Hi,
We are relatively new in the EMR world! I am looking for suggestions and ideas to try to get the transcription process more efficient. Right now we are typing in Word and cutting and pasting into the EMR as the spell check seems more user friendly in Word and it is easier to read.
Any ideas would be greatly appreciated!
Several of our docs have switched to Dragon and it seems to be going well. Word of caution- be careful with word-- copy and pasting with word directly into the chart has been known to cause chart crashes per GE support.
You could use NotesLink. Basically, you create a Dictation Placeholder within the note and when the Dictation is imported - it will place it where the PlaceHolder was created.
Documentation for it should be in Centricity, if not call GE Support.
I believe what you are describing is something used with Dragon. Our physicians are still using digital recorders and downloading them for the transcription department to transcribe.
Is there a way for the transcription department to work more efficiently without the physicians using voice recognition?
I would not recommend copy and pasting using word as it can cause your notes to go haywire because of hidden code in the back of word.
Dragon will allow direct dictation into Centricity for unfortunately the consumer and even Professional versions of Dragon will not work. The only product allowing direct dictation is Dragon Medical Practice edition 2.
In regards to digital recorders when we first began using DragonDictate speech recognition software in the 1980’s it seemed to be incredibly impressive technology. Never minding the very deliberate pause after each and every word, we waited with baited breath to see another (hopefully correct) word miraculously appear on our somewhat blurry little screens. It was fun! It was frustrating!
In 1996, NaturallySpeaking continuous speech recognition was released. With the emergence of this new technology, we had a viable tool for professional as well as personal use. That being the case, we needed something better than the usual classic cassette recorder to better utilize this increasingly more sophisticated software and several manufacturers responded. The 1st digital recorder we were able to test was called the VoiceIt which was manufactured directly for DragonSystems (previous owner of NaturallySpeaking). Olympus released the DS-1000 on the heels of the VoiceIt and followed up a year later with the DS-2000. We found the DS-2000 to be fair but the VoiceIt and DS-1000 fell below our level of acceptability. Eventually, Olympus took a decisive recorder lead when they introduced what we considered to be the 1st serious professional recorder, the DS-3000 and the consumer grade DS-330. Both units featured DSS algorithms which were designed for speech recognition but limited to 5 kHz frequency response. Philips eventually improved on this technology by releasing the 1st DSS Pro (DS2) algorithms with an 8 kHz frequency response in the Philips DPM 9600 recorder. Olympus didn't get around to releasing the DS-5000, featuring DS2 algorithms, until 9 months later. A few years later, Grundig introduced their Digta 7 series and on April 17, 2012, Olympus released their 4th generation professional digital recorder, the DS-7000. On July 2, 2013 (approximate release date) Philips released the long-awaited replacement for the 9600; the DPM8000 and the race continues…
There are literally several hundred digital recorder choices on the market, including some that are recommended by Nuance. Although most Nuance recommendations work okay for consumer use, All Nuance recorder recommendations should be taken with a healthy grain of salt. For example, Nuance gives the Sony ICD MX20 (which comes bundled with some versions of NaturallySpeaking) a Dragon rating of 6 but we consider it to be more of a consumer grade toy than a professional dictation tool. By contrast, the superior Olympus DS-7000 originally scored a 4 Dragon rating and the Philips 9600 scored 3 Dragons. The Philips DPM8000 is now rated 6 dragons as well as the Olympus DS-7000 . If a digital recorder and speech recognition play a major role in your workflow, we can only recommend “non-jack of all trades recorders” that are designed exclusively for transcription and utilize DS2 algorithms which reduce the error rate and include a lossless 12 to 1 compression ratio for quick and secure file transfer. You might think that a stereo 96 bit HD quality digital recorder would be excellent for speech recognition use but the recordings are huge (not easy to e-mail or FTP) and as amazing as it sounds, can produce as much as twice as many errors. Additionally, the controls on these types of recorders are simply not designed for dictation. HD digital recorders are intended for recording live music and don't feature professional transcription amenities like cue/review, seamless glitchless punch in, double speed playback (without the Mickey Mouse effect), main functions located under a convenient slider control, along with other standard transcription features. Professional recorders also include specialized transcription assisting applications for encrypting recordings and secure FTP and e-mail transfers along with NaturallySpeaking support. Physicians handling sensitive materials need professional digital recorders that include 256 bit AES encryption. In our opinion the best digital recorder for use with DMPE2 is the Philips DPM8000.
Tom Hamilton, KnowBrainer.com
Nuance Gold Certified
[email protected] 615-884-4558