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In addition to the aforementioned work groups, a PACS implementation team should be formed to oversee the implementation process Members should include at least one point person from each work group, and additional members should include the PACS implementation manager, the medical director of imaging, the administrative director of imaging, a IT representative, and an engineering/facilities representative This team should meet at least every two weeks and more often as the on-line live date is approaching The goals of this team are to update implementation progress, highlight potential stumbling blocks and potential solutions In addition this team meeting provides a forum for higher level administrators of the hospital to observe the progress of the implementation 1844 Implementation Management Developing a schedule and implementation a spreadsheet checklist can assist management of the implementation process.

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This template includes topics such as the task description, date scheduled for the task, owner of the task, and a checkmark box to indicate completion of the task Table 186 shows a sample heading of an implementation checklist and a sample task This template allows for ner granularity of the implementation process to protect against overlooked implementation tasks Input for the checklist can come from the PACS implementation team meetings Furthermore the checklist can be broken down into smaller subtask checklists for tracking of issues within each of the work groups 185 IMPLEMENTATION 1851 Site Preparation The rst step in PACS implementation is to plan and carry out space design and construction One challenge in many healthcare institutions is to utilize existing space to renovate and build around it to accommodate a new project.

In practice, most buffers consist of mixtures either of a weak acid and its salt or of a weak base and its salt. Of course, the ability of a buffer to resist change in pH is nite, especially if the number of protons involved is especially large. This limit is represented by the buffering capacity of the buffer, . This is de ned as the number of moles of [H+ ] which must be added to a liter of the buffer

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This process involves coordination and communication with a wide spectrum of personnel because there may be many areas in the hospital that may need renovation to accommodate special PACS hardware and communication equipment Among these is the design and construction of ergonomically conforming reading rooms for radiologists to read and referring physicians to visit and consult Careful attention should be paid in designing a work space environment so that a radiologist can read softcopy cases for a long period of time comfortably Figure 184 shows four transition stages of converting a clinical area into an ergonomic reading room In addition, during the transition from a lm to a lmless environment, the reading area should include the.

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