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Filmless Medical Imaging for TBH Making IT work for the patient

Filmless Medical Imaging for TBH Making IT work for the patient. Dr Otto Schulze Project Leader. Our current problems!. Increasing demand for specialized imaging (>500 images/patient on MDCT/MRI) Repeat examinations (No post-processing)

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Filmless Medical Imaging for TBH Making IT work for the patient

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  1. Filmless Medical Imaging for TBHMaking IT work for the patient Dr Otto Schulze Project Leader

  2. Our current problems! • Increasing demand for specialized imaging (>500 images/patient 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

  3. An Enterprise wide Integrated HIS-RIS –PACS-Equipment solution • 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

  4. Enterprise wide – Hospital Solution

  5. IntegratedOne computer does everything

  6. Interdependent Information Systems Digital Imaging Modalities PACS RIS HIS IT

  7. RIS – The paperRadiology Information System

  8. PACS – The filmPicture Archiving and Communication System

  9. Imaging modality – The machine

  10. Current status of project Mindmap Timeline

  11. How is this going to affect you? • 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

  12. How is this going to affect you? • 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

  13. What do we need from you? • 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

  14. Q & A

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