Speech recognition software and electronic psychiatric progress notes: physicians' ratings and preferences

Abstract

BackgroundThe context of the current study was mandatory adoption of electronic clinical documentation within a large mental health care organization. Psychiatric electronic documentation has unique needs by the nature of dense narrative content. Our goal was to determine if speech recognition (SR) would ease the creation of electronic progress note (ePN) documents by physicians at our institution.MethodsSubjects: Twelve physicians had access to SR software on their computers for a period of four weeks to create ePN. Measurements: We examined SR software in relation to its perceived usability, data entry time savings, impact on the quality of care and quality of documentation, and the impact on clinical and administrative workflow, as compared to existing methods for data entry. Data analysis: A series of Wilcoxon signed rank tests were used to compare pre- and post-SR measures. A qualitative study design was used.ResultsSix of twelve participants completing the study favoured the use of SR (five with SR alone plus one with SR via hand-held digital recorder) for creating electronic progress notes over their existing mode of data entry. There was no clear perceived benefit from SR in terms of data entry time savings, quality of care, quality of documentation, or impact on clinical and administrative workflow.ConclusionsAlthough our findings are mixed, SR may be a technology with some promise for mental health documentation. Future investigations of this nature should use more participants, a broader range of document types, and compare front- and back-end SR methods.

Incidence of speech recognition errors in the emergency department

“…Many clinicians feel that templates make it inherently difficult to document the patient story and for this reason, prefer dictation. While the best means of documentation remains uncertain, it is believed that dictation will continue to be widely used, likely with the assistance of advanced SR techniques and natural language processing solutions that understand speech-captured data (21,26,34) and correct documentation errors.…”

Real-Time Captioning for Improving Informed Consent

“…In addition to improving physicians' ability to communicate with hearing-impaired patients, real-time captioning may have a wide range of other applications that include improving communication with other patient groups and in other patient-care situations. [12][13][14] For example, language translation software has improved to the point where simultaneous translation between speakers of different languages is possible. 13 The study's limitations include the following: (1) a relatively small sample size of hearing-impaired adults were studied, and a limited number of physician-patient encounters were conducted;…”

Medizinische Spracherkennung im stationären und ambulanten Einsatz – Eine systematische Übersicht

“…Die Mehrheit der Studien, welche mögliche zeit-und kosteneinsparende Eigenschaften der medizinischen Spracherkennung un-tersuchten, weisen auf eine signifikante Reduktion der Bearbeitungszeit für die medizinische Dokumentation [7], [8], [9], [10], [11], [12], [13], [14], [15], [16] [19], [20] oder es konnte kein signifikanter Effekt gemessen werden [21], [22]. Die Kosten und Zeitersparnisse bei Verwendung der Spracherkennung konnten hier lediglich im Vergleich zum Diktat, durch den Wegfall der Notwendigkeit einer Schreibkraft, identifiziert werden [7], [8], [9], [10], [11], [12], [13], [14], [15], [16], [17], [18].…”

“…Die Kosten und Zeitersparnisse bei Verwendung der Spracherkennung konnten hier lediglich im Vergleich zum Diktat, durch den Wegfall der Notwendigkeit einer Schreibkraft, identifiziert werden [7], [8], [9], [10], [11], [12], [13], [14], [15], [16], [17], [18]. In den Studien, in denen die Spracherkennung mit der Texteingabe verglichen wurde, war kein [22] oder ein negativer Effekt des Einsatzes der Spracherkennung zu beobachten [19]. Eine Übersicht hierzu erfolgt in ▶Tab.…”