Dictation And EHRs Don't Play Well Together - InformationWeek

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Dictation And EHRs Don't Play Well Together
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kav_gan
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kav_gan,
User Rank: Apprentice
12/9/2014 | 1:41:08 PM
re: Dictation And EHRs Don't Play Well Together
It still seems like having sophisticated NLP and Data Mining to characterize clinical documentation (post dictation and typing) remains a priority. This study is not surprising because it makes sense that physicians want to be able to provide good care and not be focused on selecting from drop down lists or try to keep correcting their dictation mistakes (speech to text mistakes are superbly annoying!). Computer algorithms when developed for this specific task are capable of auto populating those structured fields from all that unstructured data. 

Kavita Ganesan

 
pbug
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pbug,
User Rank: Strategist
5/29/2012 | 3:21:13 AM
re: Dictation And EHRs Don't Play Well Together
I've watched doctors use EHR systems. One actually walked me through everything he entered. Ignoring the mediocrity of the system (in that it asked a hand surgeon questions about his male patient's 'female parts'), he went through piles of checklists - carefully, and entered in notes by hand, and confirmed that the attached xrays were appropriate and properly interpreted. The system had issues, but I was quite satisfied as to his use of the system, including the level of detail and the accuracy. I've listened to other doctors do dictation and watched it being transcribed - end result is a complete lack of precision and lots of errors, and nothing that a diagnostic support system could use.
AWESTERINK024
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AWESTERINK024,
User Rank: Apprentice
5/25/2012 | 8:39:07 PM
re: Dictation And EHRs Don't Play Well Together
Check out this blog post: "Missing Link: Is it Scribe or Usability?" http://bit.ly/no8yew
justaskjul
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justaskjul,
User Rank: Apprentice
5/25/2012 | 1:48:08 AM
re: Dictation And EHRs Don't Play Well Together
Many practices I work with do a hybrid of dictation and click through. Often times the MA (or a scribe) will do the structured data clicking and then the physician will review and add his personal 2 cents via Dragon Medical within the EHR free text fields. It's the best of both worlds for the physician who doesn't want a "computer sounding" note -- and the compliance report people, who need that structured data to comply with the ever growing requirements.

Whenever I train a physician, one of the first things I say is "it'll never be as easy as straight dictation..." -- right after I say "don't shoot the messenger. " :)

Julie
InformationWeek contributor


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