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PACS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1885

2001

 

Scottish coffee - Camp Coffee Essence (1885); Californian influence (2001)

 

 

 

 

 

 

   

 New RIE 1878

New RIE 2000

 

 

 

 

 

 

 

 

 

 

"The right image in the right place at the right time"

 Radiology 1895

Radiology 2001

 

 

 

 

 

 

 

 

 

 

 

 

What's wrong with film?

 

 

Images often not available to clinician

  • 45% of inpatient films available on ward at RIE

Images often not available to radiologist

  • 72% of previous films available at WGH radiology reporting
  • unreported plain film rate:
    • 50% at RIE
    • 34% at WGH
    • 6% at RHSC

Audit data, early 2001

 

 

 

 

 

 

 

What's wrong with film? (contd.)

 

 

Changing radiological techniques

  • New modalities generate more, and more complex, images

Storage and retrieval

  • 6.5km (4 miles) of shelving for X-ray storage across the trust, and growing
  • Problems locating space
  • Problems finding and retrieving stored images

 

 

 

 

 

 

 

 

 

Consequences

 

 

Decisions often made without full information

Delays and cancellations

  • Operations, clinic appointments

Repeat exposures

  • Increased radiation dose to patient

Opportunity cost to clinical staff

  • Large amounts of time spent retrieving unavailable images

 

 

 

 

 

 

 

 

 

 

 

Issues for 2001-5

 

 

Shorter admissions

More rapid turnaround of investigations required

Increased interhospital transfers

  • Expect increasingly poor performance of existing systems in these circumstances

Storage space in new build hospital

  • Notably NRIE

Fit with aspirations for healthcare information flow

  • To Primary Care, Scotland, and the UK

 

 

 

 

What can PACS offer?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

How PACS works and what it requires

 

 

 

 

 

 

 

 

 

 

 

How should PACS be introduced in LUHNT?

 

 

 

 

 

 

 

 

 

 

PRIORITIES

NRIE from opening of Phase II ('big bang')

  • Inadequate current service provision
  • Extra cost from installing then replacing
  • Inadequate storage space
  • Staff savings already assumed
  • Opportunity window for staff acceptance

Add WGH when information systems (and £?) permit

  • Increase coverage from 50% to 85% of images

Add Community hospitals

  • High rate of transfer to and from acute hospitals

Link to SJH

  • As soon as communications permit

Add RHSC

  • Volume of traffic smaller, current situation least critical