Variation of the Implementation of PACS Functions and Image Data Management: Questionnaire Survey in Hokkaido Prefecture

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  • Tanikawa Takumi
    Faculty of Health Sciences, Hokkaido University of Science
  • Yagahara Ayako
    Faculty of Health Sciences, Hokkaido University of Science
  • Fukuda Akihisa
    Department of Radiology, Hokkaido Medical Center (Current address: Department of Radiology, Hokkaido Cancer Center)
  • Suzuki Tatsuya
    Department of Radiological Technology, Asahikawa Medical University Hospital
  • Ando Daisuke
    Department of Radiological Technology, Hokkaido University Hospital
  • Harada Kouhei
    Department of Radiological Technology, Sapporo Medical University Hospital
  • Karata Shuichi
    J-MAC SYSTEM, Inc
  • Uesugi Masahito
    Department of Medical Management and Informatics, Hokkaido Information University

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Other Title
  • PACSの機能実装および画像データの運用管理の多様性 —北海道内の病院を対象としたアンケート調査—
  • PACSの機能実装および画像データの運用管理の多様性 : 北海道内の病院を対象としたアンケート調査
  • PACS ノ キノウ ジッソウ オヨビ ガゾウ データ ノ ウンヨウ カンリ ノ タヨウセイ : ホッカイドウ ナイ ノ ビョウイン オ タイショウ ト シタ アンケート チョウサ

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<p>The image management function of picture archiving and communication system (PACS) plays a very important role while electronically preserving medical records. However, details of these mechanisms vary from manufacturer to manufacturer, which could be a problem if system specifications or image management functions are not confirmed by a user during system installation or operation. The purpose of this research was to record the differences in PACS settings and image data management in hospitals. A questionnaire survey was conducted in 261 hospitals having the PACS system in Hokkaido prefecture, Japan. Questionnaire contents consisted of a face sheet and the following two items: 1) PACS image deletion method, 2) rules regarding the PACS receiving an image of data that was already registered. Results of the questionnaire survey showed that the image deletion method in the PACS server, and the overwriting rule in case of existent images being re-transmitted to the server were different between different hospitals. Furthermore, these variations were not dependent on the vendors or manufacturers, but on the settings of each hospital. Since the image management method of PACS is not standardized, we were considered to be needed more attention and appropriate regulation for safe management of electronic medical records as per the national guideline.</p>

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