Developing a Wireless Speech- and Touch-Based Intelligent Comprehensive Triage Support System

Chang, Polun; Sheng, Yu-Hsiang; Sang, Yiing-Yiing; Wang, Dawei

doi:10.1097/01.ncn.0000304754.49116.b4

Cited by 8 publications

(32 citation statements)

References 11 publications

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“…Voice-recognition software might provide some assistance in capturing and recording information. While accuracy rates have improved markedly over the past few years,28 there is still some work to be done before it will be considered a viable option in reducing the burden on time-pressured paramedics 29…”

Section: Discussionmentioning

confidence: 99%

Clinical handover in the trauma setting: a qualitative study of paramedics and trauma team members

Evans

Murray

Patrick

et al. 2010

BMJ Quality & Safety

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Background Clinical handover between paramedics and the trauma team is undertaken in a time-pressured environment. Paramedics are often required to handover complex problems to a multitude of staff. There is evidence that information loss occurs at this transition. The aims of this project were to (1) develop a minimum dataset to assist paramedics provide handover; (2) identify attributes of effective and ineffective handover; (3) determine the feasibility of advanced data transmission; and (4) identify how to best display data in trauma bays. Methods Qualitative study of paramedics and trauma team members. A thematic analysis was undertaken using grounded theory. Results Ten paramedics and 17 trauma team members were interviewed. A minimum dataset modified on an existing template was developed to include fields required by the trauma team to inform immediate treatment. Respondents stated that an effective handover was one which was delivered succinctly and in a structured manner, and contained only vital data necessary to direct immediate treatment. Advanced transmission of data to the receiving hospital was widely supported. While computers carried by paramedics were capable of exporting data to the receiving hospital, barriers such as time constraints, workflow issues and infection control issues impeded the ability to do this in the current environment. Discussion There is support for the adoption and further evaluation of a handover template. It can provide valuable structure to the face-to-face handover, and experience from other specialties suggests it can reduce information loss. Strategies to enable information to be transmitted in advance of the patients' arrival must address concerns voiced by paramedics. BACKGROUND

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Section: Discussionmentioning

confidence: 99%

Clinical handover in the trauma setting: a qualitative study of paramedics and trauma team members

Evans

Murray

Patrick

et al. 2010

BMJ Quality & Safety

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“…In Section C, all studies reached 100% scores with the exception of Awan et al (2018), Carter‐Wesley (2009), and Marukami et al (2010). In Section D, Results and Overall, all studies with the exception of Awan et al (2018), Carter‐Wesley (2009), Chang et al (2008), and Marukami et al (2010) scored >75%.…”

Section: Resultsmentioning

confidence: 96%

“…As evidenced from Table 2, 4 studies did not achieve >75% overall validity including Awan et al (2018), Chang et al (2008), Carter‐Wesley (2009), and Marukami et al (2010). All studies achieved <75% in Section A population.…”

Section: Resultsmentioning

confidence: 98%

“…Following the rigorous quality appraisal, six studies met with the validity criterion (Alapetite, 2008; Fratzke et al, 2014; NSLHD, 2012; Saxena et al, 2018; Suominen et al, 2014; Suominen, Zhou, Hanlen, & Ferraro, 2015). Despite poor validity, studies by Awan et al, (2018), Chang, Sheng, Sang, and Wang (2008), Carter‐Wesley (2009), and Marukami et al, (2010) were included in critical appraisal in this review for their potential to yield valuable insight towards the primary and secondary outcomes.…”

Section: Resultsmentioning

confidence: 99%

“…All studies achieved <75% in Section A population. In Section B, Data Collection, four studies scored as invalid, namely Awan et al (2018), Chang et al (2008), NSLHD (2012), and Carter‐Wesley (2009). In Section C, all studies reached 100% scores with the exception of Awan et al (2018), Carter‐Wesley (2009), and Marukami et al (2010).…”

Section: Resultsmentioning

confidence: 99%

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The impact of implementing speech recognition technology on the accuracy and efficiency (time to complete) clinical documentation by nurses: A systematic review

Joseph

Moore

Patton

et al. 2020

Journal of Clinical Nursing

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Introduction Speech recognition technology (SRT) recognises an individual's spoken word signals through a microphone and subsequently processes the user's words into digital text by means of a computer. SRT remains well established and continues to grow in popularity among the various health disciplines. Many studies have been done to examine the effects of SRT on nursing documentation, however, no previous systematic review (SR) on the effects of SRT on accuracy and efficiency of nursing documentation was identified. Aims and methods To systematically review the impact of speech recognition technology on the accuracy and efficiency of clinical nursing documentation. A SR was conducted that measures the accuracy and efficiency (time to complete documentation) of SRT on nursing documentation. An extensive search of the literature included Web of Science, CINAHL via EBSCO host, Cochrane Library, Embase, MEDLINE and Google Scholar. The PRISMA checklist screened eligible papers. The quality of each paper was critically appraised, data extracted and analysed/synthesised. Results A total of 10 studies were included. Various devices and systems have been used to examine the accuracy, efficiency and impact of SRT on nursing documentation. A positive impact of SRT with significant advances in accuracy/productivity of nursing documentation at the point of care was found. However, a substantial degree of initial costing, training requirements and studied interface modification to individual healthcare units are needful in incorporating SRT systems. Conclusions Speech recognition technology when applied to nursing documentation could open up a promising new interface for data entry from the point of care, though the full potential of the technology has not been explored. Relevance to Clinical Practice The compatibility/effectiveness of SRT with existing computer systems remains understudied. SRT training, prompt on‐site technical support, maintenance and upgrades cannot be underestimated towards achieving high‐level accuracy and efficiency (time to complete documentation) with SRT.

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Technology and Informatics Competencies

Gassert¹

2008

Nursing Clinics of North America

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Developing a Wireless Speech- and Touch-Based Intelligent Comprehensive Triage Support System

Cited by 8 publications

References 11 publications

Clinical handover in the trauma setting: a qualitative study of paramedics and trauma team members

Clinical handover in the trauma setting: a qualitative study of paramedics and trauma team members

The impact of implementing speech recognition technology on the accuracy and efficiency (time to complete) clinical documentation by nurses: A systematic review

Technology and Informatics Competencies

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