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Introduction of picture archiving and communication system at district general hospital trincomalee: Issues and challenges

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Author: 
Dr. Pragash Rajendiren, Dr. Sinniah Manoagaran and Dr. Thuraisamy Thavakodyraja
Abstract: 

Background: The introduction of Picture Archiving and Communication System (PACS) at District General Hospital (DGH) Trincomalee has ensured the timely availability of radiological images, increased scope for precise diagnosis and thus promoting the effective patient management, but it was an uphill task. This research illustrates the issues, challenges and the barriers that were encountered by the project team during its implementation and thereafter.
Methods: This was an institutionally based study to identify the issues, challenges, and barriers that surfaced during the introduction, implementation and functioning of PACS at DGH Trincomalee. The data was gathered in three stages beginning from the project proposal, securing funds, procuring, installation of the system and commissioning and functioning for six months after installation. All issues and challenges were documented, analysed and discussed with the parent organisation to enable the smooth implementation and functioning of PACS.
Findings: Although the hospital management anticipated challenges associated with the acceptance and adaptation of a new technology and training of the Healthcare staff, these proved to be in contrary. The major issues that surfaced were acquiring substantial capital investment and recurrent expenses for installation and functioning of PACS, the requirement of good knowledge in implementation, the need of reliable Information Communication Technical (ICT) support, safeguarding the confidentiality of patient information and incorporating them in the patient register.
Recommendations: A good understanding and foreseeing the issues and challenges associated with the implementation of PACS for the success of the project.

EDITOR-IN-CHIEF

        

            Prof. Dr. ISMAIL YILDIRIM

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