Transcript Filmless Medical Imaging for TBH Making IT work for the

Dr Otto Schulze
Project Leader
 Increasing demand for specialized imaging (>500 images/patient
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on MDCT/MRI)
Repeat examinations (No post-processing)
Lost films & packets (Repeat examinations & no comparison)
Not all images are printed (Lost information 20 images/sheet)
Plain film X-rays (Dark room personnel, Chemicals, Film)
Storage is labour intensive, occupies space & problems (Lost
reports, packets, films)
Poor communication with referring doctor (Wait for examination,
reports, films & dependent on physical transport)
Radiology opinion limited (Staffing in peripheral hospitals)
Long waiting periods
 Enterprise wide
 A hospital solution, not a radiology solution
 Integrated
 Communication between the different information systems
 HIS (Hospital Information System)
 The reception clerk & the patient sticker
 RIS (Radiological Information System)
 The paper: Requests, Tick sheets, Reports
 PACS (Picture Archiving & Communication System)
 The X-ray packet & film
 Equipment
 Digital Imaging Modalities
Digital Imaging Modalities
PACS
RIS
HIS
IT
Mindmap
Timeline
 What will you get?
 Faster access to imaging
 Faster access to reports
 Legible reports
 Access to images & reports from home
 What will the patient get?
 Shorter waiting times
 Better medical opinion due to improved comparison
 Quicker decision-making due to improved communication
 Reduced exposure to radiation due to no unnecessary
examinations
 Scheduling, preparation and examination information
available to patient
 What will you have to do?
 Electronic requests for examinations
 EMERGENCY cases handled telephonically
 Electronic Scheduling
 Electronic tracking of patient status
 Electronic viewing of images and reports
 Educate yourselves
 www.sun.ac.za/pacs
 Organise departmental information sessions
 Indentify departmental champions
 Identify personnel requiring basic IT skills
 Participate in the implementation
 Placement of viewing stations
 Medico-legal issues
Q&A