Route workflow

  • 3 minutes

In PowerScribe One, authorized radiologists review and finalize resident-authored reports before those reports become part of the patient record.

Report lifecycle and roles

  • Resident (author): Creates the initial draft or report pending attending signature.
  • Attending (reviewer): Reviews the draft, provides feedback, and signs the final report.
  • System (workflow engine): Routes reports between users based on status and actions.

Report status and workflow dependencies

  • Draft: The resident creates the initial state. Not visible for final reporting.
  • Pending Signature: Indicates that the report is ready for the attending to review.
  • Final: Indicates that the attending reviews, approves, and signs the report.

Reports move through queues or worklists based on status. These queues help you identify which reports require review. On the Explorer screen, you can access reporting queues below the action buttons. Reports sent for attending review appear in the Pending Signature queue. Depending on your preferences, drafts saved by residents appear in your Draft queue.

Workflow actions

  • Open report: Access the resident draft from your assigned queue.
  • Edit: Modify findings, impression, or structure as needed.
  • Provide feedback: Communicate corrections or teaching points through edits or comments.
  • Sign report: Finalize the report and complete the workflow.

The system enforces role-based access. Only users with attending privileges can finalize and sign reports.

Procedural guidance

Review and finalize a resident report

  1. Access your review queue.
    • Open the Explorer screen.
    • Navigate to your worklist or the Pending Signature queue that contains resident-dictated reports.
    • Open the Draft queue to view resident drafts (if configured in preferences).
  2. Locate a resident-authored report.
    • Filter by status or time.
    • Confirm that a resident authored the report and that it's ready for final signature.
  3. Open the report.
    • Double-click the report or select Open.
    • Review the report promptly after opening it to help maintain workflow efficiency.
  4. Evaluate report content.
    • Review findings, impression, and structure.
    • Compare narrative accuracy with clinical context.
  5. Provide feedback.
    • Edit the report directly to correct errors or improve clarity.
    • Apply standardized text or AutoText where appropriate.
  6. Determine the next action.
    • If the report is complete and accurate:
      • Proceed to finalize and sign the report.
    • If the report requires revision:
      • Return the report to the resident by selecting Reject or saving it as Draft, based on your local workflow.
  7. Finalize the report.
    • Select the appropriate action (for example, sign or finalize).
    • Confirm the report status changes to Final.
  8. Confirm workflow completion.
    • Verify the report is no longer in your review queue.
    • Ensure the system records it as finalized.

Applied scenario

You open your attending Pending Signature queue and identify a preliminary CT report that a resident created. You review the findings and notice that the impression is incomplete. You revise the wording for clarity, apply standard terminology with AutoText, and confirm the clinical accuracy. When the report is ready, you sign it. The system marks the report as Final and removes it from your queue.