; P < 0.0001). The study has demonstrated that it is possible to modify clinicians' usage of PACS; however, there remain questions regarding the sustainability of such an intervention and the impact that this may have on overall patient outcome. There may be potential for integration of the rapidly expanding technologies such as tablets, iPads and iPhones in order to automate this type of notification and this may be a focus of future research.
本研究旨在确定是否有可能将放射影像学在 PACS 上可供查看与请求医师实际查看之间的时间延迟最小化。该研究在西澳大利亚珀斯的查尔斯·盖尔德纳爵士医院进行。研究参与者均为初级医生。研究的第一部分测量了放射影像学在 PACS 上可供查看与实际查看之间的当前时间延迟。在研究的第二部分，医生会通过传呼系统收到放射影像学可供查看的通知。然后比较时间延迟的减少情况。在传呼通知后，平均时间延迟从平均 180.02 分钟（95%置信区间（CI），135.1 至 225 分钟）减少至平均 33.94 分钟（95%CI，24.1 至 43.8 分钟；P<0.0001）。研究表明，修改临床医生对 PACS 的使用方式是可行的；但是，对于这种干预措施的可持续性以及对整体患者结果可能产生的影响仍存在疑问。有可能整合平板电脑、iPad 和 iPhone 等快速发展的技术来实现此类通知的自动化，这可能是未来研究的重点。
