Extensive paperwork, complex requirements for filing and archiving, the challenge of processing patient-related health information in a timely manner, diagnostic reports in a somewhat adventurously short version, careless mistakes, lack of clarity in the integration of laboratory values into patient records and doctor’s letters – you know these problems. Documentation and administration take more and more time. Patients also feel this: Longer waiting times and shorter call durations are direct consequences of the time constraints caused by the documentation obligation. The low density of physicians in almost all regions of Germany additionally puts a strain on the situation.
Documentation duty: means to an end
The medical documentation serves various purposes. Questions of legal certainty belong under the keywords archiving, liability and preservation of evidence as well as the final settlement of services rendered. But the main focus of the statutory documentation obligation is different: it should primarily serve the safety of the patient and the treatment. The more detailed and complete the medical record, the more informed and reliable the medical decisions based thereon. The focus is therefore on the optimal treatment. But the medical documentation as a means to an end needs optimization.
Patient safety through completeness and integration
Not only in the hospital, where several physicians are usually entrusted with the treatment of a patient, careful documentation in terms of patient safety should be the top priority. It is also indispensable for general practitioners, especially in group practices. Be it the referral to a specialist, the most accurate information possible for the practice or the professional exchange in the context of everyday cooperation: Due to unclear and sometimes fragmentary information on anamnesis, symptoms, diagnosis or treatment decision, communication among colleagues is not always free of doubts, and optimal continuation of treatment may not be guaranteed.
With Dragon Medical laboratory values, medical documentation, doctor’s letter or discharge letter are reliably integrated and brought together on a voice command. Ambiguities due to carelessness errors and intentional or unintentional omissions are avoided. Because you speak much faster than you write, the information you hold – the basis of all future therapy decisions – is more comprehensive and reliable.
Transparency and trust
The fulfillment of the documentation requirement can be easily and transparently integrated into the patient discussion with Dragon Medical. Anamnesis and symptoms will be included in the patient’s file and, if necessary, in the doctor’s letter. Do you know the uneasy feeling of being more computer-facing than patient-facing during the conversation? When working with a speech recognition system , the patient hears what information enters his medical record. So, of course, there is the possibility to clear up ambiguities and misunderstandings. The patient is better informed and can better understand therapeutic decisions. This creates trust.
For two to three hours a day , doctors in hospitals are busy processing patient records, sometimes even longer. The administrative burden resulting from the framework agreement on dismissal management, which came into effect in October 2017, additionally burdened doctors and nurses. Better time management and, in particular, the time savings thanks to speech recognition and precise transcription are worth gold in this situation. You gain more time for more patients and more time per patient. In this way, they can reduce waiting times, deepen conversations and, above all, achieve one thing: an improved relationship with your patients.
Dragon Medical blends seamlessly into existing practice infrastructures and work processes. As an integrated documentation and filing system, it does not involve any additional organizational effort, but takes the organization of your medical documentation largely from you and supports the efficient structuring of your administrative tasks from recording the history to billing. What would you use the time gained for?
Behind the scenes: IT infrastructure and administration
Not only the work of doctors and nurses, but also of IT specialists and administrators of hospitals and large group practices has the well-being of the patient as their primary goal.
In administration you are interested in an efficient distribution of funds . If the costs for transcription and documentation fall, more resources are available in other areas. Dragon Medical works seamlessly with your facility’s clinical infrastructure. Waiting times for documents are shortened significantly. This not only improves the satisfaction of patients, but also the possibilities for more efficient work planning and utilization.
As IT manager, you want to offer the user information capture at the highest level . In addition to the simple integration of speech recognition solutions in the existing IT infrastructure, the precision of the data acquisition and the most intuitive handling possible play a decisive role. Dragon Medical’s rich set of features and easy-to-use controls guarantee good user adoption – the hallmark of your performance.
With a speech recognition system, the documentation requirement can be used to structure and simplify organization and communication. More time, trust, transparency and precision benefit the patient’s treatment. Clear communication improves collaboration with colleagues. Improved clarity in archiving and billing makes your daily work easier.