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Topic 2 - Workflow Efficiencyy

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8 views13 pages

Topic 2 - Workflow Efficiencyy

Yes

Uploaded by

haikyudxd
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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TOPIC 2:
WORKFLOW EFFICIENCY
PRESENTED BY: GROUP 5
DATE: NOVEMBER 18, 2024

Lorem Ipsum
WORKFLOW EFFICIENCY
-PACS workflow can greatly improve the efficiency of
medical imaging in the healthcare facility. It can reduce the
time required to access medical imaged and improve the
accuracy of diagnoses.

2
PACS COMPONENTS
1. Data and Image Acquisition Gateways
○ Acquires images and patient data.
○ Ensures timely and reliable acquisition.
2. PACS Server and Archive
○ Central hub for data storage and retrieval.
○ Supports short-term and long-term storage.
3. Display Workstations
○ High-resolution workstations for diagnosis.
○ Functions: case preparation, selection, and interpretation.
4. Application Servers
○ Handles processing and integration tasks.
5. System Networks
○ Ensures connectivity across PACS components.
PACS Infrastructure Design
● Standards: DICOM and HL7.
● Connectivity: Open architecture for
interoperability.
● Reliability: Error recovery and high uptime.
● Security: Patient confidentiality via robust
measures.
PACS Workflow
1: Patient Register in HIS with radiology Exam in RIS
2: RIS Sends Data to the PACS Broker via HL7
3: PACS Broker Notifies the Archive Server
4: Historical Exams Prefetching
5: Patient Arrives at the Modality
6: Image Acquisition and QC
7: Exam Preparation and Radiologist Notification
8: Archiving and Database Update
9: Distributes the PACS exam to Review Workstations
10: Report Dictation and Sign-Off
11: Report Transcription and RIS Update
12: HL7 Results Message
13: Radiologist Query for previous report of PACS
14: Referring Physician Query
PACS Architectures
1. Stand-alone Model
2. Client-Server Model
3. Web-Based Model

STAND-ALONE MODEL

-also called thick client model.

The three major features:

1. Images are automatically sent to the designated diagnostic and


review WSs from the server.

2. WSs can also query/retrieve images from the archive server.

3. WSs have short-term cache storage.


Advantages Disadvantages
Server Downtime Resilience: If the PACS Dependence on Preconfigured Workflows:
server is down, imaging devices can still Correct image distribution and prefetching
send images directly to workstations, aren't always reliable, causing potential delays.
ensuring radiologists can continue Fragmented Worklists: Different workstations
working. may have varied case lists, making it
Data Redundancy: Multiple copies of inconvenient for radiologists to manage all
image data across the system reduce the their assigned cases in one place.
risk of losing data. Complex Data Retrieval: Using query/retrieve
Historical Data Access: Workstations with functions to fetch archived data can be
local storage can retain some historical complicated compared to simpler client/server
data for immediate access. models.
Network Independence: Local storage on Duplicate Case Readings: Radiologists might
workstations minimizes reliance on accidentally review the same case on different
network performance, allowing instant workstations if the same data is sent to multiple
access to preloaded images. locations.
Customizable Data: The DICOM header
can be modified during quality control
before archiving.
CLIENT-SERVER MODEL
-called thin client model.

the three major features:

1. Images are centrally archive in the PACS server.


2. From a single worklist at the client WS has a sinlge worklist of all examinations where a
user selects the patient and images via the PACS server.
3. WSs have no local storage, images are flushed after reading.
Advantages Disadvantages
Universal Access: Exams are accessible Single Point of Failure: If the PACS server
on any PACS workstation (WS) at any fails, the entire system becomes unusable,
time, providing flexibility and preventing exam access until repairs are
convenience. made.
No Prefetching Needed: Studies are Higher Risk of Errors: More database
retrieved directly without prefetching or transactions expose the system to errors,
manual distribution. making it less robust than other
Simplified Workflow: Users can select architectures.
exams from the worklist, and images Network Dependency: Relies heavily on
load automatically—no complex network performance, which can be
query/retrieve process required. problematic with slow Wide Area Network
Avoids Duplicate Readings: Since the (WAN) connections, especially in
main copy is stored centrally, teleradiology.
radiologists can see if an exam is already Delayed Quality Control: DICOM header
being read, preventing redundancy. modifications for quality assurance cannot
occur until images are archived.
WEB-MODEL BASED
-has an architecture similar to the client-server model. The main difference is that
the client and server software are for Web-based applications.
WEB-BASED MODEL AS COMPARED TO THE CLIENT SERVER MODEL

Advantages Disadvantages

Platform Independence: Client


workstations can operate on any Limited Functionality and Performance:
hardware as long as a supported web The system’s capabilities and
browser is available. performance are constrained by the web
Portability: The system is accessible both browser’s features, which may not match
on-site and remotely (e.g., at home) via the full functionality of dedicated
an Internet connection, offering client-server systems.
flexibility for radiologists.

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