PACS Archive Servers and Workflow

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Questions and Answers

What information is NOT typically included in a requisition generated for a radiology examination?

  • Examination ordered
  • Date of birth
  • Patient's insurance information (correct)
  • Patient’s hospital identification number

Which role is primarily responsible for verifying the patient's information and performing the examination?

  • Film room clerk
  • Technologist (correct)
  • Transcriptionist
  • Ordering physician

What is the purpose of the multiviewer lightbox in the radiology workflow?

  • To store historical images
  • To enhance image acquisition techniques
  • To read and compare current and historic films by a radiologist (correct)
  • To transcribe the dictated report into the RIS

What happens to read films after a radiologist has dictated a report?

<p>They are placed back into the film jacket for filing (D)</p> Signup and view all the answers

Which of the following tasks is NOT performed by the technologist during the radiology examination process?

<p>Transcribing the report (B)</p> Signup and view all the answers

In a film-based workflow, which factor is usually responsible for delays in accessing patient images?

<p>Transportation of the film jacket from off-site storage (D)</p> Signup and view all the answers

Which of the following best describes the role of the transcriptionist in the radiology process?

<p>Retrieving and transcribing the dictated reports (B)</p> Signup and view all the answers

In optimizing workflow in radiology, which process can reduce the need for repeating exposures?

<p>Implementing efficient patient history collection (C)</p> Signup and view all the answers

What distinguishes digital workflows from film-based workflows in radiology?

<p>Film-based workflows rely on physical transportation of images (C)</p> Signup and view all the answers

What information does the technologist NOT confirm after receiving the requisition?

<p>Patient's insurance status (C)</p> Signup and view all the answers

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Study Notes

Display Workstations

  • Some displays utilize advanced software for intricate image manipulation techniques.

Archive Servers

  • Acts as the main file storage for PACS (Picture Archiving and Communication System).
  • Composed of a database server or image manager, short-term and long-term storage, and a workflow manager.

Workflow in Radiology

  • Defined as the systematic process of completing examinations, from order entry to report generation.
  • Varies across departments due to differing variables and technology.

Film-Based Workflow

  • Historical design included pass boxes feeding into darkrooms and large reading rooms with multiviewer lightboxes.
  • Film processing times have decreased, enhancing workflow efficiency.
  • Typical radiology workflow includes:
    • Order entry via paper prescription or computer system.
    • Radiologist reviews, corrects, and signs the report.
    • Final report printed and included in patient’s film jacket and sent to the ordering physician.

Generic PACS Workflow

  • Begins with order retrieval via electronic worklist or paper requisition.
  • The order is confirmed and input into the Radiology Information System (RIS).
  • PACS retrieves historical images and places them in short-term storage.
  • Technologist prepares the examination room, documents patient history, and captures images.
  • Patient images tagged with RIS data ensure historical reports are accessible.
  • Digital storage eliminates the need for physical film jackets, expediting access to medical records.

Requisition Details

  • Contains important patient information for examination:
    • Patient's name, hospital ID number, date of birth.
    • Ordering physician's name, examination ordered, reason for examination, chief complaint.

Examination Process

  • Technologist checks patient information, conducts a history intake, and prepares for imaging.
  • Films processed, critiqued, and exposed as needed.
  • Copies made for patients if requested, and images are hung for radiologist review.

Film Jacket Handling

  • Historical images may be stored off-site, requiring time for retrieval.
  • Films hung on multiviewer lightboxes for radiologist assessment with historical images compared.
  • Radiologist dictates report into a system, later transcribed into RIS by transcriptionist.

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