order entry in radiology our experience r etherington countess of chester foundation nhs trust...
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Order entry in RadiologyOrder entry in RadiologyOur experienceOur experience
R EtheringtonR EtheringtonCountess of Chester Foundation NHS TrustCountess of Chester Foundation NHS Trust
25/3/1125/3/11
BackgroundBackground
620 bed DGH620 bed DGH 2 sites 2 miles apart2 sites 2 miles apart 120000 exams/year120000 exams/year New RIS in 1999 (Meditech)New RIS in 1999 (Meditech)
RIS – seconded a superintendent RIS – seconded a superintendent radiographer to IT for 6 monthsradiographer to IT for 6 months
Extended to order entry in 2000Extended to order entry in 2000
Are you going to do it?Are you going to do it?
Big bang Big bang SlowlySlowly Terminology of “ordering”Terminology of “ordering”
General advantagesGeneral advantages
Increased general familiarity with ITIncreased general familiarity with IT– Important in the early days pre-PACSImportant in the early days pre-PACS
Specific advantagesSpecific advantages
No lost requestsNo lost requests
Specific advantagesSpecific advantages
No lost requestsNo lost requests Audit trailAudit trail
Specific advantagesSpecific advantages
No lost requestsNo lost requests Audit trailAudit trail Speed of transmissionSpeed of transmission
Specific advantagesSpecific advantages
No lost requestsNo lost requests Audit trailAudit trail Speed of transmissionSpeed of transmission LegibleLegible
Specific advantagesSpecific advantages
No lost requestsNo lost requests Audit trailAudit trail Speed of transmissionSpeed of transmission LegibleLegible Specify who can request/what can be Specify who can request/what can be
requestedrequested
Specific advantagesSpecific advantages
No lost requestsNo lost requests Audit trailAudit trail Speed of transmissionSpeed of transmission LegibleLegible Specify who can request/what can be Specify who can request/what can be
requestedrequested Define compulsory questionsDefine compulsory questions
Specific advantagesSpecific advantages
No lost requestsNo lost requests Audit trailAudit trail Speed of transmissionSpeed of transmission LegibleLegible Specify who can request/what can be Specify who can request/what can be
requestedrequested Define compulsory questionsDefine compulsory questions Avoid printing and scanningAvoid printing and scanning
ProblemsProblems
BrevityBrevity
ProblemsProblems
BrevityBrevity No picklist so forced to use free textNo picklist so forced to use free text
ProblemsProblems
BrevityBrevity No picklist so forced to use free textNo picklist so forced to use free text Password abusePassword abuse
ProblemsProblems
BrevityBrevity No picklist so forced to use free textNo picklist so forced to use free text Password abusePassword abuse Limited space for clinical information and Limited space for clinical information and
limited user-defined optionslimited user-defined options
ProblemsProblems
Picking up a study heading that doesn’t Picking up a study heading that doesn’t accurately reflect what is wantedaccurately reflect what is wanted– CTCT– MR arthrogramsMR arthrograms
ProblemsProblems
Picking up a study heading that doesn’t Picking up a study heading that doesn’t accurately reflect what is wantedaccurately reflect what is wanted– CTCT– MR arthrogramsMR arthrograms
Can’t restrict studies for Radiology use onlyCan’t restrict studies for Radiology use only– Calcium scoring, CT colonoscopyCalcium scoring, CT colonoscopy
ProblemsProblems
Picking up a study heading that doesn’t Picking up a study heading that doesn’t accurately reflect what is wantedaccurately reflect what is wanted– CTCT– MR arthrogramsMR arthrograms
Can’t restrict studies for Radiology use onlyCan’t restrict studies for Radiology use only– Calcium scoring, CT colonoscopyCalcium scoring, CT colonoscopy
REQUESTING ON THE WRONG REQUESTING ON THE WRONG ACCOUNT NUMBERACCOUNT NUMBER
Where we are now, 11 years laterWhere we are now, 11 years later
Hard to remember life before OEHard to remember life before OE
Where we are now, 11 years laterWhere we are now, 11 years later
Hard to remember life before OEHard to remember life before OE Every internal request is electronicEvery internal request is electronic
Where we are now, 11 years laterWhere we are now, 11 years later
Hard to remember life before OEHard to remember life before OE Every internal request is electronicEvery internal request is electronic Most GP requests are typed and transmitted Most GP requests are typed and transmitted
electronically and all are transcribed into the electronically and all are transcribed into the RIS/PACSRIS/PACS
Where we are now, 11 years laterWhere we are now, 11 years later
Hard to remember life before OEHard to remember life before OE Every internal request is electronicEvery internal request is electronic Most GP requests are typed and transmitted Most GP requests are typed and transmitted
electronically and all are transcribed into the electronically and all are transcribed into the RIS/PACSRIS/PACS
Rolled out to most of Pathology, CVDRolled out to most of Pathology, CVD
Improvements I’d like to seeImprovements I’d like to see
Ability to tailor it to our specific requirementsAbility to tailor it to our specific requirements Direct link for GPsDirect link for GPs
