Inamura K, Umeda T, Harauchi H, Kondoh H, Hasegawa T, Kozuka T, Takeda H, Inoue M
School of Allied Health Sciences, Faculty of Medicine, Osaka University, Japan.
J Digit Imaging. 1997 Feb;10(1):1-9. doi: 10.1007/BF03168543.
The effectiveness of a hospital information system (HIS) and a radiological information system (RIS) was evaluated to optimize preparation for the planned full clinical operation of a picture archiving and communication system (PACS), which is now linked experimentally to the HIS and the RIS. One thousand IC (integrated circuit) cards were used for time studies and flow studies in the hospital. Measurements were performed on image examination order entry, image examination, reporting, and image delivery times. Even though after the HIS and the RIS operation only a small amount of time savings were realized in each time fraction component, such as in the patient movement time, examination time, and film delivery time, the total turn-around time was shortened markedly, by more than 23 hours on average. It was verified that the HIS and the RIS was beneficial in the outpatient clinics of the orthopedic department. Our method of measurement employing IC cards before and after HIS and RIS operations can be applied in other hospitals.
为优化图片存档与通信系统(PACS)计划全面临床运行的准备工作,对医院信息系统(HIS)和放射信息系统(RIS)的有效性进行了评估,目前PACS已通过实验与HIS和RIS相连。在医院中使用了1000张集成电路卡进行时间研究和流程研究。对影像检查订单录入、影像检查、报告以及影像传递时间进行了测量。尽管在HIS和RIS运行后,在每个时间部分组件中仅实现了少量时间节省,例如在患者移动时间、检查时间和胶片传递时间方面,但总周转时间显著缩短,平均缩短了超过23小时。已证实HIS和RIS在骨科门诊中是有益的。我们在HIS和RIS运行前后采用集成电路卡的测量方法可应用于其他医院。