Table of Contents
Preface viii
Section I Introduction of PACS and Information Security Management
Chapter I Introduction 1
Introduction of PACS 1
History of PACS 3
Introduction of ISO 27000 5
Elements of PACS 7
PACS Design 10
Imaging Modalities 12
Hospital Information System (HIS) and Radiology Information System (RIS) 18
PACS Broker 20
Display Workstations 21
Advanced Workstation 23
Teleradiology 24
References 26
Chapter II ISO 27000 Information Security Management System 28
Introduction 28
International Standards on Information Security Management System 28
The Essence of Information Security 32
References 39
Chapter III High Availability Technologies for PACS 41
Introduction 41
High Available Technologies 42
Quality Management of PACS 44
Conclusion 50
References 51
Chapter IV Implementation of Information Security Management System (ISMS) 53
Introduction 53
Implementation of ISO 27000 in PACS 54
System of Documentation 59
Risk Assessment 62
References 69
Section II Implementation of Filmless Hospital
Chapter V Planning for a Filmless Hospital 72
Introduction 72
Plannings 72
ORDER/ENTRY 87
Hospital Reception (HIS/RIS) 89
Radiology Reception (RIS/PACS/HIS) 89
Enterprise Wide (RIS/PACS/HIS) 89
References 90
Chapter VI Design of a Filmless Hospital 92
Introduction 92
Design of a Filmless Hospital 92
Conclusion 108
References 110
Chapter VII Implementation of Filmless Hospital 113
Introduction 113
The Business Plan 113
Conclusion 121
References 121
Chapter VIII Quality Control, Quality Assurance, and Business Continuity Plan in PACS 123
Introduction 123
PACS Business 123
Quality Control in PACS124
Quality Assurance in PACS 127
Business Continuity Plan 132
Conclusion 136
References 136
Section III PACS Total Quality Management
Chapter IX PACS Quality Dimensions 140
Background 140
PACS Operating Problems 141
Shortcomings of Existing PACS QA 145
Concluding Remark 148
References 152
Chapter X Customer Oriented PACS 154
Background 154
The QFD Process 157
Case Example: SaxTeleMed Project 160
Concluding Remark 167
References 167
Chapter XI Design for PACS Reliability 170
Introduction 170
Basic Concepts 171
Overview of Failure Distributions 172
Case Illustration: PACS Image Rejects 180
Improving PACS Hardware Reliability 183
Software Reliability Models 185
A PACS Software Case Study 187
Improving PACS Software Reliability 189
Concluding Remark 190
References 190
Chapter XII PACS Failure Mode and Effects 193
Background 193
Basic Concept 195
FMEA Procedure 196
Case Illustration: PACS FMEA 198
Concluding Remark 201
References 204
Chapter XIII PACS Network Traffic Control 207
Network Standards 207
TCP Congestion Control 209
Queue Management 211
TCP/AQM Network Model 216
A TCP Fluid-Flow Model 217
Multi-Router and Multiple TCP Flow Simulation 218
Concluding Remark 223
References 223
Chapter XIV Human Factors and Culture 225
Background 225
Communication and Information Exchange 226
PACS Training 228
Effects of Organization Culture 229
Case Illustration: Cultural Comparison 232
Implications for Local PACS Community 236
Proposed Human Factor Approach 236
Concluding Remark 241
References 242
Chapter XV PACS Monitoring 244
Background 244
Relevant Work 245
Control Charts 247
PACS Capability Indices 257
Concluding Remark 261
References 262
Section IV Future PACS Directions and Planning of Future Hospitals
Chapter XVI Quality Management Benefits 265
Background 265
Case Illustration 267
Implementation of Improvement Initiatives 274
Results 280
Project Review and Future Plan 282
Judging Panel Q & A 283
Concluding Remark 286
References 287
Chapter XVII Epilogue 288
Future Trend 290
Section V Appendices
Appendix A 299
Appendix B 323
Appendix C 325
Glossary 331
About the Authors 339
Index 341
