Dictation & transcription
Two Quebec City hospitals opt for
LAVAL, Que. – Hôpital Enfant-Jésus
and Hôpital Saint-Sacrement, merged under the name Centre hospitalier
affilié universitaire de Québec (CHA), are now entering the final
deployment phase of their new central digital dictation, speech
recognition and transcription system. Both hospital centres opted for
the Crescendo technology following a tender process in November 2006.
The system, whose deployment began in May, should be fully operational
by September 2007.
Overall, more than 325 physicians from seven departments (Radiology,
Pathology, Nuclear Medicine, Respiratory Therapy, Psychiatry and
Hematology) will benefit from the most recent Crescendo/SpeechMagic
technologies. Fully integrated with the hospitals’ existing computer
system, the new system will simplify the documentation workflow and
facilitate the access to medical reports for all relevant medical
Physicians will be able to dictate over the phone or on their PCs (280
licenses in total). Out of the seven departments, four (Radiology,
Respiratory Therapy, Psychiatry and Nuclear Medicine) will be equipped
with the Crescendo solution, powered by SpeechMagic speech recognition
The SpeechMagic engine will provide a French Canadian medical speech
recognition ConText (specialized recognition vocabulary), which was
developed exclusively for French Canadian users.
In back-end mode, the process will be fully transparent to physicians.
Their dictations will automatically be processed by the speech
recognition engine before they are sent to a transcriptionist for
correction. The front-end mode will also be available to allow
physicians to play a more active role in the report creation process, by
allowing them to correct their reports, onscreen and in real-time, as
they are being dictated.
Furthermore, bidirectional HL7 interfaces will be implemented between
the Crescendo platform and existing ADT, RIS and Pathology systems, to
ensure that patient information can always be accessed by and shared
among the appropriate medical personnel.
Thirty-eight (38) transcriptionists will be equipped with MedRite-IP – a
world-renowned, medical transcription system with over 150 000 users
across the world. This environment will be fully integrated with both
hospitals’ existing patient information system.
Documents transcribed and managed using this application could then be
sent to a central, electronic patient record databank, should the CHA
decide to use one in the future.
Furthermore, 27 DigiPlayer-IP accesses will serve as a link between the
Crescendo central dictation system and MédiSolution – the transcription
application currently used by the Radiology and Pathology departments.
This will enable transcriptionists from these departments to benefit
from a unique computer environment, by allowing them to use the
application they are most familiar with to receive and process documents
generated by the speech recognition engine.
Crescendo develops digital dictation, speech recognition, transcription,
workflow and document management systems tailored for the needs of the
healthcare sector. Since 1990, the Crescendo premise-based technology
has allowed over 2,000 single and multi-site healthcare installations to
streamline and cost-efficiently manage the most complex documentation
workflows while achieving the cross-system integrations (PACS, RIS,
etc.) that are so critical to the quality of patient care. Partners with
some of the most respected companies in the world, Crescendo
incorporates technology from Philips SpeechMagic, Citrix, Olympus and
Grundig, and has a worldwide presence. For more information, visit