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[Diagnostic imaging and patient database managing systems: The integration of digital information in the experience of an intensive care center].
Radiol Med. 2001 Apr; 101(4):281-6.RM

Abstract

AIM

To present our experience with integrating digital information on Intensive Care Unit patients (clinical data, laboratory findings, imaging, etc) to create electronic patient records.

MATERIAL AND METHODS

Using the hospital Intranet, a connection was established between the Local area Network (LAN) of the Intensive Care Unit (ICU) and the Digital Imaging and Communications in Medicine (DICOM(R)) network of the Radiology Department allowing to receive, process and archive digital images locally at the ICU. Using the software RADclient-RADimage, the information received was managed by an electronic patient record system (DIGISTAT by UMS-Unterberger Medical Software, Florence). All the above software runs on Microsoft WindowsNT 4.0 platforms.

RESULTS

Images of various kinds and formats (CT, MRI, etc.) pertaining to the ICU patients were semi-automatically handled and filed on a local server acting as a central databank. The images were then included in the electronic patient record and made available to the end user who could view them using either web technologies (hypertexts were automatically generated that could be viewed through the widely available World Wide Web browsers) or specific viewing utilities supplied with DIGISTAT .

DISCUSSION AND CONCLUSIONS

For the intensivist, the handling and filing of data on hospitalised or discharged patients for treatment or research purposes involves having to process large amounts of information. Furthermore, in the event of patients being re-admitted to the unit, it is crucial to have ready access to all the information regarding previous hospital stays, including diagnostic images, to avoid the need for time-consuming searches through the hospital s paper-based archives. The possibility to access clinical information and diagnostic images using a single computer programme proved to be useful both for evaluating the patient s conditions immediately after the imaging procedure and for monitoring the patient s progress over time by comparing the different diagnostic images and imaging procedures. This pilot experience could be seen to provide the basic know-how for applying the method in the future Emergency Department of the A. Gemelli Hospital in Rome.

Authors+Show Affiliations

Pennisi MA
Istituto di Anestesiologia e Rianimazione, Università Cattolica del Sacro Cuore, Rome, Italy. mpennisi@rm.unicatt.it
Campioni P
No affiliation info available
Frassanito L
No affiliation info available
Maviglia R
No affiliation info available
Mignani V
No affiliation info available
Di Nunno S
No affiliation info available
Costa R
No affiliation info available

MeSH

Computer Communication NetworksDiagnostic ImagingHospital Information SystemsHumansIntensive Care UnitsMedical Records Systems, ComputerizedRadiology Information Systems

Pub Type(s)

English Abstract
Journal Article

Language

ita

PubMed ID

11398060

Citation

Pennisi, M A., et al. "[Diagnostic Imaging and Patient Database Managing Systems: the Integration of Digital Information in the Experience of an Intensive Care Center]." La Radiologia Medica, vol. 101, no. 4, 2001, pp. 281-6.
Pennisi MA, Campioni P, Frassanito L, et al. [Diagnostic imaging and patient database managing systems: The integration of digital information in the experience of an intensive care center]. Radiol Med. 2001;101(4):281-6.
Pennisi, M. A., Campioni, P., Frassanito, L., Maviglia, R., Mignani, V., Di Nunno, S., & Costa, R. (2001). [Diagnostic imaging and patient database managing systems: The integration of digital information in the experience of an intensive care center]. La Radiologia Medica, 101(4), 281-6.
Pennisi MA, et al. [Diagnostic Imaging and Patient Database Managing Systems: the Integration of Digital Information in the Experience of an Intensive Care Center]. Radiol Med. 2001;101(4):281-6. PubMed PMID: 11398060.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Diagnostic imaging and patient database managing systems: The integration of digital information in the experience of an intensive care center]. AU - Pennisi,M A, AU - Campioni,P, AU - Frassanito,L, AU - Maviglia,R, AU - Mignani,V, AU - Di Nunno,S, AU - Costa,R, PY - 2001/6/9/pubmed PY - 2001/8/10/medline PY - 2001/6/9/entrez SP - 281 EP - 6 JF - La Radiologia medica JO - Radiol Med VL - 101 IS - 4 N2 - AIM: To present our experience with integrating digital information on Intensive Care Unit patients (clinical data, laboratory findings, imaging, etc) to create electronic patient records. MATERIAL AND METHODS: Using the hospital Intranet, a connection was established between the Local area Network (LAN) of the Intensive Care Unit (ICU) and the Digital Imaging and Communications in Medicine (DICOM(R)) network of the Radiology Department allowing to receive, process and archive digital images locally at the ICU. Using the software RADclient-RADimage, the information received was managed by an electronic patient record system (DIGISTAT by UMS-Unterberger Medical Software, Florence). All the above software runs on Microsoft WindowsNT 4.0 platforms. RESULTS: Images of various kinds and formats (CT, MRI, etc.) pertaining to the ICU patients were semi-automatically handled and filed on a local server acting as a central databank. The images were then included in the electronic patient record and made available to the end user who could view them using either web technologies (hypertexts were automatically generated that could be viewed through the widely available World Wide Web browsers) or specific viewing utilities supplied with DIGISTAT . DISCUSSION AND CONCLUSIONS: For the intensivist, the handling and filing of data on hospitalised or discharged patients for treatment or research purposes involves having to process large amounts of information. Furthermore, in the event of patients being re-admitted to the unit, it is crucial to have ready access to all the information regarding previous hospital stays, including diagnostic images, to avoid the need for time-consuming searches through the hospital s paper-based archives. The possibility to access clinical information and diagnostic images using a single computer programme proved to be useful both for evaluating the patient s conditions immediately after the imaging procedure and for monitoring the patient s progress over time by comparing the different diagnostic images and imaging procedures. This pilot experience could be seen to provide the basic know-how for applying the method in the future Emergency Department of the A. Gemelli Hospital in Rome. SN - 0033-8362 UR - https://www.unboundmedicine.com/medline/citation/11398060/[Diagnostic_imaging_and_patient_database_managing_systems:_The_integration_of_digital_information_in_the_experience_of_an_intensive_care_center]_ DB - PRIME DP - Unbound Medicine ER -