OrderComms; Radiologists view

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Presentation transcript:

OrderComms; Radiologists view Graham Hurst Norfolk and Norwich University Hospital 25 March 2011

Evolution of Concept 1999 will move to new ‘paperless’ PFI hospital 2003 still using request cards! 2004 clin details should appear on PACS 2006 still using request cards! 2007 clin details in notepad on RIS 2008 clin details appear in report box as permanent record 2008 electronic requesting being rolled out 2011 getting better, slowly!

Software McKesson RIS TcRAD GHG TalkingPoint Sunquest WebICE GE Centricity PACS

Requesting Vetting Radiography Reporting Report delivery

Requesting

Clinicians reactions I don’t make requests, I give orders I cannot type I have not got time for this My secretary does my requesting Why change to a slower system It took me 5 mins on your system, I timed it

Radiologist requests Anybody do this?

Vetting

Radiology colleagues reaction Give me a pile of cards anyday! (so I can scribble over them and then toss ‘em to secretaries)

Who is real requester? Request changed/aborted; feedback?

Radiography

Rad details not done Not on worklist Housekeeping needed

Reporting

No bone or joint abnormality

No time for tape handsets! Electronic system reduced turnaround Mostly VR reported Very few cards to report from

Not perfect! Questions?