[julie.young_645]

[link=http://cyberspaceandtime.com/koDHPSjmhF0.video+related]http://cyberspaceandtime.com/koDHPSjmhF0.video+related[/link]
 
Looks like they got Powerscribe 360. Has One even been released? 

[aldoctc]

Quote from DoctorDalai

The main hospital system here just deployed Powerscribe One. [u][b]I find the interface to be primitive at best, although I can make it work. Somewhat, anyway. [/b][/u]
 
The “New User Interface” on the Nuance website looks NOTHING like what we have, which looks something like a Windows 95 or NT 4.0 app from the 1990’s. Do we have an old version or are they just showing vaporware online?  
 
[link=https://www.nuance.com/healthcare/diagnostics-solutions/workflow-radiology-reporting/powerscribe-one.html]https://www.nuance.com/healthcare/diagnostics-solutions/workflow-radiology-reporting/powerscribe-one.html[/link] 

 
But doctor, it’s been designed with YOU in mind!  (At least according to the promo).  <sigh>
 
As I say to the PACS/IT people whenever there’s an “upgrade” scheduled.  “Show me an upgrade that doesn’t destroy my productivity and I’ll kiss your feet.”  Most recently, there was an “upgrade” to PACS that threw an error message unless you ended your report and viewing in a VERY specific manner.  Took about 3 weeks to iron that [strike]bug[/strike] feature out.  
 
Sorry for the long winded replay and snarkiness….  I haven’t seen Powerscribe One yet.  We’re still using PS360, and my experience sounds similar to yours in that I can make it work…. mostly.  I’ve been asking for the clinical guidance add-on for a while now to no avail.  At this point I’ve made my own macros to insert Fleischner guidelines, TI-RADS, etc. into reports.  I’m getting old enough now that I surprise myself when I’m able to adapt.  I’m thinking at some point in the not too distant future, I’ll finally hit the wall and give up when some “upgrade” or another proves too frustrating.  
 
Good luck.  
 

[julie.young_645]

I’ve been blogging about this IT disconnect for 15 years. Nice to see I’ve had zero impact.
 
Our interface is very clearly labelled “Powerscribe One” but it is equally-clearly the “360” product. Lovely. Wonder who signed off on that…

[julie.young_645]

What I’m now told is that we do indeed have Powerscribe One, but the version we have uses the old PS360 interface. New stuff is coming in an upgrade. Right. 

[Ali.zavareh]

Wanted to bring this thread back to life to get some discussion going if anyone has any insights.

We currently use 360 and are satisfied. Nuance called us last month and set up a demo for PS One. Our practice is very high volume and we have all optimized our templates and macros for max efficiency. We run a pretty well oiled machine.

I watched the demo last week remotely. Havent had an opportunity for hands on.

The interface to me seemed somewhat overwhelming and busy to me, with a lot of new functionality that could seriously slow me down (and I consider myself a tech savvy millennial elder, 35 years old).

There is functionality where you can supposedly free text dictate and AI will supposedly will Fill in structured reports.

Additionally, multiple built in features such as societal guideline recommendations for pulmonary nodules, incidentalomas, etc.

Does anyone have any real world experience with this new software?

[Unknown Member]

My opinion, is to be a late adopter of such technology; after the kinks are worked out. Especially if things are going well with PS for you now.
Many times the initial versions are more beta than final, and you become an experiment.
Look at it. But buy time. Wait.

[Ali.zavareh]

I think thats the best plan. Update our current software to most recent PS 360, and wait until it gets phased out. I assume PS One will eventually replace the last version of PS 360.

Our hospitals PACS/IT office told me that staying at PS 360 next year will save Approximately 46k to 126k annually. I have no clue why there is such a wide range with their estimate.

[Unknown Member]

Updated incidentaloma guidelines would be helpful.

[Unknown Member]

Incidentaloma guidelines are currently in 360.
They are a bit klutzy.
I’ve written my own as macros for these; not hard to do. Plus you understand them better, and adapt them in your personal phrasology.
 

[radiologydiagnose]

We are at the early implementation stage of Powerscribe One, so will let you know in about 4-6 months!

[Ali.zavareh]

Thanks! Very interested to see how it goes.

[aaishafatima999_432]

Help me out, on 360 we use it too, have not seen the incidentaloma macros….how do you access them>? thank you. 

[radiologydiagnose]

We’ve been on PS One for a while now… Front end is essentially identical to PS360… new UI has not landed with us yet. Will see how that goes. As far as the comment about searching for autotexts… I found that actually way easier than PS360, so not sure about that part. 
The big advantage to PS One is on the back end… you can create “modules” that are nested inside “templates”… so let’s say that you want to add a pick list to something in a field such as Liver… historically, you would have to probably change that in numerous templates (n/c/a/p female/male, c/a/p male female, a/p, etc etc)… now, you can bascially change it within a module and then it will populate to all of the templates where it’s embeded…. as with PS360… it definitely takes some upfront set up, but the time savings pay off 100-fold… as always, I hear people complain about this program… I just don’t get it… nothing has been more transformative in my 20 year career as Powerscribe from an efficiency standpoint… our group has the option of sending to transcription or PS/VR on any case at any time and we are consistently at 100% VR usage… I can say that it has easily  doubled our productivity at the same time making us better…  maybe that’s because I put in the upfront work and got everyone on the same page and made functional templates…. but again, while there could certainly be improvements I can’t imaging not absolutely loving this product. 

[mario.mtz30_447]

Sounds great, but how did it double your productivity?
 
I understand it sounds faster to make and tweak your auto texts, but assuming all your auto texts are complete with both PS 360 and PS One, how does PS One improve efficiency over PS 360?  

And has there been an improvement in the actual voice recognition?  Or any improvement with other annoyances, like not infrequently putting 20 a lot
 
Like 5 18 22 sometimes will come out as 5/20/2022.
 
radiographic or sonographic will not infrequently not transcribe and instead will start a new paragraph.
 
Just to name a couple out of dozens.
 
And probably wishful thinking but can you now plug n play any microphone and not have to use Auto Hotkeys to toggle recording on or off, or have to activate the PS window first for F4 to work?
 
Thank you for your comments!
 
 

[radiologydiagnose]

Sorry… I guess that was misleading… I meant that PowerScribe, in general, has boosted productivity… PS One vs. 360… absolutely not… just makes it easier to tweak things on the backend… I do not think the VR in PS One is any better than 360 (in fact, it may have even gotten slightly worse, but negligible diff)

[mario.mtz30_447]

I see, thanks for the clarification. 
 
A lot of great things about the program, but a lot of bad and annoying things about the program as well that never seem to improve, imo. 
 
I think most of the complaints we hear about it are valid.  The more auto texts you have for your phrases, the better it is, yes.  But you can’t have an auto text for everything.  
 
“A 21 x 18 x 19 mm spiculated pulmonary nodule left upper lobe has significantly increased in size compared to CT 3/14/2021.”   
 
It can potentially screw up any of these numbers or words.  It doesn’t like “significantly” and sometimes spits out “severe.”  At least it always has for me.
 
There are hundreds of similar scenarios where it doesn’t make sense to make an auto text for…  this is where PS fails, imo.  Anytime you have to dictate something that isn’t an auto text is a pitfall.  The VR hasn’t seemed to improve for a decade and it still spits out nonsensical phrases.  My iPhone messaging is much better at grammar AI.  Don’t know why they’re not addressing this.
 
I seem to easily see typos when I pull up old reports, but they’re more difficult for me to see before I sign off, as others have noted.
 
 

[poymd25]

except for CT I hope – the more you pay, the better it gets for the patient. Gather your docs together and refuse to use cheaper or older gear. 

[dorileo10]

We just went live with powerscribe one and, on day one, it looks and feels like a beta product. Maybe it will improve over time but at the moment I’m debating begging the hospital to revert to ps360. Is anyone out there using it and finding it to be an improvement over ps 360?
On first glance, the functionality appears to have been reduced, not enhanced. The ability to hold dictation until selecting transcribe on the speech mike is gone. The auto text editor is brutally inefficient. For example, when searching for auto texts, you can no longer scroll an unending column. You have to click a tiny arrow to move through a page at a time. Searching CT in auto text lists no longer jumps to titles starting w CT, but rather pulls everything containg CT. Like galaCTogram. It is awful. I assume the answer from nuance will be, it will automatically pull relevant auto texts into a submenu (so long as I assign everything to that menu). Everything is super click heavy. The interface appears to have been designed by someone who has never dictated anything. Would sure love to be proven wrong. Please convince me we haven’t made a huge, expensive mistake.
Thanks.

[Ali.zavareh]

Thanks for bringing this thread back to life.

Cant say Im surprised with the issues you are facing. Sounds very frustrating.

We are still plugging along with 360.

Anyone else care to weigh in on PS One real world experience?

[amotter]

Looks like powerscribe is following the Xbox nomenclature. Next will be Powerscribe one X

[obebwamivan_25]

for your “auto texts” (which to me should just be called macros)…do you categorize them?  I have found that by doing that, you auto filter them to start and then it gets way easier.  Also, nesting one macro in multiple others helps with flows.
 
 

[dorileo10]

I substituted auto text in my summary for brevity instead of breaking it out into templates, macros, and modules. Categorizing them by anatomy is definitely going to be critical. Templates and macros are broken out individually, so it appears you can either see templates or macros, not both. If you use modules, a base building element, it forces a carriage return when used in a template so it only really works in structured reporting. I’ll probably have to use macros within templates rather than modules. When creating templates, macros, etc you can no longer dictate within the editor so it’s a lot of typing or building using voice commands from a sample dictation. Lots of silly workflow changes in ps one that strip basic functionality.

[hugo.duarte125_221]

I think it is going to take a few years before the functionality comes back to what it was. The cloud implementation is effectively starting from scratch and it will take time to get back the functionality. I think the same thing happened in 3D printing when Autodesk EOLed Meshmixer and has moved everything to the cloud Fusion360

[ginamarie123078]

We recently went to PS One from 360. Havent noticed too much difference. Had to redo custom settings but interface and function seem
very similar to 360.