周海伟　严金岗　王和平等

[摘要] 目的 探讨PACS虚拟打印服务器在优化放射科工作流程、拓展和延伸传统PACS功能中的应用价值。 方法 构建PACS虚拟打印服务器，连接原有PACS系统及影像设备，观察其经济、社会效益。 结果 PACS虚拟打印服务器应用后，改善了工作流程，在方便患者的同时，提高了放射科的工作效率和服务质量，实现了经济效益和社会效益双丰收。对胶片的节省率达到了18%，纸张节约率达到6%左右。实现了急诊X线摄片、CT检查30 min内出具诊断报告；普通X线检查1 h内取报告；CT、MRI上午检查，下午取，下午检查次日上午取。 结论 PACS虚拟打印服务器的应用，通过优化放射科工作流程，实现集中按需打印，赋予PACS新的功能和价值，提升放射科的服务质量，提高患者和临床医师的满意度。

[关键词] PACS；医学影像；虚拟打印；价值

[中图分类号] TP393.05；R197.3 [文献标识码] B [文章编号] 1673-9701（2015）21-0116-04

[Abstract] Objective To explore the application value of PACS virtual print server in optimizing the working procedure in the Department of Radiology， and expanding and extending the conventional function of PACS. Methods PACS virtual print server was established， original PACS system and imaging equipment were connected， and its economic and social benefits were observed. Results After the application of PACS virtual print server， the working process was improved. It provided convenience for the patients， and at the same time improved the working efficiency and service quality in the Department of Radiology， realizing the double achievements of economic benefits and social benefits. The saving rate of films reached up to 18%， and the saving rate of papers was around 6%. Diagnostic reports of X ray and CT in emergency were obtained within 30 min； reports of X ray were obtained within 1h for normal examination； reports of CT and MRI were obtained in the same day afternoon if the examination was in the morning， and were obtained the next day morning if the examination was in the afternoon. Conclusion The application of PACS virtual print server provides new function and value for PACS by optimizing the working procedure in the Department of Radiology and achieving integrated printing with demand. It improves the service quality in the Department of Radiology and enhances patients and clinicians satisfaction.

[Key words] PACS； Medical imaging； Virtual printing； Value

随着CT、MR、DSA、CR、DR等数字化医疗设备的出现以及医学影像存储与传输系统（PACS）的应用，使得放射影像诊断工作正由传统摄影模式逐步向数字化、网络化过渡。而对于已建立了PACS的医院，如何充分发挥其功能和优势，让PACS产生价值，提升医疗管理水平[1]，是医院信息化过程中要迫切解决的问题。在一些大中型的医院里，放射科患者流量通常很多，胶片处理量很大，传统的照片打印、核对、发放等处理涉及大量繁琐的人工处理，如能在患者取报告时实时输出照片，不仅能优化放射科工作流程，减少大量核对、查找工作，从而减少差错，而且还能带来一定的社会、经济效益。……