Ten filmless years and ten lessons: a 10th-anniversary retrospective from the Baltimore VA Medical Center.

The authors review a decade's experience in the nation's first filmless radiology department and outline the challenges and rewards of the transition. They summarize their experience with 10 cautionary and informative lessons on making the process more successful, more efficient, and less stressful. A number of possible avenues of new research and assessment on the effects of filmless operation on radiologists, imaging staff, referring clinicians, and patients are highlighted.