Voice Recognition Technology: Experience with Implementation and Impact on Work Flow and Turn around Time.
Timothy Pal, Kathleen A Dasilva, Meenakshi Singh. Stony Brook University Medical Center, NY
Background: There have been limited studies comparing the use of voice recognition technology (VRT) with transcription services for surgical pathology. The purpose of this study is to determine the feasibility and impact of the transition from a transcriptionist based service to VRT.
Design: At our institution, we have recently evaluated VRT in a phased manner for gross descriptions and later for case sign out, on the general and subspecialty surgical pathology services. Prior to that, we used transcriptionists to generate reports from either dictated tapes or handwritten notes. Initially, VRT was used by the residents and the pathologist assistant exclusively for dictating gross descriptions. After a pilot study of the effectiveness of VRT with case sign out, VRT was implemented for both grossing and final reports without the involvement of transcriptionists. We retrospectively compared the turn around time over an 8 month period before and after the introduction of VRT. The number of amendments generated for typographical errors was compared over the same time periods. Its impact on work flow, staffing and resident education was evaluated.
Results: 73% of total cases had the final diagnoses dictated using VRT during the 8 months it was evaluated. The average TAT for the 8 months without VRT usage was 3.67 days, and it decreased to 2.67 days in the corresponding 8 months after VRT was implemented (a 27% improvement). The portion of cases signed out in less than one day improved from 26.8% to 36.5% since VRT. When evaluating amendment rates for typographical errors no increase was identified related to the use of VRT. Informatics follow up on a regular basis has resulted in a smooth implementation both for grossing and final reports. Use of templates and synoptic reports was facilitated with VRT. The transcription staff was reassigned duties to further assist the department in improving work flow. Resident satisfaction was high.
Conclusions: Through the use of VRT, a significant improvement in TAT is noted. VRT allows for a seamless workflow where cases are signed out immediately after the slides are reviewed. This also has an added positive impact on competency-based resident education and permits graduated responsibility as residents are now able to participate in the full process of generating reports and the release of final reports by the pathologist as their cases are signed out.
Tuesday, March 1, 2011 1:00 PM
Poster Session IV # 180, Tuesday Afternoon