I have a variation on the question regarding computerized ED note
systems. We recently tried to implement a computerized note
generation system (Datamedic) but found it too cumbersome in the
context of trying to train multiple residents from different
hospitals to use the system effectively within the ED. We are now
considering a dictation-transcription system, but the concern is
that there will be a several hour delay in the time between dictation and note
generation. Moreover, the attending cannot provide immediate feedback
to the resident regarding the note's contents, and the note may be
sent to the referring physician prior to approval/correction by the
attending. In the latter case, the note is electronically signed as
being dictated but not reviewed.
My question to the peds ED folks is, who is using a
dictation/transcription system in their EDs and what are the problems
as well as advantages?
Thanks for your response.
Arno Zaritsky, M.D.
Children's Hospital of The King's Daughters
Eastern Virgnia Medical School
Norfolk, VA 23507
757-668-7486 FAX: 757-668-7313
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