Image workstation in a medical intensive care unit changes viewing patterns and timing of image-based clinical actions in routine portable chest radiographs

Regina O. Redfern; Harold L. Kundel; Marcia Polansky; Curtis P. Langlotz M.D.; Paul N. Lanken M.D.; Inna Brikman; Steven C. Horii M.D.; Mary T. Bozzo; Eric R. Feingold; Calvin F. Nodine

doi:10.1117/12.239262

1 May 1996 Image workstation in a medical intensive care unit changes viewing patterns and timing of image-based clinical actions in routine portable chest radiographs

Regina O. Redfern, Harold L. Kundel, Marcia Polansky, Curtis P. Langlotz M.D., Paul N. Lanken M.D., Inna Brikman, Steven C. Horii M.D., Mary T. Bozzo, Eric R. Feingold, Calvin F. Nodine

Author Affiliations +

Proceedings Volume 2711, Medical Imaging 1996: PACS Design and Evaluation: Engineering and Clinical Issues; (1996) https://doi.org/10.1117/12.239262
Event: Medical Imaging 1996, 1996, Newport Beach, CA, United States

Abstract

In order to determine the effect of an image workstation, viewing patterns and related clinical actions were evaluated in a randomized prospective study. During 16 weeks of Computed Radiography data collection, an image workstation was conveniently available to the Medical Intensive Care Unit clinicians. The workstation was not available for clinical use during 16 weeks of Analog Film data collection. Viewing patterns were evaluated by comparing viewing times. Patient care was evaluated by comparing the time of performing image based clinical actions. The percentage of routine exams viewed before AM Radiology Conference increased from 0% during the Analog Periods to 27% during the CR PACS Periods. Clinicians selected images taken during the first few days of the patient's admission for viewing before conference. Images taken later in admission were viewed during or after conference. On days when radiology conference was not held, images were viewed significantly earlier when the workstation was available. Clinical actions based on images viewed on the workstation were performed significantly earlier. When an image workstation was available routine images were viewed sooner and image based actions occurred earlier.

Citation Download Citation

Regina O. Redfern, Harold L. Kundel, Marcia Polansky, Curtis P. Langlotz M.D., Paul N. Lanken M.D., Inna Brikman, Steven C. Horii M.D., Mary T. Bozzo, Eric R. Feingold, and Calvin F. Nodine "Image workstation in a medical intensive care unit changes viewing patterns and timing of image-based clinical actions in routine portable chest radiographs", Proc. SPIE 2711, Medical Imaging 1996: PACS Design and Evaluation: Engineering and Clinical Issues, (1 May 1996); https://doi.org/10.1117/12.239262

ACCESS THE FULL ARTICLE

INSTITUTIONAL
Select your institution to access the SPIE Digital Library.

SELECT YOUR INSTITUTION

PERSONAL
Sign in with your SPIE account to access your personal subscriptions or to use specific features such as save to my library, sign up for alerts, save searches, etc.

PERSONAL SIGN IN

No SPIE Account? Create one

PURCHASE THIS CONTENT

SUBSCRIBE TO DIGITAL LIBRARY

50 downloads per 1-year subscription

Members: $195

Non-members: $335 ADD TO CART

25 downloads per 1 - year subscription

Members: $145

Non-members: $250 ADD TO CART

PURCHASE SINGLE ARTICLE

Includes PDF, HTML & Video, when available