Work Flow Redesign
The Key to Success When Using PACS
Eliot Siegel1,2 and
Bruce Reiner1,2,3
1
Department of Radiology, VA Maryland Health Care System, 10 N. Greene St.,
Baltimore, MD 21201.
2
Department of Radiology, University of Maryland School of Medicine, 22 S.
Greene St., Baltimore, MD 21201.
3
Department of Radiology, Nanticoke Memorial Hospital, 801 Middleford Rd.,
Seaford, DE 19973.

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Fig. 1. Flow chart for ordering, acquisition, reporting, and review
of inpatient chest radiograph using conventional film-based radiography system
shows 59 steps involving 11 hospital staff members.
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Fig. 2. Redesigned flow chart for ordering, acquisition, reporting,
and review of inpatient chest radiograph using picture archiving and
communication system (PACS) shows 50 fewer steps by seven fewer staff members
when compared with conventional film-based radiography system.
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Copyright © 2002 by the American Roentgen Ray Society.