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Imaging

See images arriving, where a study's images are stored, and any question about whose images they are.

01

What you can do here

What this does not do

It records where a study came from, where its images are and whose they are. It does not report on a study and it does not interpret an image.

This is not a diagnostic display

Reading a clinical image needs a validated monitor and the right viewing conditions. A browser on an ordinary screen is neither, so do not read from here.

A study identifier belongs to one study

If images arrive again under the same identifier they join the study that already exists. That stops a study ending up split in two, which is how somebody reports on three of five series without knowing the other two are there.

An identifier another workspace holds is a question, not a second study

It is almost always a misconfigured sending device. Filing the images under whoever received them second would be wrong every time, so it is raised for somebody to look at.

An open identity question holds the study

While a question is open the study cannot be made ready to read, and that is checked when you save rather than when the screen loaded. The wrong name on a scan is one of the few imaging mistakes that reaches the patient as harm.

Image counts come from the archive

A series does not keep its own tally. The count is read from where the images actually are, so it cannot drift from what is stored.

A restore is asked for, not assumed

Bringing a study back from the archive is recorded as a request with your name on it. A restore nobody asked for never finishes, and somebody waiting needs to see it is in hand.

02

Follow these steps

Open a study by its accession number

  1. Type the whole accession number from the request slip into the search at the top of any screen.
  2. Choose the study under Imaging studies. It opens here, over Intake.
  3. Part of a number finds nothing, because half an accession number belongs to somebody else's study.

Follow a study in

  1. Open Imaging and stay on Intake.
  2. Each row is a batch of images that arrived, with its source and how many.
  3. Select Open study to see its series and where the images are.

Make a study ready to read

  1. Open the study and record that the images are here.
  2. Check the series are all present.
  3. Select Ready to read. It is refused if an identity question is open.

Question an identity

  1. Open the study and select Question the identity.
  2. Choose what is wrong and say what you noticed. Nothing is chosen for you.
  3. Record the name on the images if there is one. It is kept exactly as it appears and never treated as the truth.
  4. The study is held until somebody settles it.

Settle an identity question

  1. Open the Identity questions tab and select Settle it.
  2. Record what was decided: checked and the images are this patient's, moved to the right patient, images withdrawn, or no action needed. Each choice says what it does.
  3. Images withdrawn also withdraws the study, so images nobody can attribute are never read under anybody.
  4. Name the correct patient if the images are being moved.
  5. Write what you found in words somebody reading this in a year will understand.

Bring a study back from the archive

  1. Open the study.
  2. Select Request restore. If one is already running you are told rather than starting a second.
03

Helpful habits

  • Raise an identity question the moment you doubt one, rather than after the scan is read. Holding the study is the point.
  • Record the name exactly as it appears on the images. Correcting it as you type loses the evidence of what was actually wrong.
  • Say how you confirmed an identity, not just that you did. Checking a wristband and checking a worklist are different levels of proof.
  • Record archive state as it changes. A study nobody recorded as offline is one somebody discovers is missing at the worst moment.
04

Tips

  • Only imaging and ward staff can register a study or settle a question. Administrators with a clinical read can see the queues.
  • A study can only have one identity question open at a time, so the second one cannot release a study the first is still holding.
  • Reporting happens on the result surface, with its own review and release steps. Nothing on this screen releases anything to a patient.
  • A restricted chart cannot have a study registered against it, and its studies are hidden, from search as well as from this screen.
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