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  • Unknown Member

    Deleted User
    September 19, 2020 at 6:30 am

    [link]https://www.adder.com/en/kvm-solutions/switch[/link]

    • julie.young_645

      Member
      September 19, 2020 at 8:44 am

      Is your purpose to have two separate PACS on two separate computers drive the same monitors? Can you not (or are you not allowed to) run both PACS on the same computer and just toggle (alt-TAB) back and forth?

      • andy.lippman_422

        Member
        September 28, 2020 at 1:34 am

        Depends on the PACS and the VPN setup. But also you can’t have two powerscribe instances running at once so it depends on what dictation software you’re using.

        • julie.young_645

          Member
          September 28, 2020 at 6:40 am

          If your computer is powerful enough, you could use VMWare or similar to create internal virtual computers.

          • cieminsjohn

            Member
            September 28, 2020 at 5:20 pm

            I ordered a connectpro 4 computer with dual displayport.  Eventually daisy chain it. 
             
             

          • ruszja

            Member
            September 28, 2020 at 6:20 pm

            Quote from DoctorDalai

            If your computer is powerful enough, you could use VMWare or similar to create internal virtual computers.

             
            Thats what I do. Our different PACS dont get along so I have different VMs running,one for for each hospital. The problem is that VMs dont share the dictation mike very well and you have to keep disabling it in one VM before you switch to the other. The other issue is that some display adapters dont provide the full color depth when they display a VM. So, if you need to switch back and forth all night, it makes sense to run separate workstations via a KVM.

            • julie.young_645

              Member
              September 28, 2020 at 6:58 pm

              Seems like such a…[i]brute force[/i] approach!

              • cieminsjohn

                Member
                September 28, 2020 at 7:16 pm

                issue with Vmware – getting hospital to ok installation on vmware…  I’ve tried and been denied. 
                 
                Each hospital IT system wants to control the whole computer.  it would be great if I could just run multiple systems with vmware…

                • Unknown Member

                  Deleted User
                  September 28, 2020 at 7:35 pm

                  Maybe connect both to one monitor and switch “input” then get a cheap USB switch for KM+dictaphone. 

                  • jtvanaus

                    Member
                    October 4, 2020 at 11:59 am

                    Quote from 2BRads

                    Maybe connect both to one monitor and switch “input” then get a cheap USB switch for KM+dictaphone. 

                    My diagnostic monitor only has 1 set of inputs

                    • julie.young_645

                      Member
                      October 4, 2020 at 3:13 pm

                      I once tried to get the major hospital systems in our mid-sized town to create a single PACS for the entire city. Technically this isn’t all that hard to do, but the individual hospitals went ballistic. “You want us to work with that other hospital that’s suing us!?” (It was challenging a CON, but CTO’s may not understand such things.) “You would allow our precious, pristine data to co-mingle with the filthy data of the filthy patients of that other hospital??? NEVER!!!!”
                       
                      Ironically, 20++ years later, it might happen due to takeovers, mergers, and other mischief. 

                    • ruszja

                      Member
                      October 4, 2020 at 5:32 pm

                      Quote from DoctorDalai

                      I once tried to get the major hospital systems in our mid-sized town to create a single PACS for the entire city. Technically this isn’t all that hard to do, but the individual hospitals went ballistic. “You want us to work with that other hospital that’s suing us!?” (It was challenging a CON, but CTO’s may not understand such things.) “You would allow our precious, pristine data to co-mingle with the filthy data of the filthy patients of that other hospital??? NEVER!!!!”

                      Ironically, 20++ years later, it might happen due to takeovers, mergers, and other mischief. 

                       
                      15 years ago, I suggested on this board that radiology groups should cooperate and cross-cover each other for overnight coverage rather than nurturing the snake that is corporate teleradiology. ‘Community call’ is something many other specialties do, often across competing hospitals. ENT, plastics, ophtho, OMFS, radonc all do this. They compete by day, but they dont want to go in at 1am to stuff a nosebleed on one of their post-ops.  I was told that I was crazy, would cause the groups to steal each others contracts and be responsible for the breakdown of western civilization. Well, it looks like all of these people will eventually work as employees for RP and end up on one billing number anyway.

                    • edsonandrade

                      Member
                      October 8, 2020 at 2:43 pm

                      Quote from DoctorDalai

                      I once tried to get the major hospital systems in our mid-sized town to create a single PACS for the entire city. Technically this isn’t all that hard to do, but the individual hospitals went ballistic. “You want us to work with that other hospital that’s suing us!?” (It was challenging a CON, but CTO’s may not understand such things.) “You would allow our precious, pristine data to co-mingle with the filthy data of the filthy patients of that other hospital??? NEVER!!!!”

                      Ironically, 20++ years later, it might happen due to takeovers, mergers, and other mischief. 

                      This type of unified radiology platform has been implemented by many rad groups to cover their regions. Sometimes the hospital pay, sometimes the rad group pays, sometimes they share expenses. Archiving sometimes lives in the hospitals, sometimes the rad group PACS becomes the archive. It’s a cadillac experience for the rads and, of course, improves patient care. 

                    • julie.young_645

                      Member
                      October 8, 2020 at 4:58 pm

                      Thank you, Capitan Obvio! 😉

                    • ruszja

                      Member
                      October 8, 2020 at 6:14 pm

                      We used to share a PACS (and other IT resources) across several non-competing community hospitals. It allowed them to centralize things in one data-center with enough business to have some depth to the IT department. Rather than each hospital having to keep ‘Jeff the IT guy’ on call every other night, there was a dedicated support team and other people who did more of the forward looking work. It also added some efficiencies in software licensing. Each hospital had on-site servers to keep a copy of the most recent 6 months of data but the archive was at the joint data center. If for some reason, the connection broke down, there was a backup PACS at each location that could run off the local discs. This worked because our geographic footprints didn’t overlap. Eventually, the hospitals lost their independence and sold out one by one to different megacorps, but it worked well while it lasted.

                    • y.rajshekar

                      Member
                      September 30, 2021 at 11:00 am

                      0 I have 3 monitors with 2 pcs that have to be separate. Monitors are all DVIs. So far I only found this Adder KVM that looks compatible, 
                      [link=https://www.kvm-switches-online.com/av4pro-dvi-tri-us.html]https://www.kvm-switches-…av4pro-dvi-tri-us.html[/link]
                      Anything cheaper?