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部门影像归档与通信系统的实施:生产力与成本分析。

Implementation of a departmental picture archiving and communication system: a productivity and cost analysis.

机构信息

Department of Neurosurgery, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA.

出版信息

Neurosurgery. 2013 Sep;73(3):528-33. doi: 10.1227/01.neu.0000431474.49042.5b.

DOI:10.1227/01.neu.0000431474.49042.5b
PMID:23949142
Abstract

BACKGROUND

Digital radiology enhances productivity and results in long-term cost savings. However, the viewing, storage, and sharing of outside imaging studies on compact discs at ambulatory offices and hospitals pose a number of unique challenges to a surgeon's efficiency and clinical workflow.

OBJECTIVE

To improve the efficiency and clinical workflow of an academic neurosurgical practice when evaluating patients with outside radiological studies.

METHODS

Open-source software and commercial hardware were used to design and implement a departmental picture archiving and communications system (PACS).

RESULTS

The implementation of a departmental PACS system significantly improved productivity and enhanced collaboration in a variety of clinical settings. Using published data on the rate of information technology problems associated with outside studies on compact discs, this system produced a cost savings ranging from $6250 to $33600 and from $43200 to $72000 for 2 cohorts, urgent transfer and spine clinic patients, respectively, therefore justifying the costs of the system in less than a year.

CONCLUSION

The implementation of a departmental PACS system using open-source software is straightforward and cost-effective and results in significant gains in surgeon productivity when evaluating patients with outside imaging studies.

摘要

背景

数字放射学提高了工作效率,并带来了长期的成本节约。然而,在流动办公室和医院中,通过光盘查看、存储和共享外部成像研究给外科医生的效率和临床工作流程带来了许多独特的挑战。

目的

提高评估外来放射学研究患者时的学术神经外科学术实践的效率和临床工作流程。

方法

使用开源软件和商业硬件设计并实现了部门图像存档和通信系统(PACS)。

结果

部门 PACS 系统的实施显著提高了生产力,并在各种临床环境中增强了协作。使用与光盘上的外部研究相关的信息技术问题的公布数据,该系统为 2 组患者分别节省了 6250 至 33600 美元和 43200 至 72000 美元的成本,因此不到一年的时间就收回了系统成本。

结论

使用开源软件实施部门 PACS 系统简单且具有成本效益,并且在评估外来成像研究患者时,显著提高了外科医生的工作效率。

相似文献

1
Implementation of a departmental picture archiving and communication system: a productivity and cost analysis.部门影像归档与通信系统的实施:生产力与成本分析。
Neurosurgery. 2013 Sep;73(3):528-33. doi: 10.1227/01.neu.0000431474.49042.5b.
2
[Economic and organizational evaluation of an imaging network (PACS)].[影像网络(PACS)的经济与组织评估]
J Radiol. 1998 Dec;79(12):1453-9.
3
Analysis of the cost-effectiveness of PACS.
AJR Am J Roentgenol. 1991 Jan;156(1):177-80. doi: 10.2214/ajr.156.1.1898556.
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PACS implementation in a university hospital in Tuscany.托斯卡纳一家大学医院的PACS实施情况。
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Picture archiving and communication system--part 2 cost-benefit considerations for picture archiving and communication system.图像存档与通信系统——第2部分 图像存档与通信系统的成本效益考量
JBR-BTR. 2004 Nov-Dec;87(6):296-9.
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Current developments in departmental PACS for ultrasound.部门超声图像存档与通信系统的当前发展情况。
Medinfo. 1995;8 Pt 1:440.
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Incremental cost of department-wide implementation of a picture archiving and communication system and computed radiography.
Radiology. 1998 Jan;206(1):245-52. doi: 10.1148/radiology.206.1.9423679.
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Financial assessment of a picture archiving and communication system implemented all at once.一次性实施的图像存档与通信系统的财务评估。
J Digit Imaging. 2006;19 Suppl 1(Suppl 1):44-51. doi: 10.1007/s10278-006-0632-6.
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Budget variance analysis of a departmentwide implementation of a PACS at a major academic medical center.一家大型学术医疗中心部门范围内实施 Picture Archiving and Communication System(PACS,图像存档与通信系统)的预算差异分析。
J Digit Imaging. 2006;19 Suppl 1(Suppl 1):66-71. doi: 10.1007/s10278-006-0852-9.
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Multi personal computer storage system: solution of sea capacity PACS storage.多个人计算机存储系统:海量PACS存储解决方案。
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Implementation, reliability, and feasibility test of an Open-Source PACS.开源医学影像存档与通信系统的实施、可靠性及可行性测试
Radiol Med. 2015 Dec;120(12):1138-45. doi: 10.1007/s11547-015-0560-y. Epub 2015 Jun 19.
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PACS used while on-call: a national survey of radiology program directors and chief residents.值班时使用的PACS:一项针对放射科项目主任和住院总医师的全国性调查。
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