I come here every few months. The best mikes, new tricks, something to avoid.

 I would like to make using DNS faster in the hospital. I think the most appropriate question would be , is there a website that offers templates?

 We are  busy. The hospital appears to be laughing at us when we ask to integrate. So I have to dictate labs myself. And I really cant find  quiet place to work besides being right in front of the patient.

 Any words of wisdom that can help me speed up the process> we are still on paper. The vitals and meds are in front of the room and the chart usually ....... Somewhere.

 T.

not enough information.  However, if you are still on paper, are you dictating to Word and then printing out your dictation to post on the chart?  An EMR can automatically generate information within your note.  Our Cerner Powerchart automatically posts the problem list, medication list, vital signs, I&O, lab results last 24 hours, pathology results last 48 hours, micro results last 2 days, and several other items to the daily note, all at the preference of the physician.  The physician types or dictates additional subjective and plan and whatever else they wish.  Other EMR's (Epic, Eclipsys, McKesson, etc) probably do the same.

Our hospital medical staff organized a physician technology committee seven years ago that began working with the MIS dept to develop a strategy for transitioning to an EMR.  Although the hospital pretty much did what it wanted 75% of the time, there was nevertheless a lot of input from the committee and some accountability to it.  Perhaps you need to organize such a group, especially with the government incentives and future penalties for not having an integrated EMR.  Google "meaningful use" to find the new government plan for promoting (and requiring) health information technology.

 You could create your own templates directly within Dragon.   I know of none online.  Only an interface could deliver results to your note, though.

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Steve  // Dragon 10 Medical // Athlon Quad 2.2 ghz // 4GB RAM // Sennheiser ME3 with VXI USB sound card // PowerMic 2 // Win XP Pro // Cerner EMR // NextGen EMR

Quote:

My main interest in purchasing preferred was to be able to add Trigrams speech module and learn from there.

We don't disagree with your “testing the waters” approach but the one thing we don't like about the Trigrams specialty vocabularies is that each one is contained within a blank user profile which means virtually starting over and tossing out all of your previous training. You are also limited to using one vocabulary. We took a different approach with the KnowBrainer Medical Language Models (which also works in DNS Preferred) by building an installer that imports one or more vocabularies into your existing trained user profile. This type of installation gives you the advantage of preserving your existing training/pronunciations and the option to import more than one vocabulary.



NaturallySpeaking, Windows and Microsoft Office now utilize DVDs but there is no such thing as an unneeded CD or DVD because these are only media storage devices for the application. In other words you can make as many copies of NaturallySpeaking as you want but you still have the issue of the serial number which has a limited amount of activations and is licensed, by the manufacturer, to you alone. However, there is always the chance that someone could retire their serial number by unregistering and deactivating NaturallySpeaking and passing the information to you or even donating one of those new $445 MAP priced PowerMic IIs but we suspect the likelihood of that happening would be about equivalent to winning a $1 million lottery. HOWEVER, having said that, we occasionally receive deactivated copies of NaturallySpeaking (most commonly DNS Standard and Preferred) and slightly used microphones which we usually donate to the physically disabled or people who couldn't otherwise afford to purchase DNS or an adequate microphone. 

There are a number of reasons why the street price on DNS Preferred is only about $170... but perhaps the best recommendation we could make for the professional versions of NaturallySpeaking (Small Practice, Medical, Legal and Pro) is that #1 we use this technology to run every aspect of our company and #2 NaturallySpeaking includes a manufacturer backed no risk customer satisfaction no restock fee 30 day guarantee. On a personal level, I have no doubt that my mechanic could obtain the same results with Kmart tools but I would prefer not to have to pay double for the labor when the job takes twice as long with knuckle busting tools. Just my $.02

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