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

2. 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!

3. Software McKesson RIS TcRAD GHG TalkingPoint Sunquest WebICE
GE Centricity PACS

4. Requesting
Vetting
Radiography
Reporting
Report delivery

5. Requesting

6. 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

9. Radiologist requests
Anybody do this?

10. Vetting

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

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

16. Radiography

17. Rad details not done
Not on worklist
Housekeeping needed

18. Reporting

21. No bone or joint abnormality

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

24. Not perfect!
Questions?