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Latest Digital

A Mirrored Hard Drive is NOT a Backup

 Many veterinarians are under the FALSE impression that their digital radiographs are backed up. They have been sold a lie that a RAID 1 or mirrored hard drive is a back up. We have discussed...
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A Tale of Woe and Frustration on the Digital Trail

The following is a true story.  It is representative of the stories I hear each week through contact with readers of Animal Insides. The names are changed to prevent lawyers calling me up and...
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Industry Updates

Eklin to Distribute Zonare Ultrasound

EKLIN SIGNS LETTER OF INTENT WITH ZONARE FOR DISTRIBUTION OF ZONE SONOGRAPHY ™ z.one...
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Visbion Installs PACS ad Liphook Equine

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Digital SHOWDOWN

Order your Free SHOWDOWN DVD

  Welcome to the Animal Insides 2008 Digital Radiography SHOWDOWN and Veterinary DICOM Validation The results of the 2008 SHOWDOWN are available for your evaluation in the links below. The...
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Ultrasound

Why are we afraid of veterinary sonographers?

 Rarely does anyone publish an article that has the potential to reduce their income, alienate their readers, or make the author an outcast in their professional circle. Personal and...
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Ultrasound teleradiology is (largely) a fake!

Teleradiology has been marketed to veteriarians as a way to speed up the ultrasound education process or (in some cases) replace all the hours needed to learn ultrasound. Unfortunately, find that...
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The Digital Practice

Stop the Integration Confusion

If you thought that buying a digital radiography machine was confusing – get ready to have your head spin. Even the people selling you integration are confused! At a recent trade show, ...
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Home arrow Learn arrow Digital Imaging arrow It's the LITTLE THINGS That Count with Digital Radiography
It's the LITTLE THINGS That Count with Digital Radiography PDF

With digital radiography and PACS, sometimes the little things matter most. Of course, the big things have to be in order but it is the little things that make the transition to digital an enjoyable one. The "Little Thing" is a regular column in the Animal Insides Newsletter.


Little Thing - Get your IT house in order

This little thing is actually a big thing. This little thing is so important it does not matter what veterinary digital radiography system you purchase.

The biggest little thing that will impact any digital radiography installation is the quality of your IT staff.

Many veterinary practices don’t have an IT person that they use on a regular basis. Other hospitals used the people who installed their practice management software. Some veterinarians use their cousin’s, girlfriend’s, ex-husband’s, 16 year old step-son who likes computers. Unfortunately, little Eugene knows a lot about World of Warcraft but not much about setting up a computer network.

It is highly recommended to hire an experienced IT person to configure your computer network and be on site during the day of the installation. Your choice of IT personell is as important as your digital radiography purchase. They will be your advocate if there are any issues that arise with the hospital network on the day of the installation.

Once you have an experienced IT person who is able to handle your hospital network, it is your job to set appropriate expectations for them. When we talk with frustrated IT staff, their frustrations arise from the unrealistic expectations put on them by the veterinarian. It is unrealistic to ask your IT person to:

  • set up a completely secure network
  • don’t allow the technical staff to surf the internet
  • allow access to teleradiology on all computers
  • and do this for under $100.00


When given that ultimatum, many IT people simply lock down the hospital network, close all the ports, and create a situation where distributing your digital images around the hospital or sending for teleradiology is almost impossible.

Bottom Line: A good IT person is worth their weight in gold. Work with them to configure your hospital for internet security and image distribution. Placing unrealistic expectations on your IT person or expecting the to work for peanuts will result in an unfulfilling digital radiography experience.

If you do not have an IT person that you trust locally, most IT work can be done remotely. There are even remote IT services that specialize in remote support of veterinary hospitals with digital radiography systems.

Little Thing - Using the Correct Patient ID: Digital radiography has the potential to increase the efficiency in your hospital by the sheer fact that you will not have to track down hard copy films. In the past, if films were left on the view box or sent out for review, they could be difficult to locate. Theoretically, after your hospital transitions to digital radiography, all you will need to do is go to a computer and pull up your old cases.

Theoretically??? Indeed. No more lost films is a potential benefit of digital radiography if and only if your technical staff takes great care in entering patient demographic information into the digital radiography system before every study. Unfortunately, technicians are often busy and errors in data entry are very common. In two of our facilities, the data error entry rate was between 10-20%.

To illustrate how easy it is to lose cases, consider the hypothetical patient named Toby MacLovin with a patient ID of 00000.

  • Patient 1: Patient ID: 00000 First Name: Toby Last Name: McLovin
  • Patient 2: Patient ID: 00000 Fist Name: Toby Last Name: MacLovin
  • Patient 3: Patient ID: 000000 Fist Name: Toby Last Name: MacLovin

Even though these three patients are similar, many PACS systems will view these patients as completely different patients. This is important to you because:

  • Current and future studies from this patient will not group together properly
  • Radiologists viewing your studies via teleradiology will not have prior studies available for comparison.
  • This patient's images may be lost forever as you won't know how to search for them.

As you can see, it is essential to impress upon your technical staff the importance in accurate data entry with digital radiography. It would be wise to set up a QC program in your hospital to monitor for any errors in data entry.

Some practice management software packages automatically send patient demographic information to the digital radiographic system through a DICOM modality worklist protocol or by other proprietary means. These bridges to practice management will eliminate errors in data entry.

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An example image without frames applied:

Image

An example Image with frames applied:

Image

Some systems apply frames to the images automatically. Other systems require the user to apply frames manually. At this years SHOWDOWN we will be evaluating systems for framing functionality.

 
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