PubMed · 11056906
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P Singer. 2000. Getting more from your OHS software system.. https://pubmed.ncbi.nlm.nih.gov/11056906/
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Major healthcare systems are comprised of hospitals and clinics of different sizes and locations. Many such enterprises are already using picture archiving and communication systems (PACS) and computed radiography (CR) in their main hospitals. The integration of other hospitals and clinics into PACS is a more complex problem. The introduction of CR in remote facilities presents problems, as patient populations, department sizes, and work flow patterns may differ among facilities, and inadequate implementation programs may lead to disruption of patient care services. Although the University of Florida has had an operating PACS for years, facilities affiliated with the Shands Healthcare System (SHS) had not been incorporated into PACS until recently. This article presents the 5-year process to convert all film-screen radiological services to CR in the main hospital, five affiliated community hospitals, and four clinics. The article shows the importance of leadership by the medical physicist from inception of the project through installation and clinical implementation.
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A year late, the electronic staff records project is now in the hands of the Department of Health. Pilots are underway, but it is unclear when every NHS payroll will be processed by the system. Progress has been slowed by the wide variety in organisations' structures and systems.