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issn:1618-727
1.  The Radiology Digital Dashboard: Effects on Report Turnaround Time 
Journal of Digital Imaging  2007;21(1):50-58.
As radiology departments transition to near-complete digital information management, work flows and their supporting informatics infrastructure are becoming increasingly complex. Digital dashboards can integrate separate computerized information systems and summarize key work flow metrics in real time to facilitate informed decision making. A PACS-integrated digital dashboard function designed to alert radiologists to their unsigned report queue status, coupled with an actionable link to the report signing application, resulted in a 24% reduction in the time between transcription and report finalization. The dashboard was well received by radiologists who reported high usage for signing reports. Further research is needed to identify and evaluate other potentially useful work flow metrics for inclusion in a radiology clinical dashboard.
doi:10.1007/s10278-007-9008-9
PMCID: PMC3043829  PMID: 17334871
Workflow; user interface; radiology management; efficiency; software design; decision support
2.  ‘Wet Reads’ in the Age of PACS: Technical and Workflow Considerations for a Preliminary Report System 
Journal of Digital Imaging  2006;20(3):296-306.
Communication between clinicians, technologists, and radi ologists has become more complex, with Picture Archiving and Communication Systems (PACS) now allowing the radiologist to be removed from the physical location of the patients and the site of imaging. With these changes, effective communication becomes an ongoing challenge. Efficient communication of study interpretations has also become a priority for radiologists as they struggle to maintain relevance and provide added value to patient care when clinicians have ready access to radiology images. The purpose of this paper is to share our experience in developing and implementing the Collaborative Notification System (CNS), a communication tool used to inform referring clinicians of urgent findings—a.k.a. “wet reads.” The system utilizes a system of web pages integrated into PACS for the sending and receiving of succinct messages to provide clinical information at the point of need. A second system of pager alerts provides notification of the need for such communication through a relatively unintrusive, one-way, acknowledged alert system. The CNS provides asynchronous, integrated communication for the reporting of urgent and emergent radiology findings in a complex, geographically distributed medical environment.
doi:10.1007/s10278-006-1049-y
PMCID: PMC3043899  PMID: 17191102
Workflow; emergency radiology; asynchronous communication; PACS
3.  Flying Blind: Using a Digital Dashboard to Navigate a Complex PACS Environment 
Journal of Digital Imaging  2006;19(1):69-75.
Radiology workflows have become more distributed and complicated, and fewer tangible cues are available to the radiologist to help optimize task prioritization and selection. Additionally, faster scanners, more detailed exams, and increased demand for imaging services have precipitated a potential image overload for today's radiologists who are pressured to provide efficient, quality service in less time. Radiologists are faced with the task of operating within complex systems but are lacking tools to efficiently and effectively monitor these systems in real time. Dashboard technology can help address this deficiency in radiology and facilitate informed, optimized decisions about workflow. Possible areas of application include workflow consolidation, workload distribution, and urgency evaluation. Dashboards should be optimized, context-sensitive, customizable, and workflow-integrated. Further research is needed to identify the most important dashboard metrics, determine their optimal display, and validate their utility.
doi:10.1007/s10278-005-8732-2
PMCID: PMC3043949  PMID: 16249835
Dashboard; workflow; radiology informatics; user–computer interface
4.  Integrating Dictation with PACS to Eliminate Paper 
Journal of Digital Imaging  2004;17(1):37-44.
Five years ago our department migrated from a film-based imaging environment to a PACS-based environment. We discovered that our reliance on paper tracking forms for clinical history and dictation information was hindering our practice. Integrating dictation with PACS was one of three key components we needed to free ourselves from the tyranny of paper, the other two being an online worklist and an online patient history. We discuss our evolution to a (mostly) paperless reading room environment, our implementation, general performance, and future development plans, focusing on integrated dictation.
doi:10.1007/s10278-003-1715-2
PMCID: PMC3043959  PMID: 15255517
Integrated dictation; report authoring; workflow; remote collaboration; asynchronous collaboration

Results 1-4 (4)