DETERMINING THE EFFECT OF THE PICTURE ARCHIVING AND COMMUNICATION SYSTEM (PACS) ON DIFFERENT DIMENSIONS OF USERS' WORK IN THE RADIOLOGY DEPARTMENT

Abstract

The Picture Archiving and Communication System (PACS) has revolutionized radiological practices by digitizing image storage and retrieval. A crucial part of contemporary radiology and diagnostic imaging services is the Picture Archiving and Communication System (PACS). It is intended to increase access to medical images, shorten diagnosis times, do away with the necessity for physical film storage, and enable quicker and more effective communication amongst healthcare professionals. The lack of a methodical evaluation of PACS from the viewpoint of users leads to a number of issues. First, if users are not properly trained or supported, it could result in underutilization of the system's capabilities. Second, it may lead to resistance to change, which would be detrimental to production and morale. The primary objective of this study is to investigate the impact of PACS on various aspects of users’ work in the radiology department of Indus University Hospital. This study employs a quantitative, correlational design to assess the impact of the Picture Archiving and Communication System (PACS) on various work dimensions among healthcare professionals. The research was conducted in the radiology department of Indus University Hospital, Karachi, where PACS has been operational for at least one year. The study spanned a duration of six months, including the phases of tool development, data collection, data analysis, and report writing. The target population comprises radiologists, radiographers, PACS administrators, and physicians who frequently interact with PACS within their clinical workflows. Those without direct exposure to PACS, interns, trainees, or those unwilling to participate were excluded. A stratified random sampling technique was used to ensure proportional representation across the different professional groups. The sample size was 70. Data was collected through a structured, self-administered questionnaire that comprises sections on demographics, PACS usage patterns, and various work dimensions, including workflow efficiency, communication effectiveness, system usability, and job satisfaction. Data was analysed using SPSS version 26. Increased workflow efficiency, particularly in image retrieval and reporting speed are positively correlated with PACS. Users report better multidisciplinary communication.Users who are well-versed in PACS and operate in settings with robust IT assistance are more satisfied with their jobs. Certain issues, such as system outages, a lack of advanced training, or opposition to change are found.

Keywords:  PACS, healthcare informatics, radiology, workflow, user satisfaction