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Implementing National Programme PACS and speech recognition – does it deliver the benefit?

Implementing National Programme PACS and speech recognition – does it deliver the benefit? R Etherington Clinical Director, Radiology Countess of Chester NHS Foundation Trust. Baselining / benchmarking the benefit of PACS and SR. PACS is a good thing How good?.

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Implementing National Programme PACS and speech recognition – does it deliver the benefit?

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  1. Implementing National Programme PACS and speech recognition – does it deliver the benefit? R Etherington Clinical Director, Radiology Countess of Chester NHS Foundation Trust

  2. Baselining / benchmarking the benefit of PACS and SR • PACS is a good thing • How good?

  3. Key measurable:Report turnaround times

  4. Background • Medium size (620 bed) DGH • 1st wave implementer in NWWM cluster • GE PACS interfaced to a legacy RIS / EPR (Meditech)

  5. Speech recognition: • a TalkingPoint application • powered by Dragon Naturally Speaking • foreground correction • Drives the RIS via scripting

  6. Method: Evaluation of turnaround time from image taken by Radiographer (verified on PACS) to electronically signed (completed on PACS) • Pre PACS / post PACS • SR users / non SR users

  7. Method: Evaluation of turnaround time by Stages: a) ordered b) image taken (verified on PACS) c) electronically signed (completed) • Pre PACS / post PACS • SR users / non SR users

  8. Variables: • Pre-PACS; 10 Radiologists: post-PACS; 9 Radiologists • Increase in demand – notably CT

  9. Radiology turn around times

  10. PACS Go Live

  11. Radiologist reporting • Paperless reporting from worklist on PACS • Speech recognition solution direct into RIS/EPR or • Stand alone digital dictation typed into RIS/EPR by secretaries

  12. Pre PACS/SR : Post PACS/SRFeb-May 06 (below left): Radiologists who first adopted Speech Recognition already had lower turn-around times before SR PACS Go Live

  13. Reporting via SR or DD is a free choice

  14. Dr R J Etheringtonrobert.etherington@coch.nhs.ukMargaret CosensPACS Programme Managermargaret.cosens@coch.nhs.uk

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