A Prototype Multi-Modality Picture Archive And Communication System At Victoria General Hospital

1988 ◽  
Author(s):  
J. Nosil ◽  
G. Justice ◽  
P. Fisher ◽  
G. Ritchie ◽  
W. J. Weigl ◽  
...  
Keyword(s):  
General Hospital ◽  
Communication System ◽  
Picture Archive ◽  
Victoria General Hospital

scholarly journals Restricted: Increasing Access to the Reference Collection

2015 ◽  
Vol 36 (2) ◽  
pp. 59
Author(s):  
Carla Epp ◽  
Laura Hochheim
Keyword(s):  
General Hospital ◽  
Policy Change ◽  
The Other ◽  
Academic Hospital ◽  
Library System ◽  
Reference Collection ◽  
University Of Manitoba ◽  
Victoria General Hospital ◽  
The University ◽  
General Collection

<strong>Abstract: Introduction:</strong> The objective of this project was to determine whether or not a hospital library reference collection is still necessary or justified. Two academic hospital libraries moved all reference books to the general collection to see whether increased access to these materials would increase their use. <strong>Description:</strong> All reference books were updated to circulating status and shelved in the circulating collection. As these items were used, statistics were gathered in the integrated library system (ALMA). Statistics were gathered from August 2014 to January 2015. Circulation statistics for equivalent periods prior to and during the project were compared to determine whether changing access to the collection increased use. <strong>Outcomes:</strong> Uses of the reference collection items doubled at Seven Oaks General Hospital (SOGH) and more than tripled at Victoria General Hospital (VGH). The percentage of reference titles used tripled at SOGH and doubled at VGH. <strong>Discussion:</strong> The change to circulating status significantly increased access to and use of the reference collection. This borrowing policy change for the reference collection will be recommended to the other hospital libraries within the University of Manitoba.

Clinically-Based Archive Model For A Picture Archive And Communication System

1988 ◽  
Author(s):  
Paul D. Fisher ◽  
Gerhard W. Brauer ◽  
Peter J. Hughes ◽  
Janice M. Lyle ◽  
Josip Nosil ◽  
...  
Keyword(s):  
Communication System ◽  
Picture Archive

Task allocation chart: quality control of a picture archive and communication system (PACS)

1999 ◽  
Author(s):  
Gary S. Norton ◽  
John R. Romlein ◽  
David K. Lyche ◽  
Ronald R. Richardson, Jr.
Keyword(s):  
Quality Control ◽  
Task Allocation ◽  
Communication System ◽  
Picture Archive

scholarly journals A136 LIVING ON THE EDGE: EUS-DIRECTED TRANSGASTRIC ERCP (EDGE) IN PATIENTS WITH ROUX-EN-Y GASTRIC BYPASS ANATOMY

2021 ◽  
Vol 4 (Supplement_1) ◽  
pp. 121-122
Author(s):  
A Jain ◽  
R Barclay ◽  
F Donnellan
Keyword(s):  
British Columbia ◽  
Gastric Bypass ◽  
Adverse Events ◽  
General Hospital ◽  
Gallstone Pancreatitis ◽  
Gastric Fistula ◽  
Proximal Jejunum ◽  
Invasive Approach ◽  
Excluded Stomach ◽  
Victoria General Hospital

Abstract Background Roux-en-Y gastric bypass (RYGB) surgery imposes anatomic barriers to endoscopic retrograde cholangiopancreatography (ERCP). Potential options for biliary access in these patients include laparoscopic-assisted ERCP or balloon enteroscopy. However, these approaches require specialized equipment and/or operating room personnel and are associated with high rates of failure and adverse events compared to conventional ERCP. A recently described technique, EUS-directed transgastric ERCP (EDGE), is an entirely endoscopic approach which involves accessing the excluded stomach to facilitate conventional ERCP. Objectives To describe the results of EDGE procedures performed in two centres in British Columbia. Aims To describe the results of EDGE procedures performed in two centres in British Columbia. Methods Data were collected from five patient cases who had undergone an EDGE procedure at Victoria General Hospital (4) or Vancouver General Hospital (1) in British Columbia from 2019 to 2020. All patients had a history of RYGB bariatric surgery. In each of the procedures, a 20 mm diameter lumen-apposing metal stent (LAMS) was deployed under EUS-guidance to allow access from the gastric remnant or proximal jejunum to the excluded stomach. Subsequently, during a separate procedure 4 to 28 days later, a duodenoscope was passed through the LAMS to perform ERCP. Following ERCP, the LAMS was removed 0 to 38 days later and replaced with a double pigtail stent to facilitate controlled closure of the gastro-jejunal or gastro-gastric fistula. Results Of the five cases included in the case series, 4 patients underwent EDGE for treatment of choledocholithiasis and one patient underwent the procedure for gallstone pancreatitis. The technical success rate of the EDGE procedure in the five cases was 100%. Clinical success, defined by normalization of bilirubin and symptomatic relief, was observed in all of the cases. There were no adverse events related to the EDGE procedure in these five cases. Conclusions The results of this series support EDGE as a safe and minimally invasive approach to biliary access and therapy in patients with previous RYGB surgery. Funding Agencies None

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