Thursday, August 11, 2011

Structured dictation: Leading to better transcription output

Dictation has been one of the most popular means of documenting the patient encounter from the very beginning. This is due to the convenience of this method and the way it lends itself to flexibility and better documentation. Additionally dictation requires minimum time and effort from the healthcare professional. Using the right medical transcription service these dictation files can be converted to text ensuring legibility, easy access, accuracy, clarity and speed.

Structured dictation is a refined form of dictation that necessitates the healthcare professional to follow a structured pattern of dictation that ensures that all the necessary pieces of information that are required are included in the dictation and the unnecessary information (noise) is eliminated.

Structured dictation formats can be customized to include:

  • Specialty
  • Format of report
  • Type of encounter (initial/ follow-up/ specialist consultation etc)
  • Type of treatment/ procedure

Some of the benefits of structured dictation include:

Complete information: One of the major advantages of using structured dictation for creating patient medical records is that it would ensure that healthcare professionals do not miss out on any vital information during the dictation process. As the information in patient medical records are used for various purposes like clinical decision-making, reimbursements, risk management and other purposes, capturing the complete information is vital. Using structured dictation also supports easy transcription

Precision: Apart from ensuring that complete information is captured, using structured dictation also ensures that the information in the patient medical record is precise and to the point. This enables the end-user to quickly grasp the salient points and facilitates easy usage.

Clarity: The use of structured dictation also ensures that the information in the patient medical record is laid out in a clear format ensuring that every entity using the information from the patient medical record gets the right data, this also ensures easy information sharing.

Standardization: Using structured dictation ensures that report formats are standardized and this enables better treatment, especially when the treatment process involves more than one healthcare professional

Accuracy: Using structured dictation also ensures that the medical transcription company transcribing the dictation is able to provide accurate transcription. The medical transcriptionists are able to develop domain expertise in the specialty they are transcribing in and would be able reduce errors dramatically

Prompt: Another major advantage of using structured dictation is that it allows for lesser turnaround time in creating patient medical records. Due to the standardized dictation pattern, the medical transcription service provider would be able to deliver quality transcripts on time

Easy to share: Creating patient medical records using structured dictation ensures that the patient medical records are easy to share.

Lends itself to discrete reportable transcription: Creating patient medical records using structured dictation ensures that discrete reportable transcription for EMR/ EHR is possible given that the data is already available in an easy to sort format.

TransDyne, a leader in the outsourced medical transcription industry has used their extensive background in information technology and their experience in serving the needs of the healthcare sector to provide affordable and integrated medical transcription solutions.

TransDyne, medical transcription company with an experience of over a decade in providing customized transcription solutions to some of the leaders in the healthcare industry offers healthcare facilities and healthcare professionals the benefit of their expertise in defining the standards for structured dictation

TransDyne offers transcription services for healthcare professionals using structured dictation at reasonable prices, executed by experienced and qualified medical transcriptionists with a very quick turnaround time executed through secure HIPAA and HITECH compliant channels, with very high levels of accuracy and all this with technology that is advanced but easy to use!               

To avail complete and reliable medical transcription services from TransDyne, click here.

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