Leverage Quality Check

  • 3 minutes

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 report content 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 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 Impression sections, as configured by the system administrator.

Note

Quality Check automatically reviews your report and highlights discrepancies. If an issue isn't resolved before signing, a warning message is displayed.

Benefits of Quality Check

  • Supports consistency and accuracy in documentation.
  • Helps reduce common documentation errors and inconsistencies.
  • Highlights potential findings that may warrant further review.
  • Surfaces potential issues for review before signing to help reduce follow-up edits.
  • Supports standardized reporting practices and regulatory alignment.

Review your preference settings

Control which Quality Check types are enabled in your preferences and how unresolved discrepancy warnings behave at signoff.

To review your Quality Check preferences:

  1. Select the down arrow to the right of your username, and then select Preferences.
  2. In the Preferences window, select Report Editing > Enable Quality Check types.
  3. Select one or more of the following options (at least one selection is required):
    • Critical test results
    • Sex mismatches
    • Laterality mismatches
  4. In the Preferences window, select Workflow > Enable Quality Check alerts when signing to control unresolved discrepancy warnings at signoff.

Procedural guidance

Use Quality Check during report creation

  1. Open a report in the Report Editor.
  2. Dictate or edit report content as needed.
  3. Monitor for real-time alerts that appear during dictation.
    • Alerts can appear in the Smart Assist pane, inline with report text, and in the Navigator.
  4. Review each alert to determine the identified issue.
  5. 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.
  6. Continue dictating and editing until all relevant alerts are addressed.

Send report for review

  1. Select Send for Review.
  2. If a warning appears, review unresolved Quality Check items.
  3. Resolve discrepancies or confirm your decision.
  4. Send the report for review after all required checks are considered.

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 send for review, no further alerts remain. You send the report for review with confidence that it aligns with the ordered exam.