"Mom, is the aunt doctor singing?" Say goodbye to the " abstruse writing ", Sandun Branch pilot voice electronic medical records

"Mom, why is the aunt doctor holding a microphone, is she singing?" In the pediatrics department of our hospital's Sandun Branch, 5-year-old Huanhuan (a pseudonym) followed her mother to see a doctor with red eyes, vomiting, diarrhea, and a fever of half a day, with a maximum fever of 39.6 degrees Celsius. She was lying in her mother's arms and lost the energy she used to have, but when she saw Dr. Chen Shufang, the chief pediatrician of our hospital, talking to her mother while talking into the microphone, she couldn't help but be curious.

In fact, Chen Shufang uses a voice electronic medical record device. When a patient visits, the doctor completes a variety of consultations and physical examinations as usual. The difference is that they use the voice to enter the medical record while consulting and examining the patient, and after the consultation, the doctor only needs to check the medical record and print it. Patients no longer have to worry about not being able to read the doctor's " abstruse writing" like medical records. While we were talking, Huanhuan's medical record was already typed, and according to the doctor's instruction, she was taken by her mother to do routine blood tests after the consultation was successfully settled.

Talking and entering medical records

When you go to the hospital, do you have trouble reading the medical records written by the doctor? Facing the "abstruse writing" medical records, do you often complain why the doctor's writing is always "mysterious". However, as a doctor, you have to make a clear diagnosis and write a complete medical record within the limited time of a patient's visit, which is hard to say.

In order to help doctors to record medical information quickly and conveniently by voice anytime and anywhere during their stressful work, multiple voice electronic medical record devices were introduced to Sandun Branch in August, which were equipped in pediatric outpatient clinic, otorhinolaryngology and hematology department, brain center ward, etc. Fei Kefeng, director of our information center, introduced that as professional medical voice entry aids, they are equipped with intelligent voice recognition system, which will change the busy state of doctors who have to type or handwrite records on the computer while asking for consultation, saving doctors' time in writing medical records. With them, doctors can enter medical records in real time by voice while seeing patients, which truly frees up doctors' hands during patients' valuable consultation time, thus improving the efficiency of patient service.

High accuracy rate of medical terminology

Converting a recording into text, the intelligent voice recognition equipment on the market with a lot of misspelled words has been seen by everyone, then these voice electronic medical record equipment into the hospital is it effective? In the Sandun Branch brain center ward, our neurology department Dr. Cai Miao live demonstration, "the patient was admitted to the hospital for 1 day for right limb weakness, consider cerebral infarction, no thrombolytic indications, hospitalized to give conservative treatment ......" her biggest feeling of use is: The accuracy of the medical professional vocabulary is high. In fact, these voice electronic medical record devices are specially optimized for medical professional vocabulary, in addition, no control, no shortcut keys, no wake up words, moreover, no buttons, carry with you, record at any time, one key recording, listen back by sentence, easy upload, they can be transcribed more than 300 words per minute.

Some information shows that the time spent on entering medical records or reports is equivalent to 38% of a doctor's daily work time. How to free doctors from the tedious work of information entry has become an urgent problem to be solved. Cai Miao, for example, has eight inpatients under her supervision on this day, and she has to write an inpatient history for each patient, which takes 20-30 minutes to complete for one patient, and this task alone takes her at least two hours. On the same day, four of the eight patients were discharged, and four more discharge summaries were waiting for her; in addition, there were several new patients to be admitted, and each of them had to compile their first medical records ......

Face swiping to see the doctor, aggregated payment, dispensing robot, wide box cart logistics ...... as our hospital to build a "smart hospital", in the Sandun Branch, patients can feel the convenience of intelligent medicine at any time, "We are also committed to providing accurate, efficient and convenient information technology services for doctors, so that they can free up their hands and more time to pay attention to the patient's condition and effective treatment, so as to improve the acceptance rate and provide services to more patients." Fei Kefeng said.

Source: Information Center, Department of Pediatrics, Department of Neurology

Writing: Wu Linglong, Publicity and United Front Work Department