caa a22 4500 463178513 CHVBK 20180406164832.0 cr unu---uuuuu 170326e20070901xx s 000 0 eng 10.1007/s10278-006-1049-y doi (NATIONALLICENCE)springer-10.1007/s10278-006-1049-y ‘Wet Reads' in the Age of PACS: Technical and Workflow Considerations for a Preliminary Report System [Elektronische Daten] [Jonathan Mates, Barton Branstetter, Matthew Morgan, David Lionetti, Paul Chang] Communication between clinicians, technologists, and radi ologists has become more complex, with Picture Archiving and Communication Systems (PACS) now allowing the radiologist to be removed from the physical location of the patients and the site of imaging. With these changes, effective communication becomes an ongoing challenge. Efficient communication of study interpretations has also become a priority for radiologists as they struggle to maintain relevance and provide added value to patient care when clinicians have ready access to radiology images. The purpose of this paper is to share our experience in developing and implementing the Collaborative Notification System (CNS), a communication tool used to inform referring clinicians of urgent findings—a.k.a. "wet reads.” The system utilizes a system of web pages integrated into PACS for the sending and receiving of succinct messages to provide clinical information at the point of need. A second system of pager alerts provides notification of the need for such communication through a relatively unintrusive, one-way, acknowledged alert system. The CNS provides asynchronous, integrated communication for the reporting of urgent and emergent radiology findings in a complex, geographically distributed medical environment. SCAR (Society for Computer Applications in Radiology), 2007 Workflow nationallicence emergency radiology nationallicence asynchronous communication nationallicence PACS nationallicence Mates Jonathan Department of Radiology, Kaiser Permanente Health System, Walnut Creek, CA, USA aut Branstetter Barton Department of Radiology, Division of Radiology Informatics, University of Pittsburgh Medical Center, Walnut Creek, CA, USA aut Morgan Matthew Department of Radiology, Division of Radiology Informatics, University of Pittsburgh Medical Center, Walnut Creek, CA, USA aut Lionetti David Department of Radiology, Division of Radiology Informatics, University of Pittsburgh Medical Center, Walnut Creek, CA, USA aut Chang Paul Department of Radiology, Division of Radiology Informatics, University of Pittsburgh Medical Center, Walnut Creek, CA, USA aut Journal of Digital Imaging Springer-Verlag; http://www.springer-ny.com 20/3(2007-09-01), 296-306 0897-1889 20:3<296 2007 20 10278 https://doi.org/10.1007/s10278-006-1049-y text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10278-006-1049-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Mates Jonathan Department of Radiology, Kaiser Permanente Health System, Walnut Creek, CA, USA aut NATIONALLICENCE 700 1- Branstetter Barton Department of Radiology, Division of Radiology Informatics, University of Pittsburgh Medical Center, Walnut Creek, CA, USA aut NATIONALLICENCE 700 1- Morgan Matthew Department of Radiology, Division of Radiology Informatics, University of Pittsburgh Medical Center, Walnut Creek, CA, USA aut NATIONALLICENCE 700 1- Lionetti David Department of Radiology, Division of Radiology Informatics, University of Pittsburgh Medical Center, Walnut Creek, CA, USA aut NATIONALLICENCE 700 1- Chang Paul Department of Radiology, Division of Radiology Informatics, University of Pittsburgh Medical Center, Walnut Creek, CA, USA aut NATIONALLICENCE 773 0- Journal of Digital Imaging Springer-Verlag; http://www.springer-ny.com 20/3(2007-09-01), 296-306 0897-1889 20:3<296 2007 20 10278 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer