posted on Wednesday, November 01, 2006 - 03:41 am
We are in the final stages of desk-top integration. We are going to go-live soon going filmless and paperless at the same time (scanning request cards).
We have chosen to use the RIS worklist from McKesson for 2 main reasons 1. Radiographers can fill in a field on Exam details on RIS for "intended radiologist" which then becomes a method for having exams allocated to individual radiologists, by our specific worklist. (Plain film work is shared as General reporting). 2. Urgent exams are high-lighted by radiographers on RIS, and come to the top of our RIS worklist. This will allow us to provide hot reports to patients returning to A&E/Clinics etc. We can also mark an exam urgent for typing and it will go on the top of transcription worklist. McKesson have worked very closely with us, and have been very helpful in developing their software in line with clinical requirements. They have attempted to almost eliminate mouse-clicks (all clicks on microphone) for radiologists reporting function. I would recommend McKesson RIS sites, ask McKesson to show them them the radiologists reporting front-end, particularly if you are keen on increasing radiologists efficiency.
Agfa end of desk-top integration has also been excellent. Agfa staff have been extremely co-orporative, and have worked to develop a DTI display which is very functional for reporting radiologists. Excellent Project Management from Agfa.
I do think DTI with using worklists (i.e. going paperless) and integrated Digital dictation/VR is vital for improving radiologists efficiency post PACS. Automated PACS image display with relevant priors is also vital. Fingers crossed as we move to go-live.
We have had a uni-directional DTI since go-live in Nov2006. We have filmless and paperless reporting (with scanned request cards). We have used the RIS worklists. This has worked very well for us with no problems.
We have now agreed a bi-direction spec between ourselves, Agfa and McKesson. We are due to implement this in 3-4 weeks time. The real use of PACS to RIS interface will be for PACS housekeeping (ensuring all exams are reported on, and and if there is no report to find out why). For radiologists we will continue to use the RIS worklists for reporting.