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© 2018 Crescendo Systems Limited. All rights reserved. Legal Notice | Copyright | Privacy

American Hospital of Paris, France

Until 2009, the hospital was relying on a battery of tape recorders that doctors used to dictate medical reports: aging material that was causing more and more delays. “5 to 10 days were typically required from dictation to signature”, says Dalila Kharkhouch Marzet, Medical Records Director. The hospital therefore decided to switch to digital, outlining the following key requirements:


After evaluating the different solutions available on the market, the hospital chose to partner with Crescendo “because they were the only supplier out there offering an end-to-end solution covering every aspect, from digital dictation all the way to automated report distribution”, Dalila goes on to explain. 190 doctors were equipped with DigiDictate-IP and electronic signature while all 30 secretaries got on board with MedRite-XL Transcription.

The system was first deployed in 2009 under close-to-perfect conditions. All departments were equipped with Crescendo technology, except for Radiology, which already has its own dictation module built into the RIS. In the beginning, the system only handled OR reports and discharge letters but all medical reports from all departments followed eventually.

“Training and roll-out to doctors, secretaries and system administrators went very well”, Dalila notes. “Doctors got the gist very quickly. It took a bit longer for the secretaries to adapt to the wide array of functionality offered by MedRite-XL, since they were used to typing in a very basic system until then. The boost in productivity was such that we were able to eliminate 2 full-time temp contracts from our annual budget.”


By standardising letters and forms and pooling secretarial resources, Crescendo allowed the hospital a 40% productivity gain. Secretaries can now relay each other in case of sick leave of holidays. As a result, average turnaround went from 5 days down to 24h and less.

Last but not least: the fact that doctors and secretaries now share a standardized user interface translates into massive efficiency gains for the IT Department. Instead of dealing with several products coming from several suppliers, they now have one system to manage.




- 190 doctors onboard with DigiDictate-IP & e-signature

- 30 secretaries equipped with MedRite-XL Transcription

- 40% productivity boost in the first few months

- 24h report turnaround (5 times faster)

Established in 1906, The American Hospital of Paris is a not-for-profit institution that brings together the best in French and American medical practices for the health of patients of all nationalities.

With 145 in-patient hospital beds, 20 day hospital beds and 386 accredited physicians and surgeons, the hospital welcomes over 17,000 patients each year.

"Crescendo is THE one-stop solution for trusts looking to streamline and manage the entire documentation workflow, from recording all the way to automated report distribution.”

Dalila Kharkhouch Marzet, Medical Records Director