SlideShare a Scribd company logo
1 of 9
Download to read offline
1
Defining and Formalizing:
a synthesized review on the
multi-factorial nature of PACS
performance
Rogier van de Wetering and Ronald Batenburg
Dept. of Information and Computing Sciences, Utrecht University
Utrecht, The Netherlands
Geneva, June 24, 2010
2
Outline
 Background
 Methods
 Results
 Conclusion
 Questions & discussion
3
Background
 Previous studies indicated the need for holistic approaches
and performance measurement from different perspectives
 Adoption of Technology Assessments (TA) and re-
evaluation trends reflects this demand
 No recognized work structurally defines what PACS
performance constitutes
 Objective is to review literature and apply a meta-analytic
approach
4 4
Background
 PACS performance as
“the multi-factorial impacts and benefits produced by the
application of PACS in terms of hospital efficiency and
clinical effectiveness with respect to PACS workflow and
patients’ clinical journey”
X1
X2
X3
X4
X5
PACS
performance
PACS
alignment
Yc1
Yc2
Yc3
Yc4
a1
a2
a3
a4
a5
γ1
b1
b2
b3
b4
Figure 1. PACS research agenda
5
Methods
Structure literature review
 Using Omega, central data repositories (e.g., PubMed) and
Scholar (June 2009 - October 2009)
 Query: Picture Archiving and Communication System OR PACS OR
digital radiology OR image management OR filmless radiology OR
diagnostic images + {performance | impact | measure | indicator |
benefits | improvements | assessment | improvement | effect |
efficiency | evaluation | indicator | measure | efficacy | experience |
outcome}
 Retrieval of 980 papers
 37 key publications and positioning papers (2000–2009)
Meta-analytic synthesizing
 Following a qualitative meta-analysis approach
 Applied an approach by three interrelated processes (1)
meta-theory, (2) meta-method and (3) meta-data-analysis
6
Results (1-2)
 Included sources used a variety of qualitative and
quantitative methodologies
 Some focused on diagnostic/clinical elements, others aimed
at e.g., evaluating productivity and workflow efficiency
 Four performance constructs are defined (see also PACS-
BSC, Van de Wetering et al.,2006)
 Some measures might not be independent of performance
in another measure (“overlap”)
7
Results (2-2)
Performance constructs Measurements
1) Clinical contribution construct
- Interpretation agility Interpretation time per modality
examination
- Efficacy of PACS Diagnostic accuracy
- Contributions to clinical
communication and collaboration
Communication efficacy
- Therapeutic intervention Patient management contribution
2) Organisational efficiency construct
- Timeliness of radiology report Report-turnaround-time
- Productivity Number of examinations
Cost-effectiveness Budget ratio or cost prise
3) Service construct
- Perceived service to patients Patient satisfaction
- Service delivery to referring
physicians
Referring physician satisfaction
- Service delivery to users User satisfaction
- Patient flow & throughput Patient waiting time
4) Technical Information System construct
- Instantaneous image display of
newly acquired images
Average time-to-display
- Old images availability Average time-to-display
Table 1. PACS performance constructs
8
Conclusions
 PACS performance defined by synthesized review
 Framework applicable addressing PACS impacts
 Debatable how to weight (whether equal or unequal) each of
the measures
 Unlikely to achieve good quality on higher levels of
assessment (see hierarchical TA models), given insufficient
performance on lower levels
 Framework is valuable tool for empirical research and relevant
for radiology practice
 Need for empirical validation (currently under investigation)
9
Contact
drs. R. (Rogier) van de Wetering
Email: R.vandeWetering@cs.uu.nl
Office: CGN-B129
Secretary: +31 (30) 253 9251
Group: Organization and information
section: Information and software
systems
Website: www.pacsmaturity.com

More Related Content

What's hot

The AHRQ Training Modules for the Systematic Reviews Methods Guide: An Introd...
The AHRQ Training Modules for the Systematic Reviews Methods Guide: An Introd...The AHRQ Training Modules for the Systematic Reviews Methods Guide: An Introd...
The AHRQ Training Modules for the Systematic Reviews Methods Guide: An Introd...Effective Health Care Program
 
Recommendations on Evidence Needed to Support Measurement Equivalence between...
Recommendations on Evidence Needed to Support Measurement Equivalence between...Recommendations on Evidence Needed to Support Measurement Equivalence between...
Recommendations on Evidence Needed to Support Measurement Equivalence between...CRF Health
 
Research Data Management for Clinical Trials and Quality Improvement
Research Data Management for Clinical Trials and Quality ImprovementResearch Data Management for Clinical Trials and Quality Improvement
Research Data Management for Clinical Trials and Quality ImprovementMargaret Henderson
 
Ovretveit implementation science research course 1day sept 11
Ovretveit implementation science research course 1day sept 11Ovretveit implementation science research course 1day sept 11
Ovretveit implementation science research course 1day sept 11john
 
QI theories relevant to PPE compliance
QI theories relevant to PPE complianceQI theories relevant to PPE compliance
QI theories relevant to PPE compliancelexie_daryan
 
EBM Therapy Appraisal Template F1
EBM Therapy Appraisal Template F1EBM Therapy Appraisal Template F1
EBM Therapy Appraisal Template F1Imad Hassan
 
Revelatory Trends in Clinical Research and Data Management
Revelatory Trends in Clinical Research and Data ManagementRevelatory Trends in Clinical Research and Data Management
Revelatory Trends in Clinical Research and Data ManagementSagar Ghotekar
 
rti_innovation_brief_meta-evaluation
rti_innovation_brief_meta-evaluationrti_innovation_brief_meta-evaluation
rti_innovation_brief_meta-evaluationAnupa Bir
 
AllTrials AAAS 2015 - Opportunities and Challenges for ClinicalTrials.gov
AllTrials AAAS 2015 - Opportunities and Challenges for ClinicalTrials.govAllTrials AAAS 2015 - Opportunities and Challenges for ClinicalTrials.gov
AllTrials AAAS 2015 - Opportunities and Challenges for ClinicalTrials.govSenseAboutSci
 
Planning And Development Of The Iss Ise Webinar Final
Planning And Development Of The Iss Ise Webinar   FinalPlanning And Development Of The Iss Ise Webinar   Final
Planning And Development Of The Iss Ise Webinar FinalJay1818mar
 
Can CER and Personalized Medicine Work Together
Can CER and Personalized Medicine Work TogetherCan CER and Personalized Medicine Work Together
Can CER and Personalized Medicine Work TogetherJohn Cai
 

What's hot (20)

Topic Refinement
Topic RefinementTopic Refinement
Topic Refinement
 
Topic Refinement Quiz
Topic Refinement QuizTopic Refinement Quiz
Topic Refinement Quiz
 
Assessing Applicability Quiz
Assessing Applicability QuizAssessing Applicability Quiz
Assessing Applicability Quiz
 
The AHRQ Training Modules for the Systematic Reviews Methods Guide: An Introd...
The AHRQ Training Modules for the Systematic Reviews Methods Guide: An Introd...The AHRQ Training Modules for the Systematic Reviews Methods Guide: An Introd...
The AHRQ Training Modules for the Systematic Reviews Methods Guide: An Introd...
 
Quantitative Synthesis II
Quantitative Synthesis IIQuantitative Synthesis II
Quantitative Synthesis II
 
Recommendations on Evidence Needed to Support Measurement Equivalence between...
Recommendations on Evidence Needed to Support Measurement Equivalence between...Recommendations on Evidence Needed to Support Measurement Equivalence between...
Recommendations on Evidence Needed to Support Measurement Equivalence between...
 
Research Data Management for Clinical Trials and Quality Improvement
Research Data Management for Clinical Trials and Quality ImprovementResearch Data Management for Clinical Trials and Quality Improvement
Research Data Management for Clinical Trials and Quality Improvement
 
Ovretveit implementation science research course 1day sept 11
Ovretveit implementation science research course 1day sept 11Ovretveit implementation science research course 1day sept 11
Ovretveit implementation science research course 1day sept 11
 
QI theories relevant to PPE compliance
QI theories relevant to PPE complianceQI theories relevant to PPE compliance
QI theories relevant to PPE compliance
 
Surgical Audit & Research
Surgical Audit & ResearchSurgical Audit & Research
Surgical Audit & Research
 
EBM Therapy Appraisal Template F1
EBM Therapy Appraisal Template F1EBM Therapy Appraisal Template F1
EBM Therapy Appraisal Template F1
 
Audit of clinical practice
Audit of clinical practiceAudit of clinical practice
Audit of clinical practice
 
Revelatory Trends in Clinical Research and Data Management
Revelatory Trends in Clinical Research and Data ManagementRevelatory Trends in Clinical Research and Data Management
Revelatory Trends in Clinical Research and Data Management
 
Data Extraction
Data ExtractionData Extraction
Data Extraction
 
Assessing Applicability
Assessing ApplicabilityAssessing Applicability
Assessing Applicability
 
rti_innovation_brief_meta-evaluation
rti_innovation_brief_meta-evaluationrti_innovation_brief_meta-evaluation
rti_innovation_brief_meta-evaluation
 
AllTrials AAAS 2015 - Opportunities and Challenges for ClinicalTrials.gov
AllTrials AAAS 2015 - Opportunities and Challenges for ClinicalTrials.govAllTrials AAAS 2015 - Opportunities and Challenges for ClinicalTrials.gov
AllTrials AAAS 2015 - Opportunities and Challenges for ClinicalTrials.gov
 
Planning And Development Of The Iss Ise Webinar Final
Planning And Development Of The Iss Ise Webinar   FinalPlanning And Development Of The Iss Ise Webinar   Final
Planning And Development Of The Iss Ise Webinar Final
 
Clinical audit made easy
Clinical audit made easyClinical audit made easy
Clinical audit made easy
 
Can CER and Personalized Medicine Work Together
Can CER and Personalized Medicine Work TogetherCan CER and Personalized Medicine Work Together
Can CER and Personalized Medicine Work Together
 

Similar to Defining and formalizing radiology and PACS performance

Running head evaluation tool1evaluation tool6Evaluation Tool.docx
Running head evaluation tool1evaluation tool6Evaluation Tool.docxRunning head evaluation tool1evaluation tool6Evaluation Tool.docx
Running head evaluation tool1evaluation tool6Evaluation Tool.docxcowinhelen
 
A Process-Centered Approach to the Description of Clinical Pathways Forms and...
A Process-Centered Approach to the Description of Clinical Pathways Forms and...A Process-Centered Approach to the Description of Clinical Pathways Forms and...
A Process-Centered Approach to the Description of Clinical Pathways Forms and...Lisa Graves
 
A Process-Centered Approach to the Description of Clinical Pathways Forms and...
A Process-Centered Approach to the Description of Clinical Pathways Forms and...A Process-Centered Approach to the Description of Clinical Pathways Forms and...
A Process-Centered Approach to the Description of Clinical Pathways Forms and...Jessica Navarro
 
Modelling workflow processes for clinical information systems: impact on deci...
Modelling workflow processes for clinical information systems: impact on deci...Modelling workflow processes for clinical information systems: impact on deci...
Modelling workflow processes for clinical information systems: impact on deci...Phil Gooch
 
Paper sharing_Patient health locus of control the design of information syste...
Paper sharing_Patient health locus of control the design of information syste...Paper sharing_Patient health locus of control the design of information syste...
Paper sharing_Patient health locus of control the design of information syste...YOU SHENG CHEN
 
How to extract data from your paper for systemic review – Pubrica
How to extract data from your paper for systemic review – PubricaHow to extract data from your paper for systemic review – Pubrica
How to extract data from your paper for systemic review – PubricaPubrica
 
Integration Of Declarative and Procedural Knowledge for The Management of Chr...
Integration Of Declarative and Procedural Knowledge for The Management of Chr...Integration Of Declarative and Procedural Knowledge for The Management of Chr...
Integration Of Declarative and Procedural Knowledge for The Management of Chr...Health Informatics New Zealand
 
Application Of Statistical Process Control In Manufacturing Company To Unders...
Application Of Statistical Process Control In Manufacturing Company To Unders...Application Of Statistical Process Control In Manufacturing Company To Unders...
Application Of Statistical Process Control In Manufacturing Company To Unders...Martha Brown
 
KCVI_analytics_NGWeiskopf research week v4
KCVI_analytics_NGWeiskopf research week v4KCVI_analytics_NGWeiskopf research week v4
KCVI_analytics_NGWeiskopf research week v4Deborah Woodcock
 
Automated Extraction Of Reported Statistical Analyses Towards A Logical Repr...
Automated Extraction Of Reported Statistical Analyses  Towards A Logical Repr...Automated Extraction Of Reported Statistical Analyses  Towards A Logical Repr...
Automated Extraction Of Reported Statistical Analyses Towards A Logical Repr...Nat Rice
 
EID THESIS PPT design destributed patient file .pptx
EID THESIS PPT design destributed patient file .pptxEID THESIS PPT design destributed patient file .pptx
EID THESIS PPT design destributed patient file .pptxEiduAhmed
 
Operations research within UK healthcare: A review
Operations research within UK healthcare: A reviewOperations research within UK healthcare: A review
Operations research within UK healthcare: A reviewHarender Singh
 
Safti net kick off 12092010-mrs
Safti net kick off 12092010-mrsSafti net kick off 12092010-mrs
Safti net kick off 12092010-mrsMarion Sills
 
Measuring the Effectiveness of eHealth Initiatives in Hospitals
Measuring the Effectiveness of eHealth Initiatives in HospitalsMeasuring the Effectiveness of eHealth Initiatives in Hospitals
Measuring the Effectiveness of eHealth Initiatives in HospitalsHealth Informatics New Zealand
 
EID THESIS PPT.pptx
EID THESIS PPT.pptxEID THESIS PPT.pptx
EID THESIS PPT.pptxEiduAhmed
 
Application Evaluation Project Part 1 Evaluation Plan FocusTec.docx
Application Evaluation Project Part 1 Evaluation Plan FocusTec.docxApplication Evaluation Project Part 1 Evaluation Plan FocusTec.docx
Application Evaluation Project Part 1 Evaluation Plan FocusTec.docxalfredai53p
 
MAST: a model for HTA-based assessment of telemedicine applications
MAST: a model for HTA-based assessment of telemedicine applicationsMAST: a model for HTA-based assessment of telemedicine applications
MAST: a model for HTA-based assessment of telemedicine applicationsHTAi Bilbao 2012
 
Operational research
Operational researchOperational research
Operational researchDr Ramniwas
 

Similar to Defining and formalizing radiology and PACS performance (20)

Running head evaluation tool1evaluation tool6Evaluation Tool.docx
Running head evaluation tool1evaluation tool6Evaluation Tool.docxRunning head evaluation tool1evaluation tool6Evaluation Tool.docx
Running head evaluation tool1evaluation tool6Evaluation Tool.docx
 
A Process-Centered Approach to the Description of Clinical Pathways Forms and...
A Process-Centered Approach to the Description of Clinical Pathways Forms and...A Process-Centered Approach to the Description of Clinical Pathways Forms and...
A Process-Centered Approach to the Description of Clinical Pathways Forms and...
 
A Process-Centered Approach to the Description of Clinical Pathways Forms and...
A Process-Centered Approach to the Description of Clinical Pathways Forms and...A Process-Centered Approach to the Description of Clinical Pathways Forms and...
A Process-Centered Approach to the Description of Clinical Pathways Forms and...
 
Modelling workflow processes for clinical information systems: impact on deci...
Modelling workflow processes for clinical information systems: impact on deci...Modelling workflow processes for clinical information systems: impact on deci...
Modelling workflow processes for clinical information systems: impact on deci...
 
Paper sharing_Patient health locus of control the design of information syste...
Paper sharing_Patient health locus of control the design of information syste...Paper sharing_Patient health locus of control the design of information syste...
Paper sharing_Patient health locus of control the design of information syste...
 
How to extract data from your paper for systemic review – Pubrica
How to extract data from your paper for systemic review – PubricaHow to extract data from your paper for systemic review – Pubrica
How to extract data from your paper for systemic review – Pubrica
 
Integration Of Declarative and Procedural Knowledge for The Management of Chr...
Integration Of Declarative and Procedural Knowledge for The Management of Chr...Integration Of Declarative and Procedural Knowledge for The Management of Chr...
Integration Of Declarative and Procedural Knowledge for The Management of Chr...
 
Application Of Statistical Process Control In Manufacturing Company To Unders...
Application Of Statistical Process Control In Manufacturing Company To Unders...Application Of Statistical Process Control In Manufacturing Company To Unders...
Application Of Statistical Process Control In Manufacturing Company To Unders...
 
KCVI_analytics_NGWeiskopf research week v4
KCVI_analytics_NGWeiskopf research week v4KCVI_analytics_NGWeiskopf research week v4
KCVI_analytics_NGWeiskopf research week v4
 
Automated Extraction Of Reported Statistical Analyses Towards A Logical Repr...
Automated Extraction Of Reported Statistical Analyses  Towards A Logical Repr...Automated Extraction Of Reported Statistical Analyses  Towards A Logical Repr...
Automated Extraction Of Reported Statistical Analyses Towards A Logical Repr...
 
EID THESIS PPT design destributed patient file .pptx
EID THESIS PPT design destributed patient file .pptxEID THESIS PPT design destributed patient file .pptx
EID THESIS PPT design destributed patient file .pptx
 
Operations research within UK healthcare: A review
Operations research within UK healthcare: A reviewOperations research within UK healthcare: A review
Operations research within UK healthcare: A review
 
Safti net kick off 12092010-mrs
Safti net kick off 12092010-mrsSafti net kick off 12092010-mrs
Safti net kick off 12092010-mrs
 
Measuring the Effectiveness of eHealth Initiatives in Hospitals
Measuring the Effectiveness of eHealth Initiatives in HospitalsMeasuring the Effectiveness of eHealth Initiatives in Hospitals
Measuring the Effectiveness of eHealth Initiatives in Hospitals
 
EID THESIS PPT.pptx
EID THESIS PPT.pptxEID THESIS PPT.pptx
EID THESIS PPT.pptx
 
Application Evaluation Project Part 1 Evaluation Plan FocusTec.docx
Application Evaluation Project Part 1 Evaluation Plan FocusTec.docxApplication Evaluation Project Part 1 Evaluation Plan FocusTec.docx
Application Evaluation Project Part 1 Evaluation Plan FocusTec.docx
 
From PACS Adoption to PACS Maturity
From PACS Adoption to PACS MaturityFrom PACS Adoption to PACS Maturity
From PACS Adoption to PACS Maturity
 
MAST: a model for HTA-based assessment of telemedicine applications
MAST: a model for HTA-based assessment of telemedicine applicationsMAST: a model for HTA-based assessment of telemedicine applications
MAST: a model for HTA-based assessment of telemedicine applications
 
CIBM
CIBMCIBM
CIBM
 
Operational research
Operational researchOperational research
Operational research
 

More from Rogier Van de Wetering, PhD

More from Rogier Van de Wetering, PhD (9)

Rule-based Design. Managing complexity!
Rule-based Design. Managing complexity!Rule-based Design. Managing complexity!
Rule-based Design. Managing complexity!
 
Application of Structural Equation Modeling in PACS research
Application of Structural Equation Modeling in PACS researchApplication of Structural Equation Modeling in PACS research
Application of Structural Equation Modeling in PACS research
 
Picture Archiving and Communication Systems
Picture Archiving and Communication SystemsPicture Archiving and Communication Systems
Picture Archiving and Communication Systems
 
The role of IS/IT in Healthcare
The role of IS/IT in HealthcareThe role of IS/IT in Healthcare
The role of IS/IT in Healthcare
 
Health IT & Picture Archiving and Communication Systems
Health IT & Picture Archiving and Communication SystemsHealth IT & Picture Archiving and Communication Systems
Health IT & Picture Archiving and Communication Systems
 
Rooster analytics
Rooster analytics Rooster analytics
Rooster analytics
 
Met je smartphone op jacht naar het eeuwige leven
Met je smartphone op jacht naar het eeuwige levenMet je smartphone op jacht naar het eeuwige leven
Met je smartphone op jacht naar het eeuwige leven
 
Met je smartphone op jacht naar het eeuwige leven
Met je smartphone op jacht naar het eeuwige levenMet je smartphone op jacht naar het eeuwige leven
Met je smartphone op jacht naar het eeuwige leven
 
The Role of Information Systems in Healthcare
The Role of Information Systems in HealthcareThe Role of Information Systems in Healthcare
The Role of Information Systems in Healthcare
 

Recently uploaded

DETECTION OF MUTATION BY CLB METHOD.pptx
DETECTION OF MUTATION BY CLB METHOD.pptxDETECTION OF MUTATION BY CLB METHOD.pptx
DETECTION OF MUTATION BY CLB METHOD.pptx201bo007
 
Think Science: What Are Eclipses (101), by Craig Bobchin
Think Science: What Are Eclipses (101), by Craig BobchinThink Science: What Are Eclipses (101), by Craig Bobchin
Think Science: What Are Eclipses (101), by Craig BobchinNathan Cone
 
3.-Acknowledgment-Dedication-Abstract.docx
3.-Acknowledgment-Dedication-Abstract.docx3.-Acknowledgment-Dedication-Abstract.docx
3.-Acknowledgment-Dedication-Abstract.docxUlahVanessaBasa
 
Oxo-Acids of Halogens and their Salts.pptx
Oxo-Acids of Halogens and their Salts.pptxOxo-Acids of Halogens and their Salts.pptx
Oxo-Acids of Halogens and their Salts.pptxfarhanvvdk
 
FBI Profiling - Forensic Psychology.pptx
FBI Profiling - Forensic Psychology.pptxFBI Profiling - Forensic Psychology.pptx
FBI Profiling - Forensic Psychology.pptxPayal Shrivastava
 
Role of Gibberellins, mode of action and external applications.pptx
Role of Gibberellins, mode of action and external applications.pptxRole of Gibberellins, mode of action and external applications.pptx
Role of Gibberellins, mode of action and external applications.pptxjana861314
 
ESSENTIAL FEATURES REQUIRED FOR ESTABLISHING FOUR TYPES OF BIOSAFETY LABORATO...
ESSENTIAL FEATURES REQUIRED FOR ESTABLISHING FOUR TYPES OF BIOSAFETY LABORATO...ESSENTIAL FEATURES REQUIRED FOR ESTABLISHING FOUR TYPES OF BIOSAFETY LABORATO...
ESSENTIAL FEATURES REQUIRED FOR ESTABLISHING FOUR TYPES OF BIOSAFETY LABORATO...Chayanika Das
 
6.2 Pests of Sesame_Identification_Binomics_Dr.UPR
6.2 Pests of Sesame_Identification_Binomics_Dr.UPR6.2 Pests of Sesame_Identification_Binomics_Dr.UPR
6.2 Pests of Sesame_Identification_Binomics_Dr.UPRPirithiRaju
 
Observational constraints on mergers creating magnetism in massive stars
Observational constraints on mergers creating magnetism in massive starsObservational constraints on mergers creating magnetism in massive stars
Observational constraints on mergers creating magnetism in massive starsSérgio Sacani
 
Harry Coumnas Thinks That Human Teleportation May Ensure Humanity's Survival
Harry Coumnas Thinks That Human Teleportation May Ensure Humanity's SurvivalHarry Coumnas Thinks That Human Teleportation May Ensure Humanity's Survival
Harry Coumnas Thinks That Human Teleportation May Ensure Humanity's Survivalkevin8smith
 
EGYPTIAN IMPRINT IN SPAIN Lecture by Dr Abeer Zahana
EGYPTIAN IMPRINT IN SPAIN Lecture by Dr Abeer ZahanaEGYPTIAN IMPRINT IN SPAIN Lecture by Dr Abeer Zahana
EGYPTIAN IMPRINT IN SPAIN Lecture by Dr Abeer ZahanaDr.Mahmoud Abbas
 
Combining Asynchronous Task Parallelism and Intel SGX for Secure Deep Learning
Combining Asynchronous Task Parallelism and Intel SGX for Secure Deep LearningCombining Asynchronous Task Parallelism and Intel SGX for Secure Deep Learning
Combining Asynchronous Task Parallelism and Intel SGX for Secure Deep Learningvschiavoni
 
Charateristics of the Angara-A5 spacecraft launched from the Vostochny Cosmod...
Charateristics of the Angara-A5 spacecraft launched from the Vostochny Cosmod...Charateristics of the Angara-A5 spacecraft launched from the Vostochny Cosmod...
Charateristics of the Angara-A5 spacecraft launched from the Vostochny Cosmod...Christina Parmionova
 
6.1 Pests of Groundnut_Binomics_Identification_Dr.UPR
6.1 Pests of Groundnut_Binomics_Identification_Dr.UPR6.1 Pests of Groundnut_Binomics_Identification_Dr.UPR
6.1 Pests of Groundnut_Binomics_Identification_Dr.UPRPirithiRaju
 
KDIGO-2023-CKD-Guideline-Public-Review-Draft_5-July-2023.pdf
KDIGO-2023-CKD-Guideline-Public-Review-Draft_5-July-2023.pdfKDIGO-2023-CKD-Guideline-Public-Review-Draft_5-July-2023.pdf
KDIGO-2023-CKD-Guideline-Public-Review-Draft_5-July-2023.pdfGABYFIORELAMALPARTID1
 
Q4-Mod-1c-Quiz-Projectile-333344444.pptx
Q4-Mod-1c-Quiz-Projectile-333344444.pptxQ4-Mod-1c-Quiz-Projectile-333344444.pptx
Q4-Mod-1c-Quiz-Projectile-333344444.pptxtuking87
 
Pests of Sunflower_Binomics_Identification_Dr.UPR
Pests of Sunflower_Binomics_Identification_Dr.UPRPests of Sunflower_Binomics_Identification_Dr.UPR
Pests of Sunflower_Binomics_Identification_Dr.UPRPirithiRaju
 
Observation of Gravitational Waves from the Coalescence of a 2.5–4.5 M⊙ Compa...
Observation of Gravitational Waves from the Coalescence of a 2.5–4.5 M⊙ Compa...Observation of Gravitational Waves from the Coalescence of a 2.5–4.5 M⊙ Compa...
Observation of Gravitational Waves from the Coalescence of a 2.5–4.5 M⊙ Compa...Sérgio Sacani
 

Recently uploaded (20)

DETECTION OF MUTATION BY CLB METHOD.pptx
DETECTION OF MUTATION BY CLB METHOD.pptxDETECTION OF MUTATION BY CLB METHOD.pptx
DETECTION OF MUTATION BY CLB METHOD.pptx
 
Think Science: What Are Eclipses (101), by Craig Bobchin
Think Science: What Are Eclipses (101), by Craig BobchinThink Science: What Are Eclipses (101), by Craig Bobchin
Think Science: What Are Eclipses (101), by Craig Bobchin
 
Ultrastructure and functions of Chloroplast.pptx
Ultrastructure and functions of Chloroplast.pptxUltrastructure and functions of Chloroplast.pptx
Ultrastructure and functions of Chloroplast.pptx
 
3.-Acknowledgment-Dedication-Abstract.docx
3.-Acknowledgment-Dedication-Abstract.docx3.-Acknowledgment-Dedication-Abstract.docx
3.-Acknowledgment-Dedication-Abstract.docx
 
Oxo-Acids of Halogens and their Salts.pptx
Oxo-Acids of Halogens and their Salts.pptxOxo-Acids of Halogens and their Salts.pptx
Oxo-Acids of Halogens and their Salts.pptx
 
FBI Profiling - Forensic Psychology.pptx
FBI Profiling - Forensic Psychology.pptxFBI Profiling - Forensic Psychology.pptx
FBI Profiling - Forensic Psychology.pptx
 
Role of Gibberellins, mode of action and external applications.pptx
Role of Gibberellins, mode of action and external applications.pptxRole of Gibberellins, mode of action and external applications.pptx
Role of Gibberellins, mode of action and external applications.pptx
 
ESSENTIAL FEATURES REQUIRED FOR ESTABLISHING FOUR TYPES OF BIOSAFETY LABORATO...
ESSENTIAL FEATURES REQUIRED FOR ESTABLISHING FOUR TYPES OF BIOSAFETY LABORATO...ESSENTIAL FEATURES REQUIRED FOR ESTABLISHING FOUR TYPES OF BIOSAFETY LABORATO...
ESSENTIAL FEATURES REQUIRED FOR ESTABLISHING FOUR TYPES OF BIOSAFETY LABORATO...
 
6.2 Pests of Sesame_Identification_Binomics_Dr.UPR
6.2 Pests of Sesame_Identification_Binomics_Dr.UPR6.2 Pests of Sesame_Identification_Binomics_Dr.UPR
6.2 Pests of Sesame_Identification_Binomics_Dr.UPR
 
Observational constraints on mergers creating magnetism in massive stars
Observational constraints on mergers creating magnetism in massive starsObservational constraints on mergers creating magnetism in massive stars
Observational constraints on mergers creating magnetism in massive stars
 
Harry Coumnas Thinks That Human Teleportation May Ensure Humanity's Survival
Harry Coumnas Thinks That Human Teleportation May Ensure Humanity's SurvivalHarry Coumnas Thinks That Human Teleportation May Ensure Humanity's Survival
Harry Coumnas Thinks That Human Teleportation May Ensure Humanity's Survival
 
EGYPTIAN IMPRINT IN SPAIN Lecture by Dr Abeer Zahana
EGYPTIAN IMPRINT IN SPAIN Lecture by Dr Abeer ZahanaEGYPTIAN IMPRINT IN SPAIN Lecture by Dr Abeer Zahana
EGYPTIAN IMPRINT IN SPAIN Lecture by Dr Abeer Zahana
 
Combining Asynchronous Task Parallelism and Intel SGX for Secure Deep Learning
Combining Asynchronous Task Parallelism and Intel SGX for Secure Deep LearningCombining Asynchronous Task Parallelism and Intel SGX for Secure Deep Learning
Combining Asynchronous Task Parallelism and Intel SGX for Secure Deep Learning
 
Charateristics of the Angara-A5 spacecraft launched from the Vostochny Cosmod...
Charateristics of the Angara-A5 spacecraft launched from the Vostochny Cosmod...Charateristics of the Angara-A5 spacecraft launched from the Vostochny Cosmod...
Charateristics of the Angara-A5 spacecraft launched from the Vostochny Cosmod...
 
6.1 Pests of Groundnut_Binomics_Identification_Dr.UPR
6.1 Pests of Groundnut_Binomics_Identification_Dr.UPR6.1 Pests of Groundnut_Binomics_Identification_Dr.UPR
6.1 Pests of Groundnut_Binomics_Identification_Dr.UPR
 
KDIGO-2023-CKD-Guideline-Public-Review-Draft_5-July-2023.pdf
KDIGO-2023-CKD-Guideline-Public-Review-Draft_5-July-2023.pdfKDIGO-2023-CKD-Guideline-Public-Review-Draft_5-July-2023.pdf
KDIGO-2023-CKD-Guideline-Public-Review-Draft_5-July-2023.pdf
 
Q4-Mod-1c-Quiz-Projectile-333344444.pptx
Q4-Mod-1c-Quiz-Projectile-333344444.pptxQ4-Mod-1c-Quiz-Projectile-333344444.pptx
Q4-Mod-1c-Quiz-Projectile-333344444.pptx
 
Pests of Sunflower_Binomics_Identification_Dr.UPR
Pests of Sunflower_Binomics_Identification_Dr.UPRPests of Sunflower_Binomics_Identification_Dr.UPR
Pests of Sunflower_Binomics_Identification_Dr.UPR
 
Observation of Gravitational Waves from the Coalescence of a 2.5–4.5 M⊙ Compa...
Observation of Gravitational Waves from the Coalescence of a 2.5–4.5 M⊙ Compa...Observation of Gravitational Waves from the Coalescence of a 2.5–4.5 M⊙ Compa...
Observation of Gravitational Waves from the Coalescence of a 2.5–4.5 M⊙ Compa...
 
PLASMODIUM. PPTX
PLASMODIUM. PPTXPLASMODIUM. PPTX
PLASMODIUM. PPTX
 

Defining and formalizing radiology and PACS performance

  • 1. 1 Defining and Formalizing: a synthesized review on the multi-factorial nature of PACS performance Rogier van de Wetering and Ronald Batenburg Dept. of Information and Computing Sciences, Utrecht University Utrecht, The Netherlands Geneva, June 24, 2010
  • 2. 2 Outline  Background  Methods  Results  Conclusion  Questions & discussion
  • 3. 3 Background  Previous studies indicated the need for holistic approaches and performance measurement from different perspectives  Adoption of Technology Assessments (TA) and re- evaluation trends reflects this demand  No recognized work structurally defines what PACS performance constitutes  Objective is to review literature and apply a meta-analytic approach
  • 4. 4 4 Background  PACS performance as “the multi-factorial impacts and benefits produced by the application of PACS in terms of hospital efficiency and clinical effectiveness with respect to PACS workflow and patients’ clinical journey” X1 X2 X3 X4 X5 PACS performance PACS alignment Yc1 Yc2 Yc3 Yc4 a1 a2 a3 a4 a5 γ1 b1 b2 b3 b4 Figure 1. PACS research agenda
  • 5. 5 Methods Structure literature review  Using Omega, central data repositories (e.g., PubMed) and Scholar (June 2009 - October 2009)  Query: Picture Archiving and Communication System OR PACS OR digital radiology OR image management OR filmless radiology OR diagnostic images + {performance | impact | measure | indicator | benefits | improvements | assessment | improvement | effect | efficiency | evaluation | indicator | measure | efficacy | experience | outcome}  Retrieval of 980 papers  37 key publications and positioning papers (2000–2009) Meta-analytic synthesizing  Following a qualitative meta-analysis approach  Applied an approach by three interrelated processes (1) meta-theory, (2) meta-method and (3) meta-data-analysis
  • 6. 6 Results (1-2)  Included sources used a variety of qualitative and quantitative methodologies  Some focused on diagnostic/clinical elements, others aimed at e.g., evaluating productivity and workflow efficiency  Four performance constructs are defined (see also PACS- BSC, Van de Wetering et al.,2006)  Some measures might not be independent of performance in another measure (“overlap”)
  • 7. 7 Results (2-2) Performance constructs Measurements 1) Clinical contribution construct - Interpretation agility Interpretation time per modality examination - Efficacy of PACS Diagnostic accuracy - Contributions to clinical communication and collaboration Communication efficacy - Therapeutic intervention Patient management contribution 2) Organisational efficiency construct - Timeliness of radiology report Report-turnaround-time - Productivity Number of examinations Cost-effectiveness Budget ratio or cost prise 3) Service construct - Perceived service to patients Patient satisfaction - Service delivery to referring physicians Referring physician satisfaction - Service delivery to users User satisfaction - Patient flow & throughput Patient waiting time 4) Technical Information System construct - Instantaneous image display of newly acquired images Average time-to-display - Old images availability Average time-to-display Table 1. PACS performance constructs
  • 8. 8 Conclusions  PACS performance defined by synthesized review  Framework applicable addressing PACS impacts  Debatable how to weight (whether equal or unequal) each of the measures  Unlikely to achieve good quality on higher levels of assessment (see hierarchical TA models), given insufficient performance on lower levels  Framework is valuable tool for empirical research and relevant for radiology practice  Need for empirical validation (currently under investigation)
  • 9. 9 Contact drs. R. (Rogier) van de Wetering Email: R.vandeWetering@cs.uu.nl Office: CGN-B129 Secretary: +31 (30) 253 9251 Group: Organization and information section: Information and software systems Website: www.pacsmaturity.com