Pinzani A, Faggian U, Gongolo A, Raccanello N, Ravasini R
Radiologia-Ospedale Civile, Dolo, Venezia.
Radiol Med. 1993 Dec;86(6):763-70.
Even though the problem of collecting and processing information is of paramount importance in any radiology department, the choice of the best information system--as for organization and effectiveness--largely depends on specific and different local situations and is therefore still largely debated. In the ULSS 18 in Veneto (Dolo, Venezia), all patients are referred to the only existing hospital radiology. Therefore, a central computer system has been be realized and used also by the radiology department, for completely computed procedures, since January 1, 1988. We describe the computer configuration of both the ULSS and the radiology department and report on our 5-year experience with full computerization within a central information system. As for department organization, any information system--with appropriate hardware and software--can be equivalent to others, since it largely contributes to both management (programming, booking, filing, accounting) and reporting (automatic reporting with memorized texts and/or voice recognition; reprinting; immediate correction at the video-terminal). Thanks to more rational exploitation of human and technological resources, any information system makes a radiology department more functional and efficient. However, some peculiarities of the central computer system must be stressed, as they allow: 1) to use pre-existing and updated patients files (unequivocal identification in the whole ULSS); 2) to gain access to the databanks of different specialties and to patients' clinical histories (complete data collected from many sources); 3) to intervene in booking and ticket collection centers with none of the relative loads; 4) to have no limits of memory, storage or speed for complex programs (automatic reporting also with the recognition of the dictating voice, accounting and statistical analyses, ecc.); 5) to profit by continually updated and fitted hardware and software, with the relative expenses and benefits shared by the whole ULSS. Within the possibilities given by a double role-ruled password, all different menus and programs are accessible from any video-terminal, even while other programs are running, thus allowing cost-effective hardware to be available in the radiology department.
尽管在任何放射科，收集和处理信息的问题都至关重要，但就组织和效率而言，选择最佳信息系统在很大程度上取决于具体且不同的当地情况，因此仍存在很大争议。在威尼托大区的ULSS 18（多洛，威尼斯），所有患者都被转诊至唯一的医院放射科。因此，自1988年1月1日起，放射科也已实现并使用了一个中央计算机系统，用于完全计算机化的程序。我们描述了ULSS和放射科的计算机配置，并报告了我们在中央信息系统内进行全面计算机化的5年经验。至于科室组织，任何信息系统——配备适当的硬件和软件——都可以与其他系统等效，因为它在很大程度上有助于管理（编程、预约、归档、计费）和报告（使用记忆文本和/或语音识别进行自动报告；重新打印；在视频终端即时更正）。由于对人力和技术资源的更合理利用，任何信息系统都能使放射科更具功能性和效率。然而，必须强调中央计算机系统的一些特点，因为它们允许：1）使用预先存在且更新的患者档案（在整个ULSS中明确识别）；2）访问不同专科的数据库和患者的临床病史（从多个来源收集的完整数据）；3）在不承担相关负荷的情况下干预预约和票据收集中心；4）对于复杂程序没有内存、存储或速度限制（自动报告还包括语音听写识别、计费和统计分析等）；5）受益于不断更新和适配的硬件和软件，相关费用和收益由整个ULSS分担。在双重角色规则密码提供的可能性范围内，所有不同的菜单和程序都可以从任何视频终端访问，即使其他程序正在运行，从而使放射科能够使用性价比高的硬件。
