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Wilhelminenspital in Vienna, Austria
In the mid-1990s it was already evident that the conventional type
of patient administration, X-ray film management and reporting
would have no future, for the following reasons:
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Referrals to X-ray examinations on paper forms that were delivered
by messengers
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Recording of patient data in index card boxes and time-consuming
searches
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Localization and retrieval of legacy X-ray films from various film
archives spread across five different sections of the building, and
some films and/or reports were irretrievable
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Unnecessary repeats in the event of incorrect exposures
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Time wasted making the X-ray image, dictating, typing and
reviewing the X-ray report, through to arrival by messenger
at the referring ward.
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All this meant unnecessary staff activity and avoidable delays on
the way toward a rapid diagnosis, which has been the basic requirement
for targeted therapy ever since reliable, sophisticated
electronic systems became ready for the market due to technological
progress.
Last but not least, increased environmental awareness called for
a move away from the film-screen system based on silver compounds,
which had been in use for decades, along with film chemistry
and disposal.
Also, a further reduction in radiation burden was an increasing
challenge.
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Digitization of the Central Radiology Institute Integrated RIS-PACS
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The solution to all these problems was identified as being the
gradual implementation of an integrated full version of RIS-PACS
(RIS = Radiology Information System, PACS = Picture Archiving and
Communication System). The fact that such a substantial intervention
in administration could be implemented smoothly at the secondlargest
hospital in Vienna, despite full clinical routine, is not only due
to the several months of preparation and training for staff but also
to the highly motivated employees in all the departments concerned
and dependable advice provided by GE Healthcare.
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RIS-PACS and speech recognition speed up the procedure of any
high-quality radiological examination, achieving a therapeutically
useful gain in time for clinicians and patients, so they make a valuable
contribution on the way to ensuring satisfied patients.
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