Dackiewicz D et al. 2000 "Impact of digital radiography on clinical workflow and patient satisfaction."

Reference
Dackiewicz D, Bergsneider C, Piraino D. Impact of digital radiography on clinical workflow and patient satisfaction. J Digit Imaging 2000;13 (2 Suppl 1):200-201.
Abstract
"Compared to traditional film radiography, digital radiography is believed to improve workflow and patient throughput. Digital radiography permits the technologist to immediately view the quality of the film directly at the modality. Additional workflow improvements, therefore, should be achieved with the integration of the radiology information system (RIS). To learn more about this proposed efficacy, a study was performed at The Cleveland Clinic Foundation (Cleveland, OH) comparing timings in three groups: traditional film radiography; digital radiography; and digital radiography with RIS integration. Our data validated a timesaving of digital radiography over traditional or standard films and an even greater timesaving in a digital radiography/RIS environment."
Objective
To "compare both the actual procedure time and patient time involved for chest examination in a fully RIS integrated system with that of the traditional film process."
Tools Used
Size
Large
Geography
Urban
Other Information
The study took place at the Cleveland Clinic Foundation, Cleveland, Ohio.
Type of Health IT
Radiology information system (RIS)
Type of Health IT Functions
The software contains an RIS worklist. Patient and exam information can be downloaded to the modality.
Workflow-Related Findings
There was a "significant decrease in the amount of time a patient had to remain in the Department of Radiology." The decrease in average time spent in the department was 339 seconds for standard film versus 139 seconds for digital images, a 59 percent decrease. The third measure - digital images and RIS integration resulted in a further decrease, to 95 seconds in the department on average, a 72 percent decrease over standard film and a 32 percent decrease on the digital images without RIS integration.
"Integration between the digital modality and the RIS...Insured the accuracy of the patient demographic information."
Study Design
Only postintervention with intervention and control groups
Study Participants
The study participants included ambulatory patients receiving a chest examination (an anterior/posterior view and a lateral view) at the time of the study.