PICTURE ARCHIVING AND COMMUNICATION SYSTEMS (PACS): ACCEPTANCE AND IMPACT AT TERTIARY CARE HOSPITALS

Vijay Kumar Tadia, Shubhang Gupta

Abstract


BACKGROUND

A picture archiving and communication system (PACS) is a computerized means of replacing the roles of conventional radiological film: images are acquired, stored, transmitted, and displayed digitally. When such a system is installed throughout the hospital, a filmless clinical culture prevails. PACS has become a standard component for radiology or hospital information system.

METHODS

A comprehensive descriptive and observational study was undertaken from May 2013 to July 2013. The study setting involved two tertiary care public hospitals and a corporate hospital. Convenience sampling was used to select Key Informants. The Key Informants included Radiologists (9), Clinicians (7), Technicians (6), IT Support Team (4), Medical Superintendent (2) & GE PACS Engineer (1). Unstructured interview schedule and Structured questionnaire was used to assess user acceptance of the technology and to evaluate the end user perception towards the technology

RESULTS

After the implementation and integration of PACS at the hospitals, it was observed that the workflow had changed. The noticeable change was seen in the post examination phase between the completion of the procedure and availability of images to the radiologists and clinicians. Before PACS implementation at two public hospitals, the examination was followed by approximately an hour-long process of film development which was further followed by the sorting of the previous images before the patient folder could reach the radiologist. Post PACS this had been replaced by a five minute activity of processing a plate, containing a cassette with patient details, and the screen containing image, in the CR processor and transmitting the image to PACS by a technician.

CONCLUSION

Whenever new technology is introduced in a healthcare setting, there is bound to be an initial learning curve to bring the end users on board. PACS leads to utilization of resources in a better way provided training and other ergonomic requirements are taken care of for the end users.

Keywords


PACS, RIS, HIS, Radiology

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References


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