Integrating the radiology information system with computerised provider order entry: The impact on repeat medical imaging investigations

Elia Vecellio, Andrew Georgiou*

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingConference proceeding contributionpeer-review

1 Citation (Scopus)
546 Downloads (Pure)

Abstract

Repeat and redundant procedures in medical imaging are associated with increases in resource utilisation and labour costs. Unnecessary medical imaging in some modalities, such as X-Ray (XR) and Computed Tomography (CT) is an important safety issue because it exposes patients to ionising radiation which can be carcinogenic and is associated with higher rates of cancer. The aim of this study was to assess the impact of implementing an integrated Computerised Provider Order Entry (CPOE)/Radiology Information System (RIS)/Picture Archiving and Communications System (PACS) system on the number of XR and CT imaging procedures (including repeat imaging requests) for inpatients at a large metropolitan hospital. The study found that patients had an average 0.47 fewer XR procedures and 0.07 fewer CT procedures after the implementation of the integrated system. Part of this reduction was driven by a lower rate of repeat procedures: the average inpatient had 0.13 fewer repeat XR procedures within 24-hours of the previous identical XR procedure. A similar decrease was not evident for repeat CT procedures. Reduced utilisation of imaging procedures (especially those within very short intervals from the previous identical procedure, which are more likely to be redundant) has implications for the safety of patients and the cost of medical imaging services.

Original languageEnglish
Title of host publicationDigital Health Innovation for Consumers, Clinicians, Connectivity and Community - Selected Papers from the 24th Australian National Health Informatics Conference, HIC 2016
EditorsAndrew Georgiou, Louise K. Schaper, Sue Whetton
Place of PublicationAmsterdam
PublisherIOS Press
Pages126-131
Number of pages6
Volume227
ISBN (Electronic)9781614996668
ISBN (Print)9781614996651
DOIs
Publication statusPublished - 2016
Event24th Australian National Health Informatics Conference, HIC 2016 - Melbourne, Australia
Duration: 25 Jul 201627 Jul 2016

Publication series

NameStudies in Health Technology and Informatics
Volume227
ISSN (Print)09269630
ISSN (Electronic)18798365

Other

Other24th Australian National Health Informatics Conference, HIC 2016
CountryAustralia
CityMelbourne
Period25/07/1627/07/16

Bibliographical note

Copyright the Author(s) and IOS Press 2016. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

  • Computerised Provider Order Entry
  • Evaluation
  • Health informatics
  • Medical Imaging
  • Picture Archiving Communication Systems
  • Radiology Information Systems

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