I thought dragon would be a good fit for me, but it never worked (there is a conflict somewhere on my office computer that made it too inconsistent).
Rainy:
I just want to say again, for the record, Dragon can and does fit magnificently with Amazing Charts. It is a very powerful combination. However, you do have to set it up properly.
I do not have super-exotic equipment. My computers are off-the-shelf. I use a headset from WalMart. When fatigued, I tend to fall into a fairly thick Southern drawl. And I still get 98-99% accuracy from Dragon.
However, when I started out with Dragon, I used the wrong version, on a weak computer, with an even crummier headset and had the same problems you are having.
If you want to write detailed notes, and you can't type fast enough, and templates aren't doing it for you, I suggest you take another shot at Dragon before you give up on EMR altogether.
Tell me about your equipment, and I will try to help. You can PM me if you would prefer. Or, you can pose your question to Tom from KnowBrainer who has started posting here.
As to the question of finishing the chart before you leave the room, it would make me feel awkward to DragonSpeak in front of them. That is a hindrance, I admit. However, I have lots of patients who will continue to feed me problems as long as I stay in the room. I feel that I have to be able to make my escape at some point, as I do not have unlimited time for each patient.
My method presently is to step out of the room, print Rx's and orders, etc, and then dictate my note before moving to the next room, much as one would have used a dictaphone or pocket tape recorder in the past.
And I always, always, always, hit Ctrl-D and review the note before saving.
