Lori Rumreich, Abstract Co-Author: Nothing to Disclose

Mervyn David Cohen MBChB, Abstract Co-Author: Nothing to Disclose

Todd Buerger, Presenter: Nothing to Disclose

Annette Jean Johnson MD, Abstract Co-Author: Nothing to Disclose

We desired to design and build the “optimal” PACS reading area, in which we can then change any design element and measure the impact on radiologist work satisfaction, quality and output.

Using our published survey of satisfaction with PACS work areas among 55 radiologists, an experienced architect designed four layouts for PACS reading areas. The designs included workdesk size, shape and location in the room, and the location of support amenities. Details of the work surface showed the placement of the PACS monitors and associated equipment. In depth interviews with six radiologists, one physicist and two managers were done by an experienced professional with a background in PACS and human factors research. Each respondent was asked for specific feedback on the designs and asked which design they thought was best. They were then given scaled cut-outs of PACS monitors, a RIS monitor, telephone, microphone, chair, etc. and asked to place the items on the draft design. The survey included ratings for various attributes of each design as well as a rank ordering of the four design options.

We have defined and prioritized all the functional activities that occur in the PACS reading area and created a list of all the hardware items that need to be considered and located. We learned the following: the PACS reading environment should be welcoming; there must be an adequate amount of workspace; placement of items in the “cockpit” area is important to minimize turning motions; many support items are needed within the workspace; the design should be flexible so that it can apply to a single radiologist and be modified to apply to a multi-radiologist area; and there are space considerations for conferencing.

Our long term aim is to design a flexible PACS work area that allows for optimal workflow and worker satisfaction. This study has allowed us to define the information needed to achieve this. We have now constructed this research PACS reading area. We can vary any element of this area independently and will be testing effects of controlled factor changes on radiologist’s quality, productivity and satisfaction.

T.B.: A principal of BSA Lifestructures

Rumreich, L, Cohen, M, Buerger, T, Johnson, A, Creating the Optimal Design and Layout for a PACS Reading Area.  Radiological Society of North America 2004 Scientific Assembly and Annual Meeting, November 28 - December 3, 2004 ,Chicago IL. http://archive.rsna.org/2004/4407357.html