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I could use some suggestions.......

During the night (or hours when our Radiologists are not on site), our 
Emergency Department physicians review the x-rays and hand write the 
preliminary report and treats the patient.  Once the radiologist comes in, he 
reviews the films and will either agree or disagree with that preliminary 
finding.

Our Radiologist is asking to record this information electronically.  All they 
want to keep track of is the patient name, ER Physician, Radiologist, and 
whether they agree or disagree.  They are asking me to set something up so when 
the are dictating the radiology report, they will tell the transcriptionists 
that there is a preliminary report by ER Doctor XYZ and they agree with that 
report (or disagree with that report) - making this just a yes or no field.

Any suggestions on where I could set up a CDS for the Radiology 
transcriptionists to easily enter this information?  No one else in the 
facility needs to see this or access it except for a few key people in 
Radiology.  Also, at the end of the month, they want to be able to run summary 
reports with such information as ER Doc XYZ read 100 preliminary reports, 
Radiologists agreed with 75 and disagreed with 25.  Then they would want 
detailed reports as to what patients did they disagree on.

We are a Magic 5.4 SR3 facility using $T Radiology.  Has anyone ever created 
something like this or have any creative ideas for me to investigate?  I'm 
thinking OE Departmental.  Maybe it should be done in RAD -- but, ok, I'll say 
it -- it's not my most favorite module).

Donna Chemelli, RHIT 
Clinical Systems Analyst 
Mercy Jeannette Hospital 
724-527-9785 

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