Does PACS facilitate work practice innovation in the intensive care unit?

Isla M. Hains*, Nerida Creswick, Johanna I. Westbrook

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

6 Citations (Scopus)

Abstract

Picture Archiving and Communication Systems (PACS) allow the fast delivery of imaging studies to clinicians at the point-of-care, supporting quicker decision-making. PACS has the potential to have a significant impact in the Intensive Care Unit (ICU) where critical decisions are made on a daily basis, particularly during ward rounds. We aimed to examine how accessing image information is integrated into ward rounds and if the presence of PACS produced innovations in ward round practices. We observed ward rounds and conducted interviews with ICU doctors at three hospitals with differing levels of PACS availability and computerization. Imaging results were infrequently viewed by clinicians during ward rounds in two ICUs: one without PACS and one which had both PACS and bedside computers. In the third ICU, where PACS was only available at a central workstation, images were frequently viewed throughout the daily round and integrated into decisions about patient care. The presence of bedside computers does not automatically result in innovations to work practice. Despite the ability to utilize PACS at the bedside to support decision-making, use was varied. Research to understand how the complexities and context of the ICU contribute to work practice innovation and why practice changes differ is required.

Original languageEnglish
Title of host publicationUser Centred Networked Health Care
Subtitle of host publicationProceedings of MIE 2011
EditorsAnne Moen, Stig K. Andersen, Aarts Jos, Hurlen Petter
Place of PublicationAmsterdam
PublisherIOS Press
Pages397-401
Number of pages5
Volume169
ISBN (Print)9781607508052
DOIs
Publication statusPublished - 2011
Externally publishedYes
Event23rd International Conference of the European Federation for Medical Informatics, MIE - 2011 - Oslo, Norway
Duration: 28 Aug 201131 Aug 2011

Other

Other23rd International Conference of the European Federation for Medical Informatics, MIE - 2011
CountryNorway
CityOslo
Period28/08/1131/08/11

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