Skip to main content

Going filmless in a new hospital setting

  • Chapter
Digital (R)Evolution in Radiology

Abstract

In 1998, three old city centre hospitals merged and transferred to a new 600 bed teaching hospital, in the western suburbs of Dublin, at Tallaght. The Radiology Department proposed and the Hospital Board implemented a HIS/RIS/PACS and the new hospital went filmless from the outset. The planning and commissioning process involved is outlined and the technical, infrastructural and management process is described. Conclusions are drawn which may be helpful to others involved in similar projects and finally there is a brief discussion on possible future developments in this field. The experience with PACS has been positive and management objectives have been achieved. Taking the “big bang” approach has considerable operational advantages over a phased approach in a new hospital setting. In Tallaght Hospital, the Radiology Department staff had to master new modalities, a newly upgraded RIS and a state of the art PACS system while also adjusting to work on a new campus. The time available for training was short. Nevertheless the hospital has been filmless since opening and a satisfactory service has been provided.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 74.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Allison DJ, Martin NJ, Reynolds RA, Strickland NH (1994), Clinical Aspects of PACS. Proceedings of the Eighteenth International Congress of Radiology. Tan L, Siev E (eds). Singapore, pp 813–819

    Google Scholar 

  2. Allison DJ, Faulkner JJ, Glass HI, Mosley J, Reynolds RA (1994) “PACS” at the Hammersmith — the implementation of a clinically orientated system. Proceedings of the Twelfth International Congress of the European Federation for Medical Informatics

    Google Scholar 

  3. Barneveld Binkhuysen FH (1992) Required functionality of PACS from clinical point of view. Int J Biomed Comput 30: 187–191

    Google Scholar 

  4. Bick U, Lenzen H (1999) PACS: the silent revolution. Eur Radiol 9: 1152–1160

    Article  PubMed  CAS  Google Scholar 

  5. Bryan S, Weatherburn D, Watkins J, Roddie M, Keen J, Muris N, Buxton MJ (1998) Radiology report times: impact of picture archiving and communication systems. AJR 170: 1153–1159

    Article  PubMed  CAS  Google Scholar 

  6. Fiedler V (1997) Do HIS, RIS and PACS increase the efficiency of interdisciplinary teamwork? In: Lemke HU, Vannier MW, Inamura K (eds) Computer-assisted radiology and surgery. Elsevier, Amsterdam, pp 504510

    Google Scholar 

  7. Foord KD PACS (1999) Workstation respecification: display, data flow, system integration, and environmental issues, derived from analysis of the Conquest Hospital pre-DICOM PACS experience. Fur Radiol 9: 1161–1169

    CAS  Google Scholar 

  8. Glass HI, Reynolds RA, Allison DJ (1993) Planning for PACS at Hammersmith Hospital. In: Proceedings of the Nordic Sympossium on PACS, Digital Radiology & Telemedicine. Stockholm: SPRI, pp 37–50

    Google Scholar 

  9. Guiney M, McInerney D, Hurley GD (1999) Mammography in Hospital Health Care Europe 1999/2000 D1, pp 17–19

    Google Scholar 

  10. Huang HK (1992) Three methods of implementing a picture archiving and communication system. Radiographics 12: 131–139

    PubMed  CAS  Google Scholar 

  11. Hruby W, Mosser H, Urban M, Ruger W (1992) The Vienna SMZO-PACS-project: the totally digital hospital. Eur J Radiol 16: 16–68

    Article  Google Scholar 

  12. Inamura K, Takahashi T (1995) Storage and presentation of images. Int J Biomed Comput 39: 157–162

    Article  PubMed  Google Scholar 

  13. Lindhardt FE (1993) The totally digitalized radiological department, the Viborg Project. In: Lemke HU, Inamura K, Jaffe CC, Felix R (eds) Computer-assisted radiology. Springer, Berlin Heidelberg New York, pp 151–155

    Google Scholar 

  14. Lindhardt FE (1996) Clinical experiences with computed radiography. Eur Radiol 22: 175–1851 Marchal G (1997) European Radiology, 7 (S3): 57

    Google Scholar 

  15. Mosser H, Urban M, Hruby W (1994) Filmless digital radiology: feasibility and 20 month experience in clinical routine. Med Inform 19: 149–159

    Article  CAS  Google Scholar 

  16. Peters PE, Dykstra DE, Wiesmann W, Schluchtermann J, Adam D (1992) Cost comparison between storage-phosphor computed radiography and conventional film-screen radiography in intensive care medicine. Radiologe 32: 536–540

    PubMed  CAS  Google Scholar 

  17. Prior FW (1993) Specifying DICOM compliance for modality interfaces. Radiographics 13: 1381–1388

    PubMed  CAS  Google Scholar 

  18. Strickland NH, Allison DJ (1995) Default display arrangements of Images on PACS monitors. Br J Radiol 68: 252–260

    Article  PubMed  CAS  Google Scholar 

  19. Strickland NH (1996) Review article: some cost-benefit considerations for PACS: a radiological perspective. Br J Radiol 69: 1089–1098

    Article  PubMed  CAS  Google Scholar 

  20. Strickland NH, Martin NJ, Allison DJ (1997) A study of the effects of PACS on working practices and patient care after one year’s totally filmless operation of a hospital-wide PACS: the Hammersmith experience (Abstract). Radiology 205: 401

    Google Scholar 

  21. Strickland NH, Shadboldt C, Byneveldt M, Williamson R, Allison DJ (1997) Efficiency of reading plain radiography images: soft copy reading on PACS monitors compared with hardcopy conventional film. (Abstract) Radiology 205: 401–402

    Google Scholar 

  22. Twair A, Torregiani W, Ramesh N, Hogan B (1999) The first complete PACS Radiology Department in Ireland: “Is it more efficient?” Ir J Med Sc 168 (2): 138 (Abstract)

    Google Scholar 

  23. van Gennip EM, Ennning J, Fischer F, Glaser KH, Kilbinger M, Klose KJ, List Hellwig E, Van der Loo R, Rechid R, Van den Broeck R, Wein B (1996) Guidelines for cost-effective implementation of picture archiving and communication systems. An approach building on practical experiences in three European Hospitals. Int J Biomed Comput 43: 161178

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2001 Springer-Verlag Wien

About this chapter

Cite this chapter

Hurley, G.D., Mcinerney, D.P. (2001). Going filmless in a new hospital setting. In: Hruby, W. (eds) Digital (R)Evolution in Radiology. Springer, Vienna. https://doi.org/10.1007/978-3-7091-3707-9_9

Download citation

  • DOI: https://doi.org/10.1007/978-3-7091-3707-9_9

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-3709-3

  • Online ISBN: 978-3-7091-3707-9

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics