title: Factors affecting the electronic communication of radiological information to an intensive-care unit.
abstract: In order to examine communication of radiological information under circumstances where rapid exchange of information was essential, we studied communication of non-routine portable chest radiographs to an intensive-care unit (ICU). Images and reports were available through the usual communication channels and through a PACS workstation in the ICU. Data were obtained to determine how quickly and by what means ICU physicians first viewed images and received radiologists' reports of chest radiographs. Peak information demand occurred within 4 h of the examination. The most rapid means of communication was for the physician to visit the radiology department. Image viewing and report receipt were tightly coupled, usually for images which were first viewed as hard copy. PACS performance suffered from unreliable film digitization and delayed report transcription. Integration of computed radiography and digital dictation into a PACS could markedly reduce the delays in ICU physicians' access to radiological information.
authors.affiliation: Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, USA. shile@mirlink.wustl.edu
authors.forename: P E
authors.initials: PE
authors.lastname: Shile
authors.forename: H L
authors.initials: HL
authors.lastname: Kundel
authors.forename: S B
authors.initials: SB
authors.lastname: Seshadri
authors.forename: B
authors.initials: B
authors.lastname: Carey
authors.forename: S
authors.initials: S
authors.lastname: Kishore
authors.forename: I
authors.initials: I
authors.lastname: Brikman
authors.forename: E
authors.initials: E
authors.lastname: Feingold
authors.forename: P N
authors.initials: PN
authors.lastname: Lanken
authors.forename: J A
authors.initials: JA
authors.lastname: Purcell
mesh_terms: D017598:Efficiency, Organizational; D006801:Humans; D007362:Intensive Care Units; D011873:Radiology Information Systems; D019112:Teleradiology; D013997:Time Factors