Zeszyt 35/2014

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Bartłomiej Drop

Wdrożenie radiologicznego systemu informatycznego RIS i archiwizacyjnego PACS w pracowniach diagnostyki obrazowej i korzyści z nim związane

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Implementation of Radiological Information System (RIS) and Picture Archiving and Communication System (PACS) in Diagnostic Imaging Laboratories and the benefits associated with it

Abstract
The rapid development of technology influences the increase of data generated and consequently the necessity of its processing, transmission and storage in order to be able to use it properly. Only computerisation and digitisation are able to meet such needs, which at present means supporting the work of people with computer systems and other machines and devices. The health sector has also a great potential for the use of these fast-growing areas, as such support enhances the quality of work of the medical staff and makes patients’ life easier. If we want our institutions to become modern medical centres, we cannot forget that the use of medical information systems will facilitate not only our work, but will also allow patients easier access to their test results. Moreover, thanks to such solutions, communication between the doctor and the patient can be improved, as well as the patient’s awareness of their health issues and treatment options.
The aim of this paper is to explain, discuss, and show the advantages of the implementation of information systems in the functioning and operation of radiological laboratories. A further aim is to explore whether the implementation of such systems improves the work of departments of diagnostic imaging.
The survey was conducted among radiologists and X‐ray technicians in all the hospitals in Lublin that have implemented Radiology Information Systems (RIS) and Picture Archiving and Communication System (PACS).
For the statistical analysis, a total of 169 questionnaires were provided and completed by 88 radiologic technologists and by 81 radiologists. The questionnaires for both technicians and physicians comprised 17 open and closed questions and demographic data.
The included tables and graphs show the benefits of both RIS and PACS. A clear benefit resulting from the introduction of modern systems was an opportunity to correct the description of examination by a second physician, faster access to the results of tests made a few years before and faster access to a patient’s tests performed in the facility. They were rated as the most important benefits for both physicians and technicians. These were the results containing statistically significant differences in the distribution of responses in the groups of technologists and doctors. Other benefits were also the opportunity to register a patient immediately, without having to supplement data before the test, and the ease of archiving many thousands of tests. The only statistically significant result from the data analysis was that the number of errors made during patient registration and in describing tests in the X‐ray laboratory was reduced.
The implementation of information systems in X‐ray laboratories enhanced the quality of work of technologists and doctors and shortened the time to take medical decisions.

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