Any EMS agencies using a "Scribe" type system for pcr's?
- Thread starter KJC11
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Maybe be a little more descriptive of what you're looking for? Scribe as in the person who takes notes for the doc in the ED?
In essence what I am looking for is - when a crew completes a call, they forward a completed case card of the call with appropriate signatures and also call into a "voicemail" type system to dictate the narrative portion of the patient care report to be actually typed out by a third party elsewhere within the company.
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Much clearer. Thanks
I've never heard of a system like that in EMS.
I've never heard of a system like that in EMS.
Ewok Jerky
PA-C
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Never heard of dictation for EMS. Sounds like a nightmare honestly.
gotbeerz001
Forum Deputy Chief
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I think the nature of the work requires more timely report writing than a transcription service would provide. I know our billing dept mandates PCRs to be done prior to clearing hospital (for billing) and docs want the same (for medical care).
DesertMedic66
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This. I could understand a speech to text software that would allow the provider to view what he/she said right away but not having it sent away for another person to type.
Brandon O
Puzzled by facies
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Kinda interesting notion for services trying to plow crews back into service. Never heard of it being done but I don't see why it couldn't be.
NomadicMedic
I know a guy who knows a guy.
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Didn't Arcadian use a dictation system for a while? I think Kelly Grayson talked about it...
I use my text to speech on my phone to dictate my narrative and then cut/paste to the PCR.
I use my text to speech on my phone to dictate my narrative and then cut/paste to the PCR.
Ensihoitaja
Forum Captain
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South Metro Fire (south of Denver) is using a system like this. I know a few guys that work there, they seem to like it.
DesertMedic66
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What PCR system did you/are you using where this can be done?
NomadicMedic
I know a guy who knows a guy.
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Every PCR system I've ever used lets you cut and paste to the narrative section. ImageTrend, CodeRed, EmergencyReporting and Zoll RescueNet.
As long as you follow the HIPAA safe harbor standards, there is no issue with creating your narrative this way.
DesertMedic66
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Ours won't let us cut and paste and there is no way for us to use it on our phones :/
NomadicMedic
I know a guy who knows a guy.
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That sucks. I can whip out a VERY detailed narrative quickly on my phone, a LOT quicker than I can by trying to type on the ToughPad's awful screen keyboard.
JPINFV
Gadfly
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One thing to remember is that with scribe/dictation based systems (really, they're close to the same, just different technology) is that the physician is still required to sign off on the final product. With dictations, rarely that requires no editing and rarely requires redictating the report, how ever the vast majority of time I still have to go in and do some mild to significant editing to get it to read how I want to read it.
Typing at a decent speed is becoming more and more common among younger people (and others too); are you seeing any difference in how interns/residents complete their reports compared to older doctors, or is that even an option?
JPINFV
Gadfly
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My hospital still uses paper charts for the day to day notes, but the discharge summary, procedure notes, and admission/consults for some services are still required to be dictated. Unfortunately, for our current system there isn't a way for us to manually enter those notes. That said, and while I do type fairly quickly, I can easily dictate a discharge summary faster (and let someone else do the general formatting) much quicker than I can type it out.