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Impact of PACS-EMR Integration on Radiologist Usage of the EMR |
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| Authors: | John?Mongan mailto:john.mongan@ucsf.edu" title=" john.mongan@ucsf.edu" itemprop=" email" data-track=" click" data-track-action=" Email author" data-track-label=" " >Email author http://orcid.org/---" itemprop=" url" title=" View OrcID profile" target=" _blank" rel=" noopener" data-track=" click" data-track-action=" OrcID" data-track-label=" " >View author&# s OrcID profile,David?Avrin |
| Affiliation: | 1.Department of Radiology and Biomedical Imaging,University of California, San Francisco,San Francisco,USA |
| Abstract: | The purpose of this study was to objectively quantify the impact of implementing picture archiving and communication system-electronic medical record (PACS-EMR) integration on the time required to access data in the EMR and the frequency with which data are accessed by radiologists. Time to access a clinic note in the EMR was measured before and after integration with a stopwatch and compared by t test. An IRB-approved, HIPAA-compliant retrospective review of EMR access data from security audit logs was conducted for a 14-month period spanning the integration. Correlation of these data with report signatures identified the studies in which the radiologist accessed the EMR to obtain additional clinical data. Proportions of studies with EMR access were plotted and compared before and after integration using a chi-square test. Time to access the EMR decreased from 52 to 6 s (p?p? |
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