TAILIEUCHUNG - Bax et al. Health Economics Review 2011, 1:8

Bax et al. Health Economics Review 2011, 1:8 RESEARCH Open Access The effect of seniority and education on departmental dictation utilization Kevin C Bax1, Kambiz Norozi2, Ajay P Sharma3 and Guido Filler3* Abstract Background: Electronic medical records (EMR) are considered the best solution to improved dissemination of health information for patients. The associated transcription caused a significant cost increase in an academic pediatric center. An educational campaign was implemented to achieve cost-effective transcriptions without compromising the number of EMR transcriptions. Methods: We analyzed the effect of seniority on transcription times over a 4-month period. We also compared the dictation volume before and 4 months after. | Bax et al. Health Economics Review 2011 1 8 http content 1 1 8 o Health Economics Review a SpringerOpen Journal RESEARCH Open Access The effect of seniority and education on departmental dictation utilization Kevin C Bax1 Kambiz Norozi2 Ajay P Sharma3 and Guido Filler3 Abstract Background Electronic medical records EMR are considered the best solution to improved dissemination of health information for patients. The associated transcription caused a significant cost increase in an academic pediatric center. An educational campaign was implemented to achieve cost-effective transcriptions without compromising the number of EMR transcriptions. Methods We analyzed the effect of seniority on transcription times over a 4-month period. We also compared the dictation volume before and 4 months after educational interventions. This study was performed in a pediatric academic center with both inpatient and outpatient transcription utilization analyzed. All clinicians providing pediatric care and utilizing the hospital-based transcription over the study time period were analyzed. Interventions included targeted education about efficiencies in transcription time-based dictation costs avoidance of lengthy pauses and unnecessary detail shortening of total transcriptions superfluous phrases as well as structured templates. Level of training by postgraduate year of training and seniority within faculty were measured for impact on dictation time and effect of education to improve times. Results Learners in year one had an average dictation time of minutes which decreased with seniority to an average of minutes for senior faculty ANOVA . After educational initiatives were implemented there was progressive decline in dictation utilization. The total dictation time decreased from 8 750 minutes per month in August 2009 to 4 296 minutes in December of 2009 p unpaired t-test . Conclusion We identified a substantial need for .

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