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We have our ECGs interfaced into
Meditech. The process is that a computer interp (as a preliminary read)
goes to Meditech EMR. We have cardiologists read a fair share of the
ECGs, however, we also have internal medicine docs and one family practice read
their own ECGs as well as a “pool”. They read the ECGs within
the GE MUSE system and e-sign in that system. Upon e-signature the
weblink is updated into Meditech which changes the report from draft to
final. To view the ECG, the end-user can click on the camera icon within
the EMR and it launches a .pdf image of the ECG. Interfaces are the way to go in this
instance (in my opinion) Neal Haerich BS, RRT Integration Analyst HaysMedicalCenter From: Scott A. Ellner
[mailto:[EMAIL PROTECTED] This
may be a little off topic from Meditech, but feedback from others from the list
serve is always valuable. The question or issue has recently surfaced
regarding EKGs and the process within the hospital. Currently, our
practice is this. A machine interpreted copy of the EKG is placed in the
patient's record at the time the EKG is performed. A non-interpreted copy
of the same EKG is returned to the Cardiology department to be read by a
Cardiologist. The Cardiologist dictates his or her interpretation of the
EKG. The EKG is transcribed by the Cardiology secretary as an ITS report
in Meditech. The report is printed to a dot matrix label printer.
The label is placed on the non-interpreted copy of the EKG, and the
Cardiologist signs the Cardiologist interpreted copy of the EKG. Once
signed, the EKG is scanned into our third party archiving and scanning software
for electronic access. As you can imagine, this process is tedious, time
consuming, etc., and can take up to 3 or 4 days from start to finish.
However, this process has been in place for years prior to Meditech and is what
it is today since Meditech implementation in 1999 with the addition of the
scanning in 2004. I
am looking for other practices at other facilities. So, my questions are:
What process are others utilizing within their own facility. I spoke with
one other Client Server facility who stated their EKGs are not read by a
Cardiologist, since all physicians are trained regarding EKG interpretation,
only a machine interpreted copy is placed in the patient's record. Have
other facilities taken this approach and eliminated the process of Cardiologist
interpretation all together? I welcome any and all feedback regarding
current EKG practice and processes. Thanks,
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