Nuance Healthcare Solutions
eTips  

PowerScribe 360 Reporting

 
Nuance March 2019, Volume 9, Number 3  
 

In this edition of eTips, you will find information about:

eTip 1: Adding patients and creating orders directly in the PowerScribe 360 Reporting system.

eTip 2: Sending a report to the last person who worked on it with a note attached.

eTip 3: Adding a contributor to a report that is not the attending or resident physician.

Also:

What's new | What's fixed | Webinar
Nuance healthcare community | Contacting support
More | Additional Diagnostics information | Connect with us

 

PowerScribe One is now available

Announced and demonstrated at RSNA 2018, PowerScribe One is now generally available!  This next-generation reporting solution harnesses the power of AI and the cloud to deliver unmatched workflow efficiency and accuracy to improve diagnosis, follow-up, and treatment. PowerScribe One is a game changer for individual radiologists and the industry itself, augmenting workflow and assisting radiologists at the point of care, allowing them to focus on what matters most – the patients they serve.

Join us on April 17, 2019 for a webinar to learn more about how PowerScribe One frees the radiology team from distractions, interruptions, and delays that get in the way of staying focused, moving quickly, and working smarter.

Click here to register for the PowerScribe One webinar.


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This month's eTips

eTip 1

Did you know that you can add patients and create orders directly in the PowerScribe 360 Reporting system?

Users assigned the Order Entry role are authorized to perform order entry tasks; these users see the Order Entry Portal upon logging in. They can:

  • Create new orders and add new patients.
  • View a list of the exams ordered today.
  • View a list of unreported orders.
  • Use any combination of search criteria to find orders.

They can also use the Order Entry Portal to manage their user profiles, including changing the password, address, phone, and other information.

Order Entry users who are also administrators can create and manage physicians through the Physicians tab in this Portal.

To add a new patient to the system:

  1. Click the Add New Patient link. The Order Create dialog box opens. (For new patients, you must enter the required patient demographic information at the top of the window.)

    Order Create Dialog

  2. Fill in the information for the required patient demographic fields:
    • Site: Select the patient's site.
    • MRN: Enter the patient's MRN. Note that in the example above, the MRN field is not available. This means that the system has been set up to automatically generate MRNs; this field will be populated once the patient/order information is created and saved.
    • DOB: Enter the patient's date of birth. You can click the month/year on the calendar to select different months/years, or you can type directly into this field.
    • First: Enter the patient's first name.
    • Last: Enter the patient's last name.
  3. Fill in the order information:
    • Accession: Enter the accession number. Note that in the example above, the Accession field is not available. This means that the system has been set up to automatically generate accession numbers; this field will be populated once the patient/order information is created and saved.
    • Start Date: Enter the date and time for this order. You can select the date from the calendar or type directly into this field. Date format is m/d/yyyy. Time format is either h:mm AM/PM, or 24 hour (military) time hh:mm.
    • Procedure: Type the first few letters of the procedure for this order. A list of procedures that begin with those letters opens, allowing you to make a specific selection.
  4. Once you have entered the required information, click Create Order. The Order Summary window opens.

    Order Summary Window

    Notice that the automatically generated accession number (from our example) now appears in the order.

  5. From here you can either click Done to return to the main order entry window or click Print this page to print the order and scan the barcode into your RIS or the PowerScribe 360 Reporting system.

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eTip 2

Did you know that you can send a report back to the last person who worked on it with a note attached?

Attending providers and residents in some cases may want to send a report back to the previous person who last edited the report. This can be done by Rejecting the report.  Rejecting a report returns a report to the last person who worked on it and changes the report status from Corrected to Pending Correction.

The following table shows which users can reject a report.

User Reject Privilege

Attending

Sends a report back to a Resident or an Editor for further corrections.

Resident

Sends a report back to an Editor for further corrections.

Editor

Editors cannot reject a report.

To reject a report:

  1. Open either Explorer or the Report Editor, and select the report you want to reject.
  2. Click theReject icon in the toolbar, or select File > Reject. The Report Note dialog box opens, allowing you to either dictate or type a reason for rejecting the report.
  3. Add a note to the report and click OK to return the report to the resident or editor for further work.

Note: Select Tools > Preferences > Workflow, and make sure the preference Warn on sign if new notes exist is set to either Always or From Transcription. This ensures that you are notified when a new note has been added to a report that you are about to sign.


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eTip 3

Did you know you can add a contributor to a report that is not the attending or resident physician?

You can use the Contributors dialog box in the PowerScribe 360 Reporting client to identify additional radiologists who helped create the report (other than the attending and resident).

Note: Adding a contributor to a report does not send a copy of the report to the contributor.

To insert a contributor into your report:

  1. In the Report Editor window, select Properties from the navigation panel and click the Insert Contributors link, or select Insert > Contributors from the menu bar. The Contributors dialog box opens.

    Contributors

  2. From the Radiologists list, select the name, or names of the radiologists you want to add as contributors and click Add.
  3. To remove a contributor, select the name from the Contributors side of the dialog box and click Clear. To remove all contributors from the list, click Clear All.
  4. When your contributors list is correct, click OK. The names you selected appear in the Contributors section of Properties.
 

 

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What's new

To view an expanded What's New listing, by product version, please log into the Nuance Healthcare Community, and search for and select any of the following Knowledge articles, and then click on the "What's New" link.

PowerScribe® 360 Reporting

  • Search 6389 for the What's New for Providers or Administrators in v4.0
  • Search 7169 for the What's New in v3.5

mPower™ Clinical Analytics

  • Search 7063 for What's New in mPower™ Clinical Analytics

PowerScribe® Advanced Data Integration with ModLink

  • Search 7059 for ModLink User Documentation

 
Subscriber If you are not an Nuance Healthcare Community subscriber:
go to the Nuance Healthcare Community Customer page for information about how you get started.
 

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What's fixed

The following Nuance software has been released:

PowerScribe® 360 Reporting V3.5.3 Client Update US/UK (6.5.73.31)

The key defects fixed for this release are highlighted below:

  • Fixed an issue where spaces between words were intermittently deleted. This issue only occurred when dictating multiple utterances into a fill-in field that had a second field immediately after it, without a space between the two fields.
  • When selecting "No" to the pop-up window for "Warn if fields are empty when signing", the first empty field is not highlighted as defined in the user preferences.
  • With the PowerMic set to use "Toggle dictation on off" the PS360 Client application screen will flash when a user tabs between AutoText fields.
  • When using Press to Transcribe mode, it’s possible for utterances to be transposed. This most likely occurs within a numbered list, when multiple utterances were spoken before pressing the transcribe button. It may occur under other circumstances as well.
  • Processing improvements were made for the Trigger.xml and ContextChange.xml files to ensure they are processed in the order they are dropped in the monitor folder. This will prevent the integration from being out of sync when the user selects multiple reports to open at one time in the McKesson application and has the AutoFeed preference enabled within the PS360 Client.

PowerScribe® 360 Reporting V4.0.1 Patch 3 US/UK (7.0.111.38)

The key defects fixed for this release are highlighted below:

  • Fixed an issue where spaces between words were intermittently deleted. This issue only occurred when dictating multiple utterances into a fill-in field that had a second field immediately after it, without a space between the two fields.
  • When selecting "No" to the pop-up window for "Warn if fields are empty when signing", the first empty field is not highlighted as defined in the user preferences.
  • When a PS360 Client's preference for the text size is larger than the default, duplication of the transcribed text can occur while dictating into fill-in fields with the application minimized.
  • With the PowerMic set to use "Toggle dictation on off" the PS360 Client application screen will flash when a user tabs between AutoText fields.
  • When using Press to Transcribe mode, it’s possible for utterances to be transposed. This most likely occurs within a numbered list, when multiple utterances were spoken before pressing the transcribe button. It may occur under other circumstances as well.
  • When searching by Accession number(s) in the RadPortal under Logs->Bridge, a timeout can occur when the results exceed 2100 entries. If the search returns more than 2100 records, the user will get a popup dialog box stating the following: “Please change search criteria to narrow down the search result”.
  • A system under heavy load and a lot of reports are being purged, the user can receive an exception in the PS 360 client. ExplorerSnapshot ReportID FK cascade creates deadlocks on report delete. Trigger ReportContributor was been updated to resolve issue.
  • When searching by both MRN and Dept number is enabled, query timeouts may occur. Added a full scan statistics update to Explorer quick search filter indexes to help resolve issue. View Explorer has been updated to resolve issue.
  • When un-categorizing a procedure in RadPortal, the underlying data can become corrupt in the PS360 database. Trigger UpdateProcedureCategories was updated to resolve the issue.
  • Deactivated ICD-10 codes where available in the PS 360 diagnosis code UI. Updated Populate_Categories.sql and Radiology Application Service code change resolves issue.
  • The ICD-10 Descriptions were incorrectly truncated in the populate_Categories.sql script which used during the product database update. Updated Populate_Categories.sql resolves the issue.
  • When a user tries to login on the PS360 Mobile Radiologist application, they can receive a timeout if the customer has the user assigned to more than 15 Sites within their PS360 environment.
  • When the PS360 client is set to use the Auto-Feed mode, the reports corresponding images within iSite are not opening.
  • When adding additional open orders for the same patient to a report in PS360, the images/report are automatically reopened in iSite when the user goes to sign the report.
  • Some websites defined within the Assisted Diagnosis page were not properly working.
  • Workstations that use the xKey device can experience the PS360 Client crash if the xKey device is unplugged while the PS360 client is running.
  • Saving an AutoText Pick List choice text containing only a space will result in the error "The text for the choice is required.".
  • When listing the AutoTexts by "My Folders", the ‘Used’ column is not showing the timestamp of last used.
  • While in the AutoText Editor, the "Owner" is cleared when you select "Edit->Open File..." and choose an RTF file to import. An error would occur when trying to save the AutoText.
  • When searching for an AutoText in the PS360 Client using a special character, such as "[", an unexpected error may occur
  • Performing a Quick Search can lose focus to the results grid when the Client Refresh occurs causing an incorrect order to be selected.
  • If a custom field contains an "_" and is set as a merge field within the "Site->Preference->Final electronic signature", the value will not be inserted.
  • Using Clinical Guidance within a PS360 Client and signing a report, the usage of the Clinical Guidance is not saving to the database.
  • AutoText containing a single merge field only and the AutoText is referenced as a picklist choice of another AutoText, then voice calling in the Picklist choice that is the AutoText will transcribe the label instead of the actual AutoText.
  • Running the "Quality Check - by Author" report from RadPortal->Logs->Reports causes blocking on the PS360 database.
  • The OBX segments for follow-up recommendations are duplicated in the outbound HL7 message for each associated order.
  • The RadBridge maintains TCP connections when submitting to the Apple Notifier Service, which can cause memory utilization issues as well as notifications failing to send on order updates.
  • Unable to import/export an account AutoText within a Site where the admin user is defined as a Site Administrator.
  • An AutoText with associated procedures from multiple sites should not import the procedures of a site, in which the Site Administrator does not have rights to, upon importing the designation.
  • An access denied error can occur when trying to search for a Procedure using the default Admin account for the first time.
  • Adding Procedure Codes to Custom Fields, the Custom Fields are not immediately available to be added to the existing orders with those Procedure Codes.
  • When adding a new Custom Field within RadPortal, the radiologist would see the newly added Custom Field which is non-relevant to the order they are viewing within the Radiologist Portal.
  • When a radiologist edits and saves a report within RadPortal, the report will automatically insert a Numbered List for ever line of the report.
  • The Procedures web page refreshes whenever a procedure is selected from the grid of returned results.
  • Selecting a non-final report within RadPortal, then the "Assign..." option and choosing to "Clear Resident" the report does not detect any changes made and the Resident remains associated
  • When the setting for Bypass LDAP under Accounts gets toggled on or off, the change is not getting audited.
  • Delays can occur when discarding reports within a PS360 Client for environments with the Bridge service configuration "Days to keep content audit" set to 1 year.
  • When an order is opened in the PS360 Client for a patient, any additional open orders that do not contain a "Start Date" are not be displayed.
  • In a single Site environment, an error can occur updating a Site AutoText that has a large amount of procedure codes assigned to it.

To view an expanded What's Fixed listing, by product version, please log in to the Nuance Healthcare Community, and search for and select any of the following Knowledge articles, and then click on the Release Notes link.

PowerScribe® 360 Reporting

  • Search for 7030 for the v4.x Release Notes
  • Search for 7166 for the v3.x Release Notes

mPower™ Clinical Analytics

  • Search 7064 for the mPower™ Clinical Analytics Release Notes

PowerScribe® Advanced Data Integration with ModLink

  • Search 7059 for PowerScribe® Advanced Data Integration with ModLink Release Notes

Dragon Naturally Speaking (DNS)

  • Search 7030 for the DNS Release Notes

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Webinar series

To review a complete list of free PowerScribe® 360 Reporting PowerUser Webinars, log in to the Nuance Healthcare Community, and search for article 7298 PowerScribe® 360 Reporting PowerUser Webinars.

 

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Nuance Healthcare Community

Nuance Healthcare Community

The Nuance Healthcare Community is an Internet-based support site with the following key benefits:

  • Network with your industry colleagues
  • Share experiences and best practices for using Nuance solutions
  • Provide feedback to Nuance about our solutions
  • Receive up-to-the-minute information from Nuance
  • Participate in roundtables and small-group events that provide access to Nuance leadership
  • Search knowledge articles
  • Log cases via the community
  • Interact with an agent through Live Chat

To become a member, click   to begin your registration from the Nuance Healthcare Support page.

Available Resources on the Nuance Healthcare Community include:

Nuance Healthcare knowledge article updates:

A number of important articles have been added or reissued with updated information as follows:

  • 5640: PowerScribe 360 Reporting V3.5 Documentation
  • 5663: PowerScribe 360 Reporting V3.0 Documentation
  • 5772: Converting an Installed System to SSL
  • 6389: PowerScribe 360 Reporting V4.0 Documentation
  • 6395: eTips Newsletter Archive - PowerScribe® 360 Reporting
  • 6411: PowerScribe Lung Cancer Screening and PowerScribe Workflow Orchestration Third Party Updates
  • 6543: Reboot Issue with Download of PowerScribe 360 Client Installation on New Workstation
  • 6557: Speech Option (Discarded Button and/or Critical Report) Appear Grayed-out or Not Available
  • 6558: Speech Engine Errors - Cannot Load Speech Files
  • 6563: Numerals vs Spelled Out Numbers - Enable numbered list formatting option
  • 6566: Volume Level Setup for Headset / PowerMic Too Low
  • 6573: Reset the Client Screen Frames on UI to Default Sizes
  • 6578: FormatException, Unrecognized GUID Format, NullReferenceException
  • 6579: Foot Pedal Malfunctioning
  • 6653: Contacting Product Support for Diagnostic Solutions
  • 6655: Checking the Status of Support Cases (Service Request)
  • 6656: Requesting Updates for Support Case(s) (Service Requests)
  • 6870: Files and Folders Acted Upon by the PS360 Client and Servers
  • 6942: PowerScribe Lung Cancer Screening & PowerScribe Workflow Orchestration AV Exclusions and Backup Recommendations
  • 7030: PowerScribe® 360 Reporting Release Notes for Version 4.x
  • 7062: PowerScribe Advanced Data Integration with ModLink Matching Criteria Technical Note
  • 7092: PowerScribe® 360 Reporting V4.0 Installation Manual
  • 7093: PowerScribe® 360 Reporting Upgrade Manual
  • 7131: Case Comments and Chatter Feed
  • 7166: PowerScribe® 360 Reporting Release Notes for Version 3.x
  • 7167: PowerScribe® 360 Reporting System Technical Specifications for V3.5.x
  • 7258: mPower™ Clinical Analytics Quick Reference Cards
  • 7259: Managing mPower™ Clinical Analytics
  • 7260: mPower™ Clinical Analytics - Custom Graphs
  • 7262: mPower™ Clinical Analytics - Boolean Search Syntax
  • 7287: Spaces Missing Between AutoText Fill-In Fields
  • 7343: PowerScribe® Lung Cancer Screening Installation Manual
  • 7988: PowerScribe Workflow Orchestration Client Installation Configuration Manual
  • 8001: Configuring mPower Clinical Analytics (On Premise) Backups
  • 8008: What's New in PowerScribe Lung Cancer Screening v 6.5

To see the details of any article, simply log in to the Nuance Healthcare Community and search for the knowledge article number or title.

 
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