PubMed · 10262748
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1983. Inside quality circles.. https://pubmed.ncbi.nlm.nih.gov/10262748/
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For both efficiency and economic reasons, our practice (200,000 examinations) has converted all remote dictation to speech recognition transcription (PowerScribe, L & H, Burlington, MA). The design criteria included complete automation to the existing radiology information system (RIS), with full RIS capabilities immediately available following dictation. All dictations for computed tomography, magnetic resonance imaging, ultrasound, and nuclear medicine were converted from remote transcription to speech recognition over a 2-week period (following a 4-week installation phase and 8 days of training). The average turnaround time for these reports decreased from approximately 2 hours to less than 1 minute. Reports are then sent to the institutional Electronic Medical Record and are available throughout all facilities in a nominal 2 minutes. Speech recognition rates were surprisingly high, although certain phrases caused consistent difficulties and certain staff required retraining. This presents our analysis of both successful and problematic areas during our design and implementation, as well as statistical performance analyses.
Compared to traditional film radiography, digital radiography is believed to improve workflow and patient throughput. Digital radiography permits the technologist to immediately view the quality of the film directly at the modality. Additional workflow improvements, therefore, should be achieved with the integration of the radiology information system (RIS). To learn more about this proposed efficacy, a study was performed at The Cleveland Clinic Foundation (Cleveland, OH) comparing timings in three groups: traditional film radiography; digital radiography; and digital radiography with RIS integration. Our data validated a timesaving of digital radiography over traditional or standard films and an even greater timesaving in a digital radiography/RIS environment.