Dictate, edit, and send a report for review

  • 3 minutes

PowerScribe One is a cloud-based radiology reporting system that combines speech recognition, structured templates, and workflow tools to support report creation and review.

As a resident, your role in the workflow is to:

  • Create a report draft based on an assigned order.
  • Ensure the report is complete and accurate.
  • Submit the report for attending signature.

Key concepts

  • Report draft: A working version of a radiology report that you dictate and edit before final approval.
  • Order association: Linking the report to the correct imaging order so the report is stored and routed correctly within the clinical workflow.
  • Speech recognition: Converts spoken dictation into text to support faster report creation.
  • AutoText: Predefined templates or macros that help standardize report content and improve consistency.
  • Quality Check indicators: System-generated alerts that identify missing, inconsistent, or incomplete information in a report.
  • Attending review workflow: Reports created by residents are routed to an attending physician for final validation and signature.

Workflow dependencies

  • You must be signed in with appropriate permissions to dictate and submit reports.
  • A report must be associated with a valid order before it can be finalized.
  • In most workflows, you must resolve quality checks before you send a report for signature.

Dictate, edit, and send a report for review

  1. Open a report.
    • Choose the appropriate attending or section to route the report for signature.
  2. Start dictation.
    • Activate the microphone by selecting the dictate button.
    • Dictate findings clearly using structured language and punctuation.
  3. Apply AutoText where appropriate.
    • Choose the correct template for the clinical scenario.
    • Use macros for standard phrases.
    • Modify template content as needed to reflect the specific case.
  4. Edit the report.
    • Review generated text for accuracy.
    • Correct speech recognition errors by using keyboard input or voice commands.
  5. Run and review quality checks.
    • Identify Quality Check indicators in the Smart Assist pane.
    • Review flagged items such as:
      • Sex mismatch
      • Laterality mismatch
      • Actionable findings
      • Noncompliant field warnings
      • Follow-up recommendations
    • Resolve all required issues before submission.
  6. Verify report completeness.
    • Confirm that all required sections are present.
    • Ensure the report communicates findings and conclusions clearly.
    • Confirm that the report matches the associated order.
  7. Send the report for attending review.
    1. Select Send for Review.
    2. Choose the appropriate attending or section to route the report for signature if you didn't do this when you opened the report.
    3. Confirm submission.

Best practices

  • Dictate clearly to improve speech recognition accuracy.
  • Use AutoText consistently to reduce variability.
  • Address Quality Check indicators to reduce addendums.
  • Perform a final read-through before submission to reduce attending revisions.

Applied scenario

You open a CT abdomen exam from your worklist and confirm that it's associated with the correct order. You begin dictating by using a structured AutoText template for abdominal imaging.

While you review the report, a Quality Check alert highlights a laterality mismatch between the findings and the exam description on the order. You correct the discrepancy and review the report again. Another alert identifies a noncompliant field warning, which you resolve.

After confirming that all alerts are resolved and the report is complete, you select Send for Review and route the report to the appropriate attending or section for signature.

Accessibility and usability notes

  • Use a supported microphone to improve speech recognition accuracy.
  • Speak clearly at a steady pace to reduce dictation errors.
  • Review visual indicators carefully because they flag report considerations.