Assessing the impact of PACS on patient care in a medical intensive care unit

摘要

Abstract: In this paper we have present data from pilot studies to estimate the impact on patient care of an intensive care unit display station. The data were collected during two separate one-month periods in 1992. We compared these two different periods in terms of the relative speeds with which images were first viewed by MICU physicians. First, we found that images for routine chest radiographs (CXRs) are viewed by a greater number of physicians and slightly sooner with the PACS display station operating in the MICU than when it is not. Thus, for routine exams, PACS provide the potential for shortening of time intervals between exam completions and image-based clinical actions. A second finding is that the use of the display station for viewing non-routine CXRs is strongly influenced by the speed with which films are digitized. Hence, if film digitization is not rapid, the presence of a MICU display station is unlikely to contribute to a shortening of time intervals between exam completions and image-based clinical actions. This finding supports the use of computed radiography for CXRs in an intensive care unit. !5