Attending feedback loop

  • 3 minutes

The attending feedback loop ensures that residents who authored reports can learn from the changes that the attending radiologist makes. These features support both clinical accuracy and resident learning.

Feedback mechanisms in PowerScribe One

  • Inline edits (primary method): You edit the report directly in the Report Editor to correct findings, structure, and terminology.
  • Notes feature (supplemental feedback): Use Notes to provide guidance or teaching comments that aren't part of the final signed report. These comments support learning without altering the clinical record.
  • Report Comparison (review support): Report Comparison enables you to compare versions of the report. This feature helps you:
    • Identify changes between the resident draft and your revisions.
    • Reinforce learning by highlighting differences.
    • Validate that corrections align with clinical intent.

Workflow dependency

  • Residents create a draft or send the report for review.
  • The system routes the report to the attending’s review queue.
  • The attending reviews, edits, provides feedback, and signs the report.
  • Only users with appropriate privileges can finalize reports.

Procedural guidance

Review and provide feedback using Notes and Report Comparison

  1. Open the resident report.
  2. Assess the report content.
    • Review findings, impression, and structure.
    • Identify gaps in clarity, accuracy, or completeness.
  3. Use Report Comparison (if needed).
    • Compare the current report with a prior or earlier version.
  4. Edit the report directly.
    • Correct errors and improve clarity.
    • Apply standardized language or AutoText where appropriate.
    • Ensure the final version reflects accurate and complete clinical documentation.
  5. Add feedback using Notes.
    • Add concise teaching comments for the resident.
  6. Decide on next action.
    • If the report is accurate and complete: proceed to sign and finalize.
    • If major issues remain: provide feedback and reject or follow local workflow for revision.
  7. Finalize the report.
    • Sign the report to mark it as final.

Applied scenario

You open a draft CT report that a resident created. The findings section is accurate, but the impression lacks clarity and misses prioritization. You compare the report with an earlier version to confirm what was changed. You then update the impression to reflect correct clinical emphasis. You add a note explaining how to structure impressions more clearly for future reports. Finally, you sign the report, completing both the clinical and teaching workflow.