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首页> 外文期刊>Radiology >Prospective study of a PACS: information flow and clinical action in a medical intensive care unit.
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Prospective study of a PACS: information flow and clinical action in a medical intensive care unit.

机译:PACS的前瞻性研究:重症监护病房中的信息流和临床行为。

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PURPOSE: To prospectively compare efficiency and outcome of a standard film-only system with those of a digital picture archiving and communication system (PACS). MATERIALS AND METHODS: The film-only system, which used either analog film or computed radiography (CR) hard copy, was compared with a PACS, which used CR images displayed on a multiviewer in the radiology department and a workstation in the medical intensive care unit. A random sample of nonroutine, bedside chest radiographs was studied. RESULTS: Within 20 minutes of completion of radiography, 246 of 328 (75%) of the images were available at the workstations; it took 1.8 hours for 238 of 317 (75%) of the images to be displayed on the multiviewer. When the workstation was used, the staff did not access the image information earlier, but clinical actions were initiated more promptly in response to imaging findings. Consultation with radiologists decreased from 507 of 561 (90%) images with hard copies to 70 of 249 (28%) with the workstation. CONCLUSION: Use of a PACS improves the delivery of chest images, facilitates the initiation of clinical actions, and decreases input by radiologists.
机译:目的:前瞻性地比较标准的仅胶片系统与数字图片存档和通信系统(PACS)的效率和结果。材料与方法:将仅使用模拟胶片或计算机射线照相(CR)硬拷贝的胶片系统与PACS进行比较,后者使用在放射科多位查看器和重症监护室的工作站上显示的CR图像单元。研究了非常规床旁胸部X射线照片的随机样本。结果:X射线照相完成后20分钟内,工作站中可获得328张图像中的246张(75%)。在多画面检视器上显示的317张图像中的238张(占75%)花费了1.8小时。使用工作站时,工作人员没有更早地访问图像信息,但是响应于成像发现,临床行动被迅速启动。与放射科医师的磋商从工作站的561张图像中的507张(占90%)减少到249张图像中的70张(占28%)。结论:PACS的使用改善了胸部图像的传递,促进了临床行动的开展,并减少了放射科医生的投入。

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