caa a22 4500 463178866 CHVBK 20180406164833.0 cr unu---uuuuu 170326e20070601xx s 000 0 eng 10.1007/s10278-007-9006-y doi (NATIONALLICENCE)springer-10.1007/s10278-007-9006-y A Filmless Radiology Department in a Full Digital Regional Hospital: Quantitative Evaluation of the Increased Quality and Efficiency [Elektronische Daten] [Andrea Nitrosi, Giovanni Borasi, Franco Nicoli, Gino Modigliani, Andrea Botti, Marco Bertolini, Pietro Notari] Reggio Emilia hospital installed Picture Archiving and Communications Systems (PACS) as the final step towards a completely digital clinical environment completing the HIS/EMR and 1,400 web/terminals for patient information access. Financial benefits throughout the hospital were assessed upfront and measured periodically. Key indicators (radiology exam turnaround time, number of radiology procedures performed, inpatients length of stay before and after the PACS implementation, etc.) were analyzed and values were statistically tested to assess workflow and productivity improvements. The hospital went "filmless” in 28weeks. Between the half of 2004 and the respective period in 2003, overall Radiology Department productivity increased by 12%, TAT improved by more than 60%. Timelier patient care resulted in decreased lengths of stay. Neurology alone experienced a 12% improvement in average patient stay. To quantify the impact of PACS on the average hospital stays and the expected productivity benefits to inpatient productivity were used a "high level” and a "detailed” business model. Annual financial upsides have exceeded $1.9 millions/year. A well-planned PACS deployment simplifies imaging workflow and improves patient care throughout the hospital while delivering substantial financial benefits. Staff buy-in was the key in this process and on-going training and process monitoring are a must. Society for Imaging Informatics in Medicine, 2007 PACS nationallicence cost savings nationallicence cost-effectiveness nationallicence efficiency nationallicence PACS system nationallicence performance nationallicence patient stay nationallicence Nitrosi Andrea Servizio di Fisica Sanitaria, Arcispedale Santa Maria Nuova, V.le Risorgimento 80, 42100, Reggio Emilia (RE), Italy aut Borasi Giovanni Servizio di Fisica Sanitaria, Arcispedale Santa Maria Nuova, V.le Risorgimento 80, 42100, Reggio Emilia (RE), Italy aut Nicoli Franco Arcispedale Santa Maria Nuova—Dipartimento di Diagnostica per Immagini—Servizio di Radiologia, Reggio Emilia (RE), Italy aut Modigliani Gino Eastman Kodak Company, Health Group, Milano, Italy aut Botti Andrea Servizio di Fisica Sanitaria, Arcispedale Santa Maria Nuova, V.le Risorgimento 80, 42100, Reggio Emilia (RE), Italy aut Bertolini Marco Servizio di Fisica Sanitaria, Arcispedale Santa Maria Nuova, V.le Risorgimento 80, 42100, Reggio Emilia (RE), Italy aut Notari Pietro Arcispedale Santa Maria Nuova—Dipartimento di Diagnostica per Immagini—Servizio di Radiologia, Reggio Emilia (RE), Italy aut Journal of Digital Imaging Springer-Verlag 20/2(2007-06-01), 140-148 0897-1889 20:2<140 2007 20 10278 https://doi.org/10.1007/s10278-007-9006-y text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10278-007-9006-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Nitrosi Andrea Servizio di Fisica Sanitaria, Arcispedale Santa Maria Nuova, V.le Risorgimento 80, 42100, Reggio Emilia (RE), Italy aut NATIONALLICENCE 700 1- Borasi Giovanni Servizio di Fisica Sanitaria, Arcispedale Santa Maria Nuova, V.le Risorgimento 80, 42100, Reggio Emilia (RE), Italy aut NATIONALLICENCE 700 1- Nicoli Franco Arcispedale Santa Maria Nuova—Dipartimento di Diagnostica per Immagini—Servizio di Radiologia, Reggio Emilia (RE), Italy aut NATIONALLICENCE 700 1- Modigliani Gino Eastman Kodak Company, Health Group, Milano, Italy aut NATIONALLICENCE 700 1- Botti Andrea Servizio di Fisica Sanitaria, Arcispedale Santa Maria Nuova, V.le Risorgimento 80, 42100, Reggio Emilia (RE), Italy aut NATIONALLICENCE 700 1- Bertolini Marco Servizio di Fisica Sanitaria, Arcispedale Santa Maria Nuova, V.le Risorgimento 80, 42100, Reggio Emilia (RE), Italy aut NATIONALLICENCE 700 1- Notari Pietro Arcispedale Santa Maria Nuova—Dipartimento di Diagnostica per Immagini—Servizio di Radiologia, Reggio Emilia (RE), Italy aut NATIONALLICENCE 773 0- Journal of Digital Imaging Springer-Verlag 20/2(2007-06-01), 140-148 0897-1889 20:2<140 2007 20 10278 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer