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OrderComms; Radiologists view

OrderComms; Radiologists view. Graham Hurst Norfolk and Norwich University Hospital 25 March 2011. Evolution of Concept. 1999 will move to new ‘paperless’ PFI hospital 2003 still using request cards! 2004 clin details should appear on PACS 2006 still using request cards!

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OrderComms; Radiologists view

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  1. OrderComms; Radiologists view Graham Hurst Norfolk and Norwich University Hospital 25 March 2011

  2. Evolution of Concept • 1999 will move to new ‘paperless’ PFI hospital • 2003 still using request cards! • 2004 clin details should appear on PACS • 2006 still using request cards! • 2007 clin details in notepad on RIS • 2008 clin details appear in report box as permanent record • 2008 electronic requesting being rolled out • 2011 getting better, slowly!

  3. Software • McKesson RIS TcRAD • GHG TalkingPoint • Sunquest WebICE • GE Centricity PACS

  4. Requesting • Vetting • Radiography • Reporting • Report delivery

  5. Requesting

  6. Clinicians reactions • I don’t make requests, I give orders • I cannot type • I have not got time for this • My secretary does my requesting • Why change to a slower system • It took me 5 mins on your system, I timed it

  7. Radiologist requests Anybody do this?

  8. Vetting

  9. Radiology colleagues reaction Give me a pile of cards anyday! (so I can scribble over them and then toss ‘em to secretaries)

  10. Who is real requester? Request changed/aborted; feedback?

  11. Radiography

  12. Rad details not done • Not on worklist • Housekeeping needed

  13. Reporting

  14. No bone or joint abnormality

  15. No time for tape handsets! • Electronic system reduced turnaround • Mostly VR reported • Very few cards to report from

  16. Not perfect! Questions?

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