Leverage Quality Check
Quality Check in PowerScribe One is a real-time feature that evaluates report content during dictation to identify potential errors or inconsistencies. As you dictate a report, Quality Check reviews text and surfaces alerts and Smart Assist considerations. Review and resolve items before you finalize and sign the report.
This video demonstrates how to use Quality Check in PowerScribe One.
What Quality Check reviews
Quality Check identifies the following types of discrepancies:
Laterality mismatch: Identifies discrepancies where the dictated side doesn't match the ordered exam. For example, the exam order specifies the left wrist, but the report references the right wrist.
Sex mismatch: Identifies discrepancies between the patient’s documented sex and sex-specific terms or anatomy referenced in the report.
Critical test result/Actionable findings: Identifies and highlights potential critical results dictated in a report. Your PowerScribe system administrator can customize and manage this alert.
How discrepancies are identified
Quality Check compares dictated report text with Procedure Data and patient demographics:
Laterality mismatches are detected by identifying laterality indicators (such as left or right) in combination with anatomical details defined in the Procedure Data.
Sex mismatches are identified by comparing patient demographic information with sex-specific terms or anatomy referenced in the report. Sex mismatch alerts are suppressed when a nonbinary sex is identified.
Critical test results and actionable findings are flagged based on predefined terms identified in the Findings and/or Impression sections, as configured by the system administrator.
Note
Quality Check automatically reviews your report and highlights discrepancies. If an issue is not resolved before signing, a warning message is displayed.
Benefits of Quality Check
Quality Check supports consistency and accuracy.
Reduces common documentation errors and mismatches, improving patient safety.
Highlights potential critical findings that might require timely follow-up.
Helps identify and address issues before sign-off, which can reduce the need for addendum updates or corrections.
Supports standardized reporting and regulatory requirements.
Review your preference settings
Control which Quality Check types are enabled in your preferences and how the warning at sign off behaves.
To review your Quality Check preferences:
- Select the down arrow to the right of your username and select Preferences.
- In the Preferences window, select Report Editing > Enable Quality Check types.
Select one or more of the following options (at least one selection is required):
- Critical test results
- Sex mismatches
- Laterality mismatches
- In the Preferences window, select Workflow > Enable Quality Check alerts when signing to control the unresolved discrepancies warning when signing.
Procedural guidance
Use Quality Check during report creation
- Open a report in the Report Editor.
- Dictate or edit report content as needed.
- Monitor for real-time alerts that appear during dictation.
- Alerts might appear in the Smart Assist pane, inline with the report text, and in the Navigator.
- Select or review each alert to determine the identified issue.
- Take the appropriate action:
- If the alert indicates an error, correct the report content.
- If the alert is expected, confirm and proceed based on your clinical judgment.
- Continue dictating and editing until all relevant alerts are addressed.
- Sign the report.
- If a warning appears:
- Review unresolved Quality Check items.
- Resolve discrepancies or confirm your decision.
- Sign the report once all required checks are complete.
Applied scenario
You're finalizing a musculoskeletal report for a wrist exam. The order specifies the left wrist, but your dictated Findings section references the right wrist. During dictation, Quality Check generates a laterality mismatch alert. You review the alert and confirm the order details. You correct the report to reference the left wrist. Before you sign, no further alerts remain. You sign the report with confidence that it aligns with the exam ordered.