I would like to hear from anyone who uses Fusion dictating equipment...
Posted By: tia on 2006-10-21
In Reply to:
Hospital just purchased Fusion dictating equipment. We had been on a Lanier system for almost 15 years. I've read some on the Fusion equipment and all it is suppose to do (even speech recognition). does anyone use this equipment with the call in station?
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FUSION
It has a long way to go before it is up to an level with most of the other systems out there. It has a lot of bugs in it.
Fusion
The clinic where I used to work used Fusion very briefly before I left. We had nothing but problems with it! Good luck!
Fusion RIS
This is the only name I can find to identify the system used by the clinics I'm working for, and apparently it includes the whole PACS system. I have a VERY limited word processing program. Is this a proprietary program for Fusion RIS, or is there another way to identify the word processing platform?
Fairly new to working at home...love being at home but don't like those limited word processing programs.
Fusion
Use version 1.3.17. Sound quality good. Easy to use. Occasionally "hiccups" and lock up jobs you only get one job at a time.
Fusion...sm
Anyone familiar with a dictation/transcription program called Fusion? TIA
Fusion
I use Fusion to receive my dictation. It is the voice program, not the transcription platform.
Dolbey Fusion ?
Does anyone use Dolbey Fusion, especially the speech rec part? If so, I'd be interested in your feedback. Thanks.
Fusion software
and/or chartnet? Anyone have in any info on these? Thanks a lot!!
Fusion and MediTech
What is the difference between Fusion and MediTech?
Dolbey Fusion was
a platform I used at my previous hospital job which incorporated DVI dictation. It was a vast improvement over SoftMed Chartscript for us as all the fields were filled in (finally) without having to look everything up. It had both straight typing and speech rec. It improved our line counts at the hospital to the point where we were overstaffed by 14 full-time positions and since I lived out of state, I'm unemployed. Easy to learn (took about 1 hour) and line count went from 175 to averaging 250-280 lph. Good luck and wish I was you!
S/L BURKE'S FUSION
Anyone hear of (s/l) Burke's fusion C1-C2? Thanks!!
I had to use Dolby Fusion at my last employer and it was horrible. (sm)
Crashed/locked-up frequently, terribly slow to load ADT data, etc. It was just workaround after workaround that we had to use to just keep semi-productive. Fusion lowered my productivity a good 40%, I'd estimate. Hence, "my last employer." Never again.
Air card, Meditech, Fusion, boonies
Yes, I know there are lots of questions and answers about one or more of these issues most of which I've read, but I need to make sure before I end up signing something that I can't deliver.
I have a Sierra air card in the middle of nowhere. Will I be able to link to Meditech specifically and receive Fusion voice files through a VPN in a timely manner or will one or the other or both be so slow as to be inoperative? I've worked with it doing FTPs and photo downloads and it's slow but not glacial.
Has anyone had specific Meditech related problems going over the 5 gig limit with their carrier?
Thanks and lots of hugs in advance. f
Anyone have any info on Infoware Fusion transcription machine?
Hospital is switching from Lanier to Infoware's Fusion transcription equipment. The records dept head is very confused. With me at home I have no clue as to what is going on because I don't think she knows much more. Anyway, I am suppose to go the hospital tomorrow for orientation.
Brain dead today - or is it hear hear? I'm going to bed.
nm
Marry me?! :) Seriously...hear, hear. Good post. - nm
xx
If they are dictating what you do with it,
Furthermore, whose to say they won't take it back!!!!???!!!
someone dictating for him
here is one for the books - have a sub-intern dictating for attending - dictates the following - "Dr. _____ states that the patient has a history of "what did he say "quinaquina" failure.. I am not sure if that is the correct spelling."
well he would not - it is chronic renal failure. Now why is he even trying????? - thankfully at the end of the report the attending who apparently was sitting next to him by this point, corrected him when he dictated it again. I give up.
that might be why the doc is dictating sm
all this old stuff. Doc may have gotten caught and fined for not having charts up-to-date. I a hospital, docs get their hospital privileges suspended if the charts are not caught up
They said Drs. not dictating on this account
nm
I tried re-dictating to Dragon...
I bought the latest best version, souped it up with KnowBrainer and devoted 3 solid months to training it to my voice and building a huge vocabulary. I could still type circles around it. Editing is extremely bulky and slow. Also don't think you can have your docs dictate a page and then train Dragon to do their speech direct. First of all, they will expect you do to charge less since "the computer" is doing all your work. Second, you will be spending tons of time doing further tweaking and training to get Dragon anywhere near up to par to actually get any production out of it. All of which is not only frustrating as h---, but you don't get paid for it. Now, don't take this to mean that VR won't take over transcription. Big companies use a different platform with the Dragon engine - one in which they have spent a lot of time figuring out how to make it quick and easy to edit...oh, the end is in sight, all right...
Dictating while being tickled
I have one MD who on three occasions has dictated while being tickled! I can't help but laugh along, but it sure makes me wonder who the heck is in there tickling him!
Dictating and driving
Can you hear me now?? I have a physician who dictates while he drives,and by the way, his dictation goes in and out so unable to get really what he is saying.
Is this a child dictating?
I once had a doc say "I asked the patient to pee in a cup". I forget what I changed it to but I cannot stand the word "pee" and refused to use that. It is so vulgar (of course got the approval from my supe first on the change).
Child dictating
Both my Ped doctors say poop and pee. Is this going to be the industry norm? Maybe we won't have rhinorrhea any more, just snotty noses, and a few owies, ouchies, and boo boo's. lol
Transcriptionist dictating into VR
I read an article about this years ago. A local Transcriptionist would listen to a report and dictate it into a VR program she had on her computer so all she had to do was edit rather than type because she had carpal tunnel so bad. It worked well enough for her that she could remain employed. I didn't know her or have a chance to meet her, unfortunately, but she inspired me to take the VR class through Office Careers at the local junior college. Like most people in the class, I found out pretty quick that I didn't have the voice for the software. It just didn't work well. Plus you have to retrain it any time you get a cold, allergies are acting up, yell yourself hoarse at her kid's football game, etc., because your voice quality has changed and the program doesn't recognize you as you anymore. At the time, she was working with reports on tape and whatever word processing program was popular at the time (WordStar, WordPerfect, Word). I'm not sure if you can use VR on your computer (or the one supplied by your employer) with the Internet platforms that provide the voice files now. It would probably be an added complication your company's technical department wouldn't want to deal with unless they were forced to as a "reasonable accommodation" under the Americans with Disabilities Act.
People dictating
That is as annoying as the dictators trying to say a last name that is 13 letters long, can't even pronounce it, but they continue to use it throughout the report....they can't just say "the patient." Geez!
dictating while seeing a patient
I must be weird because I never had a problem with the doctor dictating while seeing his patients. I worked in a busy clinic where one of the doctors pumped her breasts while dictating, one would eat hard candy and comment about the patients under his breath, one would tell dumb jokes in the middle of his dictations. We (the transcriptionists) got even with them one year at Christmas by publishing a little booklet of all their bloopers. We even got our raises that year!!!
Really does not have to do with the doctors dictating
because I have found eScription for so reason seems to hear the ESLs much better than the English speaking dictators a lot of times. Having said that, I think the system you are using has volumes to do with it from what I read on these posts. Which system do you use, if you don’t mind me asking?
Doctor not dictating. sm
I obtained a client in December. He says he is slow in dictating, but he nor his partner have not dictated all month. I tried to inquire, but he insinuated that my feelings are hurt and that if I didn't like it maybe we should end our working relationship.
I found this odd behavior, especially since he sought me out. Should I drop him and his partner, since they are not dictating? How long do I wait before I drop him?
Actually, if he hates dictating sm
and he is NOT alone in this, you could suggest his coming up with normals for stuff he says all the time and then dictate around those. This is a joint effort with the physician because he will have to sign them and have what he wants in them. You don't negotiate a lower fee for this either, btw, since it takes time to drop them in and to come up with them in the first place.
If he has some F/Us for say a total knee, then he could have a total knee note like: Pt is ____ days postop. I removed the staples from the ____ knee. Pt is to return in ____ weeks' time for followup.
WIth the above, you would drop in the canned text and he could dictate Ms. Josy Blow is 10 days out, had staples, return in 2. Or just 10, right, 2 on his end. I have normals provided by the company I work for, then I have many of my own. Some are a full note because they rarely vary. Some are parts of notes. Some are just shells with headers. ANYTHING not to have to type it all! While you have no problems typing them for him, he doesn't like to dictate so yes, you can help him solve his problem AND cut down your work and worry.
Don't interrupt the doc while he's dictating!
I'm doing this GE doctor and there's a nurse or OR tech who keeps asking him questions. Then he can't remember if he's dictating a colonoscopy or an EGD!!! He loses his place and has to start all over again!
I'm pulling my hair out with all the "uhhhhh, uhhhhhs" and then I have to listen to him get short with her and her get snippy with him and then he can't remember if he took biopsies or not, if he's in the colon or the stomach. He is clueless! Just let him get his rhythm going and leave the man alone!
Okay, I've had my rant for the day!
Believe it or not, I once had one dictating on a small
roaring up and down sand dunes in a DUNE-BUGGY. I had thought it was actually being dictated on a roller-coaster, because that's what it sounded like. When I complained to the boss, he said he'd look into it, and called the hospital. The next day he comes back and said, "No - you were wrong. He wasn't on a roller-coaster, only a dune-buggy."
"ONLY" a dune-buggy?
Re-dictating a sentence in a different way, only - sm
not letting the MT know, and the sentence sounds like an extension of the first sentence. You don't figure it out til you get to the bottom of the report under Impressions, and then you have to go back and find that sentence and listen to it again. This always seems to happen in the middle of a 45 min. long mega-report, too.
I had the guy who was dictating in his sleep,
and he was ESL to boot. He dictated the physical exam 3 different times, and it was different each time. The patient's race also changed from white to black in the course of the report, and there were 3 different contradictory findings in one part of the exam.
I sent the whole mess to QA; they put blanks in the spots that needed them--and sent it on through to the client, discrepancies and duplicates and all. So I got paid for all the typing I did. I did not get paid for the head-shaped hole in the wall, though....
Hear, hear! I agree with Dakota - sm
The MTSO should be giving feedback to the hospital/doctors who slur, speak too rapidly, etc. They need to pull up their socks! And there's no reason why these doctors shouldn't be given an outline of what is expected from them when they dictate, such as cell phones, chewing food, candy, gum, etc.
But if what they are dictating doesn't even exist.... ? nm
x
Then the dictating physician needs to spell it out instead
of expecting us to be psychic. I used to waste so much time at my old job trying to find the proper addresses for these yahoo CC physicians. In the meantime, the dictating physician mispronounced, didn't spell, and didn't even give a clue where the other doctor worked. I had to check the company physician list, the hospital physician directory, Anywho.com, then Google. And that was even if I could spell it properly! One physician in particular couldn't pronounce properly. He would put extra Ns and Rs throughout the name. How was I supposed to find it? And I got chewed out by QA for not being psychic enough to figure it out.
Dr. dictating just said happy Valentine's day!
Just makes me smile when the doctors remember to say something nice!
My favorite is dictating a whole list
and then going back and saying, "will you make so-and-so #1 instead of such-and-such." Ugh!
OMG!!! Why do ESL's sit there not dictating for 5 minutes at a time????
Geez, as if they're not annoying enough when they actually ARE talking! 
Doctor is dictating while watching
All I can here is zoom, zooom, zoooom. He paaaaaaaaaaaaaaauses for long stretches while he watches. It's driving me crazy. I keep getting report after report by him.
Try a doc that chaws tabakky while he's dictating
PLUS doesn't even have a nodding acquaintance with subject/verb agreement.
dictating while talking to patient
I like peds transcription..have not done as much as I would have liked. I have had some doctors who do dictate at home with their children around ("Be quiet! Daddy's dictating...go see Mommy..sshh") Used to type on an account that had a cardiologist who always dictated his reports while interviewing the patient ("you have the chest pain how often...(patient talking)....") Annoying...all in a day's work.
Why do doctors have to eat while they are dictating!!!!! so rude
nm
MR has little to do with dictating and typing or editing, ...sm
it is point and click by the doctors on their little computer they carry from patient to patient in the hospitals or it is in the doctor's clinic.
When they try to keep what they're dictating a secret...
... from the people having the LOUD conversation right next to them. Guess they never figure out that they are also keeping it a big secret from ME. I keep waiting for them to yell SHADDUP! but for some reason they never do. Sometimes I am half tempted to just transcribe the background conversation instead......
Meditech is an operating system and Fusion is voice for a dictation system
nm
I had a doctor using her breast pump while dictating. sm
Reminded me of my granddad's dairy.
Reminds me of my favorite dictating physician..
 Really miss transcribing his 8 page reports (no sarcasm implied) Have a great day everyone.
I'd say dictating at half speed exonerated you
I could not STAND when they did that! (dictate at half speed distorts the voice or that was my experience anyway)
:)
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