Improvement in radiographic quality workflow due to use of digital imaging and picture archiving and communication system

Abdul Haseeb Wani; Arshed Hussain Parry; Shakeel Ahmad Khanday; Tariq Ahmad Gojwari

doi:10.18203/2349-3933.ijam20191518

Authors

Abdul Haseeb Wani Department of Radiodiagnosis, Sher-i-Kashmir Institute of Medical Sciences, Soura, Srinagar, Jammu and Kashmir, India
Arshed Hussain Parry Department of Radiodiagnosis, Sher-i-Kashmir Institute of Medical Sciences, Soura, Srinagar, Jammu and Kashmir, India
Shakeel Ahmad Khanday Department of Radiodiagnosis, Government Medical College, Srinagar, Jammu and Kashmir, India
Tariq Ahmad Gojwari Department of Radiodiagnosis, Sher-i-Kashmir Institute of Medical Sciences, Soura, Srinagar, Jammu and Kashmir, India

DOI:

https://doi.org/10.18203/2349-3933.ijam20191518

Keywords:

Digital imaging, Picture archiving and communication system, Questionnaire, Radiographer, Radiographic quality workflow, Retrieval

Abstract

Background: PACS (Picture archiving and communication systems) and digital imaging (DI) has revolutionized radiology bringing about a paradigm shift in the way radiodiagnosis is perceived and practiced with a slew of benefits like elimination of the need for manual handling of films, helping in long term storage of digital images, easy transfer and retrieval of radiographic images. The objective of this study was to analyse the influence of PACS and digital imaging on the workflow in the radiology, performance of the radiographer and image storage and retrieval capabilities.

Methods: It was a questionnaire-based study in which questions were asked to the radiographers working in our hospital at five different working sites. Each questionnaire was aimed to evaluate the effect of digital imaging on radiology workflow, improvement in the performance of radiographers, reduction in the work-related frustration levels due to use of digital imaging and finally the utility of digital imaging in image storage, query and retrieval.

Results: Among the 50 questionnaires 41 were completed and retrieved. Among the respondents, 90.24% indicated that digital imaging has obviated the need for repeat examinations, 95.12% agreed with the fact that it resulted in the reduction of the number of reject images, 95.1% said it helped them in improving their performances, 92.6% of the respondents said they did not face any issue with its use and 95.1% of the participants agreed that the image query and retrieval could be accomplished in a hassle-free manner.

Conclusions: The digital imaging technique not only improves the performance of the radiographers but also increases the workflow of the health care hospitals or clinics. The digital imaging reduces the number of rejected images thus reducing radiation exposure to the patients. Further, it is highly cost-effective and time-saving.

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References

Baby A. A study of cost control strategies in the department of radio-diagnosis of a selected hospital (Doctoral dissertation, Rajiv Gandhi University of Health Sciences). 2007. Available at:

Lundberg N. IT in healthcare-artefacts, infrastructures and medical practices. rapport nr.: Gothenburg studies in informatics. 2000(17).

Lamminen H. "Picture archiving and fundus imaging in a glaucoma clinic." J Telemed Telecare. 2003;9(2):114-6.

Fridell K. A walk into the digital world-a long and winding road. Department Clinic Sci Intervent Technol.2011.

Siegel EL, Reiner B. Work flow redesign: the key to success when using PACS. J Dig Imag. 2003;16(1):164-8.

Larsson W, Aspelin P, Bergquist M, Hillergård K, Jacobsson B, Lindsköld L, et al. The effects of PACS on radiographer's work practice. Radiograph. 2007;13(3):235-40.

Fridell K. Individuals change when technology change. Department of Clinical Science, Intervention and Technology. Stockholm: Karolinska Inst. 2007. Available at: https://www.academia.edu/7087323/INDIVIDUALS_CHANGE_WHEN_TECHNOLOGY_CHANGE.

Larsson W, Aspelin P, Bergquist M, Hillergård K, Jacobsson B, Lindsköld L, et al. The effects of PACS on radiographer's work practice. Radiography. 2007;13(3):235-40.

Lau SL, Mak ASH, Lam WT, Chau CK, Lau KY. Reject analysis: a comparison of conventional film-screen radiography and computed radiography with PACS. Radiography. 2004;10(3):183-7.

Larsson W, Lundberg N, Hillergård K. Use your good judgement-radiographers’ knowledge in image production work. Radiography. 2009;15(3): e11-21.

Fridell K, Aspelin P, Edgren L, Lindsköld L, Lundberg N. PACS influence the radiographer's work. Radiography. 2009;15(2):121-33.

Strickland NH. PACS (picture archiving and communication systems): filmless radiology. Archiv Dis Childhood. 2000;83(1):82-6.

Wenzel A, Møystad A. Work flow with digital intraoral radiography: a systematic review. Actaodontologica Scandinavica. 2010;68(2):106-14.

Bacher K. Evaluation of image quality and patient radiation dose in digital radiology (Doctoral dissertation, Ghent University). Accessed at: https://biblio.ugent.be/publication/471172/file/1878301.

Prabhu SP, Gandhi S, Goddard PR. Ergonomics of digital imaging. British J Radiol. 2005;78(931):582-6.

Hellén-Halme K, Nilsson M, Petersson A. Digital radiography in general dental practice: a field study. Dentomaxillo facial Radiol. 2007;36(5):249-55.

Barrett HH, Swindell W, Stanton R, eds. Radiological imaging: The theory of image formation detection and processing. Physics Today. Available at: https://books.google.co.uk/books?hl=en&lr=&id=jzy2HqpCzFQC&oi=fnd&pg=PP1&dq=significance+of+image+detection+in+radiography&ots=AYipKQgvuQ&sig=2WaJ-FrnViRffSv98E-VGk_F3bY.

Cohenca N, Simon JH, Roges R, Morag Y, Malfaz JM. Clinical indications for digital imaging in dento‐alveolar trauma. Part 1: traumatic injuries. Dental Traumatol. 2007;23(2):95-104.

Abuzaid MM, Saad R, Elshami W, Alyafei S. The effect of digital imaging on Radiography work practice. Int J Sci Technol Res. 2015;4(7):7-10.