Overcoming obstacles to work-changing technology such as PACS and voice recognition.

Objective: When implementing picture archival communication systems (PACS) and voice recognition (VR) technology in radiology, management attention generally has focused on justifying the system financially, investigating potential vendors, developing timelines for hardware delivery, installing the software, developing interfaces, and tracking and measuring results. These are critical components in implementing PACS and VR technology, but not sufficient for success.

Conclusion: This article argues that the ability to view organizational issues related to changing how people do their work from multiple organizational perspectives is equally important in determining the success of PACS and VR projects.