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Integrating digital ICU viewing into the global working environment
Institution:1. Department of Anaesthesiology and Critical Care Medicine, AP-HP, Saint Louis and Lariboisière University Hospitals and INSERM UMR-S 942, Paris, France;2. Department of Cardiology, University Heart Center, University Hospital Zurich, Zurich, Switzerland;3. Cardiosurgical Intensive Care Unit, Institute of Anaesthesiology, University Hospital Zurich, Zurich, Switzerland;4. Medical Intensive Care Unit, AP-HP, Hôpital Cochin, Paris, France;5. Medical Intensive Care Unit, AP-HP, Hôpital Saint-Antoine and INSERM UMR-S 1136, Paris, France;6. Department of Anaesthesiology and Critical Care Medicine, Saint-Eloi University Hospital, Montpellier, France;7. Department of Anaesthesiology and Critical Care Medicine, AP-HM, Hôpital Nord, Marseille, France;8. SBIM, Biostatistics and Clinical Epidemiology Research Unit Department, AP-HP, Saint Louis University Hospital, Paris, France;9. Department of Anesthesiology and Critical Care Medicine, AP-HP, Hôpital Ambroise Paré, Paris, France
Abstract:We illustrate that to benefit from the advantages of Picture Archiving and Communication Systems (PACS) for the Intensive Care Unit (ICU), the PACS must be strongly integrated within the overall working environment. This includes adaptation of the PACS toward specific working patterns and integrating it with the Hospital Information System (HIS). This is reflected in our prototype system in different ways. The user interface of the viewing station is centered around often used patterns in ICU viewing. Information about bed occupancy is retrieved from the HIS and exploited in the viewing station. A digital connection between the phosphorplate scanner and the HIS ensures that images are correctly related to other patient information and to previous images. Using minor adaptations to the existing HIS, PACS and HIS have been made to cooperate in integrated presentation of images and radiological reports, as a step towards a multimedia medical information system. We discuss the relation between PACS and the global information environment, emphasizing organizational issues rather than technological aspects.
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