Knowledge, Acceptance and Challenges in the Use of Picture Archiving and Communication System Among Health Care Workers in Delta State University Teaching Hospital, Oghara, Delta State
Keywords:
Acceptance, Challenges, Knowledge, Picture Archiving and Communication SystemAbstract
The availability of the Picture Archiving and Communication System (PACS) has revolutionized the practice of radiology in the past two decades and has shown to eventually increase productivity in radiology and medicine. Clear
understanding/insight into the levels of knowledge and acceptance as well as the challenges associated with the use of picture archiving and communication systems is important for mass adoption of this technological innovation. The aim of the study is to assess the level of knowledge, acceptance and challenges in the use of PACS among the health care
workers in Delta State University Teaching Hospital (DELSUTH), Oghara. Nigeria. The level of knowledge, acceptance and challenges in the use of PACS was evaluated among a total of two hundred healthcare workers in
DELSUTH from various profession such as doctors, nurses, radiographers were evaluated. The data was analyzed with the aid of Statistical Software for Social Science (SPSS) v 26 (IBM, New York, USA). There was a high level of
knowledge (89.5%, n=179) and usage (71%, n=142) of PACS despite formal training being received by only 55% (n=110) of respondents. High level of acceptance was noted, with PACS perceived to aid clinical decisions (80.5%,
n=161), improve patient outcomes (85.5%, n=171), and be superior to traditional methods (75%, n=150). Challenges observed include varying computer skills (26.5%, n=53; highly skilled), network issues affecting usage (57%, n=114), and shortages of equipment like monitors (64.5%, n=129). All categories of healthcare workers in DELSUTH showed a high level of knowledge as well as acceptance of PACS. However, there is lack of adequate equipment especially monitors.
References
1. Hood MN, Scott H. Introduction to picture archive and communication systems. Journal of Radiology Nursing. 2006 Sep 1;25(3):69-74. https://doi.org/10.1016/j.radnu.2006.06.003
2. Huang HK. Short history of PACS. Part 1: Usa. European journal of radiology. 2011 May 1;78(2):163-76.https://doi.org/10.1016/j.ejrad.2010.05.007
3. Tadayon H, Nafarai B, Khadem G, Darrudi R, Jabali MS. Evaluation of Picture Archiving and Communication System (PACS): Radiologists' perspective. Informatics in Medicine Unlocked. 2023 Jan 1;39:101266. https://doi.org/10.1016/j.imu.2023.101266
4. Kapoor D. Picture archiving and communication systems (PACS) – A new paradigm in healthcare. Apollo Medicine. 2010 Sep 1;7(3):181-4.
https://doi.org/10.1016S0976-0016(11)60102-6
5. Mansoori B, Erhard KK, Sunshine JL. Picture archiving and communication system (PACS) implementation, integration & benefits in an integrated health system. Academic radiology. 2012 Feb 1;19(2):229-35. DOI: 10.1016/j.acra.2011.11.009
6. Bryan S, Weatherburn G, Buxton M, Watkins J, Keen J, Muris N. Evaluation of a hospital picture archiving and communication system. Journal of health services research & policy. 1999 Oct;4(4):204-9. DOI: 10.117/135581969900405
7. Pilling JR. Picture archiving and communication systems: the users' view. The British Journal of Radiology. 2003 Aug;76(908):519-24. https://doi.org/10.1259/bjr/67551353
8. Khajouei R, Jahromi ME, Ameri A. Challenges of implementing picture archiving and communication system in multiple hospitals: perspectives of involved staff and users. Journal of medical systems. 2019 Jul;43:1-7. DOI: 10.1007/s10916-01-1319-0:
9. Al-Kahtani N, Al-Dhaif E, Alsaihtati N, Farid K, AlKhater S. Clinicians' perceptions of Picture Archiving and Communication System (PACS) use in patient care in Eastern Province hospitals in Saudi Arabia. Journal of Multidisciplinary Healthcare. 2021;14:743-750. doi:10.2147/JMDH.S318910
10. Saidu AM, Tahir NM, Salihu NM, Sidi M, Yunusa DM. Evaluation of knowledge, effectiveness, and challenges of picture archiving and communications system in national orthopaedic hospital Dala-Kano, Nigeria. Journal of Radiation Medicine in the Tropics. 2021 Jan 1;2(1):31-5. DOI: 10.4103/jrmt.jrmt_3_21
11. Abbasi R, Sadeqi Jabali M, Khajouei R, Tadayon H. Investigating the satisfaction level of physicians regarding the implementation of medical Picture Archiving and Communication System (PACS). BMC Medical Informatics and Decision Making. 2020;20(1):91-101. DOI: 10.1186/s12911-020-01203-0
12. Alalawi ZM, Eid MM, Albarrak AI. Assessment of picture archiving and communication system (PACS) at three of Ministry of Health hospitals in Riyadh region—Content analysis. Journal of Infection and Public Health. 2016;9(6):713-724. DOI:10.1016/j.jiph.2016.09.004
13. Buabbas AJ, Al-Shamali DA, Sharma P, Haidar S, Al-Shawaf H. Users' perspectives on a Picture Archiving and Communication System (PACS): An in-depth study in a teaching hospital in Kuwait. JMIR Medical Informatics. 2016;4(2):e21. DOI: 10.2196/medinform.5703
14. Strickland NH. PACS (Picture Archiving and Communication Systems): Filmless radiology. Archives of Disease in Childhood. 2000;83(1):82-86. DOI: 01.1136/adc.83.1.82
15. Ali JB, Dawood AA, Prem S, Salwa H, Hamza A. Users' perspectives on a picture archiving and communication system (PACS): An in-depth study in a teaching hospital in Kuwait. JMIR Medical Informatics. 2016;4:e1-e14. DOI: 10.2196/medinform.5703
16. Jessamy W, Gwyn W, Stirling B. The impact of a picture archiving and communication system (PACS) upon an intensive care unit. European Journal of Radiology. 2000; 34(1): 1-74. DOI:10.1016.S0720-048x(00)00154-6
17. Gadeka DD, Esena RK. Barriers to quality care in medical imaging at a teaching hospital in Ghana: Staff perspective. Journal of Medical Imaging and Radiation Sciences. 2020;51:425-435.https://doi.org/10.1016/j.jmir.2020.05.002.
18.Shimelis D, Tsige M, Atnafu A. Status of radiological services in Addis Ababa public hospitals. Ethiopian Medical Journal. 2011;49(3):257-263. PMID: 21991759
