SR
Posted By: pwdinaz on 2009-09-27
In Reply to: Forgot to say - Puzzled MT
They should know if it is SR. If they don't, then they need to be taught how to figure that out from the info provided them. We just recently started SR with only 100 physicians dictating at this time. The physicians are tested to make sure SR can translate them at a certain percentage of accuracy. Then they go live with SR. At first we were totally confused also and wanted to change lots of things in a dictation. As we are in the infancy stage of SR, you have to teach the program S-L-O-W-L-Y. SR has to learn each physician's voice just as we do. If you try to make it do too many things at one time, it does none of them well. This really is AI, as the program goes back and listens to the previous 6 to 8 words of dictation to infer sentence meaning.
Our mantra here is If it makes sense medically, let it go. It is very hard to do when you have been reaching for perfection for 20+ years, but just hold your nose and let it go. This is especially hard with ESL and their subject/verb agreements. For example, in labs, the Dr. might say platelets 16.2 thousand, which is what I see on the screen. Does it make sense when I read it--Yeah--so leave it. But when you see the review of systems start in the same paragraph as the family history, I know to put two returns in. But if the Dr says his review of systems is positive for... In a non-SR document, I would type REVIEW OF SYSTEMS: Positive for... The doctors are so used to us cleaning up their documents, they don't realize how much. But what kills me is, when they get back an SR job and it looks like a mess they don't care, they don't complain. It's medically correct and that is all that matters.
It has taken us six months to get the bean counters to understand that we cannot achieve the numbers the SR sales say are possible--not in the infancy stage of SR learning our physicians and our format.
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