Journal of Digital Imaging

, Volume 23, Issue 1, pp 87–94 | Cite as

Introducing PACS to the Late Majority. A Longitudinal Study

  • Petter HurlenEmail author
  • Truls Østbye
  • Arne Borthne
  • Pål Gulbrandsen


The purpose of this study was to study whether the benefits from introducing a picture archiving and communication systems (PACS) reported by innovators and early adopters also can be achieved by a hospital belonging to the “late majority” and to see whether such benefits are sustained, using report turnaround time (RTAT) as an indicator. Activity-related data was retrieved from the radiology information system (RIS) over a 2-year period. The median RTAT for preliminary reports was initially reduced from 12 to 2 h then increased to 3 h. For final reports, the median RTAT was initially reduced from 23 to 13 h then gradually reverted back to 22 h. Innovators and early adopters demonstrate not only that positive results can be achieved but also the importance of involving key personnel. We believe that such involvement and the focus on wider organizational concerns are important when introducing PACS to the late majority, both for achieving and sustaining positive results.

Key words

Radiology information systems (RIS) radiology reporting radiology workflow PACS cost effectiveness medical informatics applications 



This work was funded by the Eastern Norway Regional Health Authority and the Directorate for Health and Social Affairs.


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Copyright information

© Society for Imaging Informatics in Medicine 2008

Authors and Affiliations

  • Petter Hurlen
    • 1
    • 2
    Email author
  • Truls Østbye
    • 3
    • 4
  • Arne Borthne
    • 2
    • 5
  • Pål Gulbrandsen
    • 1
    • 5
  1. 1.Helse Sør-Øst Health Services Research CentreAkershus University HospitalLørenskogNorway
  2. 2.Centre for Diagnostic ImagingAkershus University HospitalLørenskogNorway
  3. 3.Department of Community and Family MedicineDuke University Medical CenterDurhamUSA
  4. 4.Duke-NUS Graduate Medical SchoolSingaporeSingapore
  5. 5.Faculty Division, Akershus University HospitalUniversity of OsloLørenskogNorway

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