[Implementation of "never events" checklists in a radiotherapy information system]. / Mise en œuvre de listes de contrôle « never events ¼ dans le système d'information en radiothérapie.

In order to reduce the incidence of major accidents during external radiotherapy treatment, "never events" checklists have been incorporated into the "record and verify" system. This article details this process. Prospects for improvement are also proposed, including a peer-to-peer audit on the use of checklists and the availability of the radiotherapy information system manufacturer to collaborate in this process to secure the patients' journey.

[An integrated medical image network of patient records: experience of the Picture Archiving and Communication System (PACS) of the Gustave-Roussy Institute]. / Un réseau d'images médicales intégrées au dossier du patient: expérience du Picture Archiving and Communication System (PACS) de l'Institut Gustave-Roussy.

The PACS (Picture Archiving and Communication System) is a central radiologic image archiving system coupled with an information system which allows rapid access to these images. It permits rapid access of the entire file of radiologic images of a patient for radiologists and clinicians. After installation of an MRI and CT scan unit at the IGR, a PACS system was installed in July, 2000. The preparation phase and characteristics of the PACS system at the IGR are described here. The data in the literature and the short experience of the PACS system at the IGR show benefits of this system at several levels: improved efficiency (for technicians, radiologists, and secretaries), improved image quality and interpretation, improved clinical management of patients resulting from more timely image interpretation and execution of clinical decisions, increased ease of image transfer for tele-imagery, and improved teaching and publication possibilities. The PACS significantly modifies work habits since the interpretation and consultation of images is done exclusively at the console and progressively obviates the need for actual films.