Comparação dos tempos de geração e digitação de laudos radiológicos entre um sistema eletrônico baseado em voz sobre IP (VoIP) e um sistema tradicional baseado em papel (original) (raw)
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Journal of Digital Imaging, 2000
Efficient access to information systems integrated into the radiologist's interpretation workflow will resur in a more informed radiologist, with an enhanced capability to render an accurate interpretation. We describe our implementation of radStation, a radiologist's clinical information review workstation that combines a digital dictation station with a clinical information display, radStation uses client software distributed to the radiologist's workstation and central server software, both running Windows NT (Microsoft, Redmond, WA). The client system has integrated digital dictation software. The bar-code microphone (Boomerang, Dictaphone Corp, Stratford, CT) also serves as a computer input device forwarding the procedure's accession number to the server software. This initiates multiple queries to available legacy databases, including the radiology information systeta (RIS), laboratory information system, clinic notes, hospital discharge, and operative report system. The three-tier architecture then returns the clinical resuIts to the radStation client for display. At the conclusion of the dictation, the digital voice file is trensferred to the dictation server and the c[ient notifies the RIS to update the examination status. The system is efficient in its information retrieval, with queries displayed in about 1 second. The radStation client requires less than 5 minutes of radiologist training in its operation, given that its control interface integrates with the well-learned dictation process. The telephone-based dictation system, which this new system replaced, remains available as a backup system in the event of ah unexpected digital dictation system failure. This system is well accepted and valued by the radiologists. The system interface is quickly mastered. The system does not interrupt dictation workflow with the display of all information initiated with examination bar-coding. This system's features could become an accepted model as a standard tool for radiologists.
Certificação digital de exames em telerradiologia: um alerta necessário
Radiologia Brasileira, 2007
A crescente popularização das atividades de telemedicina em todo o mundo tem exigido de médicos e demais profissionais da saúde novas abordagens em sua prática profissional. No que se refere à telerradiologia, observamos forte tendência à transformação de documentos clínicos como resultados de exames, que até hoje existiam na forma de filmes impressos e laudos em papel em documentos eletrônicos, disponibilizados em redes internas de clínicas e hospitais, ou pela internet. Esta tendência torna necessária a divulgação e o esclarecimento de conceitos como a certificação digital, a criptografia de dados na internet, a confiabilidade de sites, o documento eletrônico confiável e a assinatura digital. Os princípios básicos desses conceitos, embora por vezes complexos para os profissionais da saúde, podem ser compreendidos de forma efetiva sem que o leitor tenha de mergulhar de cabeça em labirintos como a matemática da criptografia de chaves assimétricas ou os protocolos de comunicação digital de dados. Neste artigo abordaremos de forma direta e com exemplos práticos os aspectos de segurança e confiabilidade de documentos clínicos eletrônicos baseados na internet, com o objetivo de que os usuários médicos possam interagir de forma informada, segura e bem fundamentada com serviços de telerradiologia.
Current problems in diagnostic radiology, 2018
Telephone calls remain one of the most frequent interruptions in radiology reporting rooms, despite modern electronic order communication systems. A call received by a radiology trainee during the hour before completing a report may increase the chance of a discrepancy by 12%. To characterise telephone calls to radiology reporting rooms and identify ways to reduce these interruptions. An observational study over five working days (10 programmed activity reporting sessions equivalent) was conducted across 2 large teaching hospital reporting rooms. Radiologists were requested to record all calls between 9a.m and 5p.m on a preprepared Excel proforma and indicate their initial rating of call appropriateness. A total of 288 calls recorded, 92% (266/288) interrupted reporting. Reasons for calls were 48% (139/288) ask for a request to be vetted, 17% (50/288) ask for a study to be reported, 17% (45/288) "other," 7% (19/288) discuss choice of study, 6% (16/288) review a report, 3% ...
ArXiv, 2016
The purpose of this research is to evaluate the human and technical factors required to create a human-computer interface (HCI) for a structured reporting solution based on eye-gaze and speech signals. Gaze and speech signals from radiologists acquired during simulated image interpretation and dictation sessions were analyzed to determine a) variation of temporal relationship between eye gaze and speech in a dictation environment, and b) variation in eye movements for a particular image interpretation task among radiologists. Knowledge of these factors provides information regarding the complexity of the image interpretation or dictation task, and provides information that can be used to design a HCI for use in diagnostic radiology. Our ultimate goal is to use these data to create an HCI to automate the generation of a particular type of structured radiology report. Our data indicate that the a) temporal relationships between eye gaze and speech and b) scan paths substantially vary ...
A Voice-enabled, Structured Medical Reporting System
Journal of the American Medical Informatics Association, 1997
Institute of Standards and Technology (NIST) Advanced Technology Program to develop a prototype voice-enabled, structured medical reporting system. In typical usage, the physician dictates to the system, which then uses automatic speech recognition and medical knowledge bases to produce a structured report. This report can then be formatted and viewed on a computer screen, stored in databases of patient information, transmitted to other systems, used to support outcome studies, or viewed on a Web browser. The output reports are structured according to two standard, platform-independent formats: SGML and CORBA. These formats represent the data in a way that can be read by both computers and humans, and efficiently communicated to a wide range of databases and communications protocols. Ⅲ J Am Med Inform Assoc. 1997;4:436 -441.
The Impact of Information Technology on Radiology Services: An Overview
Journal of the Belgian Society of Radiology, 2016
The main objective of this paper is to provide an overview of the impact of information technology on radiology services during the past 15 years and to promote awareness of the digital revolution that is taking place in health care, including radiology. The combination of two major innovations is playing a central role in this revolution, namely, the Internet and the digitisation of medical information. The various stages of the Internet development and their relationship with the almost simultaneously ongoing digitisation of the radiology department are described. The onset of teleradiology services and the more recent trend toward the usage of cloud-based networks and services are explained. The recent changes in digital communication and electronic transmission of medical information are discussed, hereby paying attention to the value of social media in medicine and radiology in particular. Finally, the future prospects of health care and medical imaging are outlined in the spotlight of today's major trends, and the role of the radiologist in this quickly changing environment is redefined.
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The Adjunct of Voice Recognition to Medical Transcriptionist in Asian Countries–The Pros and Cons
American Journal of Internal Medicine, 2019
Voice recognition software (VRS) is a form of Artificial intelligence; it's a phenomenon of converting or transcribing acoustic human speech (i.e. sound waves) into a symbolic form of a human language such as English whereas Dictaphone (DP) is an electronic voice recorder analogous to cell phone that saves and records voice files. The Radiologists believe that Report generation in Radiology is a daunting task, including reading scans, requiring analytical and observational skills, interpretation of findings, dictating cases, proof reading, re analyzing cases and signing off after corrections, especially when the case list is long. In solving this multi-step process, VRS and DP have emerged as handy tech savvy equipments for "automatic typing" of scans, with the involvement of Medical transcriptionist (MT) for timely generation of reports. In the past few decades, there has been considerable transition from manual hand signed reports to electronically generated reports. MT has been a closed companion of Radiologist, even in manually generated reports. There has been a threat to MT being replaced by VRS at tertiary care hospitals, because of its low economic impact. The pros and cons of tool are elaborated in this article with the survey of Radiology Institutes of Pakistan.