How would you run emergency imaging during a PACS and RIS outage—and prove recovery is complete?

Instruction: Specify the minimum workable clinical pathway, the downtime record, and the reconciliation steps needed before routine work resumes.

Context: In this fictional hospital, PACS and RIS are unavailable. Emergency CT acquisition still works, a designated diagnostic workstation can display current complete studies, and an approved telephone route reaches the emergency department. Priors and electronic report delivery are unavailable. Routine appointments are due to start. Design the temporary service and its recovery.

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The available systems may support a limited emergency service, provided the downtime pathway works end to end. I would hold routine work until it can be tracked safely. The workstation must support the required review, not just show thumbnails. Radiographers, the duty clinical lead, and IT need one shared understanding of what works and what does not...

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