ANALYSIS OF PACS IMPLEMENTATION IN IMPROVING THE EFFICIENCY OF RADIOLOGY PROCESSES AT GRANDMED HOSPITAL LUBUK PAKAM

Abstract

Radiology services in hospitals often face operational challenges, including delays in image access, prolonged reporting times, and dependence on conventional film, all of which affect service efficiency and user satisfaction. The implementation of a Picture Archiving and Communication System (PACS) is considered a digital solution to improve radiology service performance through electronic image storage, distribution, and visualization. This study aims to explore in depth the implementation process of PACS, its impact on the efficiency of radiology services, and the supporting and inhibiting factors influencing its success at the Radiology Installation of Grandmed Hospital Lubuk Pakam. This study employed a qualitative approach with a descriptive case study design. Data were collected through semi-structured interviews with 15 informants, including radiologists, inpatient and outpatient physicians, radiographers, nurses, and information technology staff. Data analysis focused on user experiences, system implementation dynamics, and perceptions of changes in radiology workflow. The results show that PACS at Grandmed Hospital Lubuk Pakam has been implemented gradually since 2015, supported by management policies and relatively adequate technological infrastructure. The system has proven to improve the efficiency of radiology services, particularly in accelerating image access, reducing reporting turnaround time (TAT), streamlining workflow, and enhancing interprofessional collaboration. Key supporting factors include strong hospital management commitment, human resource readiness, and the availability of basic infrastructure. Meanwhile, inhibiting factors include network disruptions and limited technical skills among some users. In conclusion, the implementation of PACS at Grandmed Hospital Lubuk Pakam is considered successful, demonstrating a positive impact on radiology efficiency and offering further development potential through infrastructure strengthening, continuous training, and integration with electronic medical record systems.