At 9:23 am +1000 10/4/06, Peter MacIsaac wrote:
[..]1. Who looks at the films patients bring in?
Always. Agree with others that stuff does get missed - usually
important but rarely life and death stuff.
One day someone will be sued for not looking. But more importantly,
radiologists are at a distinct disadvantage without the same detailed
clinical information we have. So unless we tell them enough (and they
are interested enough to read it all if we did), reports will be less
than dependable.
For common spine and orthopaedic problems, reports are not very
useful in comparison with the pictures.
2. Who struggles with trying to interpret the image in the consultation and
would like an example image (even with an arrow pointing to pathology if not
clearly obvious) - perhaps one or two representative low resolution images
attached to the electronic report or accessible via URL?
A highlight of the pathology would be nice, though not sure I would
use it personally. Patient would appreciate it.
3. Who would really like a full DICOM image so that they can view it on a
high res. Monitor, play with the contrast etc and see what the radiologist
can see. - report quality
If I'm not getting a film, I do want a proper image. CDs much better
than video tapes for storage. Not sure that we have the capacity to
hold all that video stuff (ultrasound, echocardiogram, etc) on our
computers.
Main hassle presently is the proprietary viewing software some of
them want to use, which doesn't want to run on our old computers
until we upgrade (imminent).
And we don't have good enough bandwidth to be wantonly emailing high
resolution images with health summaries.
Ian.
--
Dr Ian R Cheong, BMedSc, FRACGP, GradDipCompSc, MBA(Exec)
Health Informatics Consultant, Brisbane, Australia
Internet: [EMAIL PROTECTED]
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