the nimis solution - hse.ie€¦ · magview-reporting system terarecon-tools for breast mri ....
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The NIMIS solutionDr Niall Sheehy
Lead Radiologist NIMISConsultant Radiologist St James’s Hospital
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NIMIS
Replacement of Analogue study viewing and storage with digitalConnecting patient image data across the HSEImproving Safety and Efficiency
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Historical Perspective: Irish Radiology
First Xray-1895X-Ray in Ireland-1896CT scanner: 1978MRI scanner: 1986PET scanner: 2002NIMIS 2010
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Where we are now
Adelaide and Meath hospital 1998First digital imaging system
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Where we are now
16 Hospitals have PACS3.5 million examinations per year
5% compound growth1.4 million in hospitals with digital imaging1.9 not digitally archived
No national network
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Diagnostic Imaging
Oncology, radiology, cardiology, vascular surgery…Pathology ECGs, EEGs etc.
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National Structure
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Changes for the radiology department: National RIS
Horizon Radiology ManagerNational RISScheduling across regions
Filtered by locationOrder and report across region/nation
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Changes for the radiologist
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Changes for the radiologist: Voice Recognition
Nuance RadWhereAvailable at all workstations and in all locationsVery flexible templating systemInstant generation of reports
Turnaround of reports goes from days to minutes
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Changes for the radiologist: Advanced visualization
Segami Oasis nuclear imaging workstationPermits analysis of nuclear medicine and PET/CT data from all workstations
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Changes for the radiologist: Mammography
Magview-reporting systemTerarecon-Tools for breast MRI
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Changes for all clinicians: Advanced visualization
Terarecon thin client workstationAvailable on all PCs to all cliniciansRadiologyVascular SurgeryCardiology
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Changes for all clinicians: Distributed images
Distributed PACS viewerSame features as radiology workstation Available on any pc within the hospitalAvailable at home
Subject to security
Access all images from anywhere
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Changes for all clinicians: Electronic Ordering
Within the hospital all orders will be electronic
Existing EPRiSoft-iCMMcKesson RIS
External written orders from GPs can be scanned
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Changes for cardiology: ECG management
The system will accept and share ECGsCardiology can utilize the radiology RIS and workstation including advanced image reconstructions
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Changes for all clinicians: Data Mining
RADCube – Intelligent and innovative data-mining from radiology reports
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Changes for orthopedics: Advanced templating software
TraumaCADAdvanced orthopedic templating softwareWill be available on all PACS PCs
Operating TheatreWardHome
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Changes for Emergency Medicine: Discrepancy reporting
ER Discrepancy toolAllows Emergency medicine NCHDS to record their preliminary opinionReporting radiologist can then agree or notClosed loop safety system
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Changes for Community Health Teams: eJacket and integration with healthlink
NIMIS will be integrated with the GP healthlinkmessaging system
Phase 1-ResultsPhase 2-Ordering
eJacket- weblink sent with each report will launch image viewer compatible with all GP systems
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Sharing work across Ireland
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Patient safety
“On-line all the time”
NIMIS
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Patient safety
Our Lady’s Hospital CrumlinInvestigation into the removal of the wrong kidney from patient XY Our Lady’s Children’s Hospital, Crumlin.4/10 contributory factors relate to difficulties reviewing imagesRecommendation 1: Introduce PACS
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Patient safety: Multidisciplinary meetings
Horizon Study ShareConferencesTeaching
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Patient safety: Audit and dose
Multiple features for searching RIS will facilitate multiple types of auditReduction in repeat imagingNational radiation dose record
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HSE Efficiency: National view
Multiple features for searching RIS will facilitate multiple types of auditReduction in repeat imagingNational radiation dose record
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NIMIS Security
Compliant with and facilitates current proceduresRole based accessFull audit trailCompliant with data protection actDesigned with input from data protection commissioner