![]() ![]() As the clinician speaks into a microphone, the computer "recognizes" his or her speech and "types" it out immediately.Įarly speech recognition systems were based on a technology called discrete speech recognition. Through continuous speech recognition, dictation can be transcribed directly into a medical report. Using a voice-activated command to her computer, Roth faxes her findings and a cover letter to the referring physician and sends prescription orders to the patient's pharmacy.Ī remarkable technology for personal computers, called continuous speech recognition, is emerging for clinical use. Adding an electronic signature, she prints out a hard copy of her evaluation and saves the medical record to her hard drive. Chief complaint: difficulty sleeping, loss of appetite and depressed mood with suicidal ideation for the last three weeks."Īs Roth speaks, words appear on her portable computer screen to complete the patient's intake evaluation. Johnson is a 64-year-old married white male. Open template recurrent major depression. The hospital will use a desktop version when it launches in October, but plans to deploy it on iPads in the next generation, says Jim Murry, the hospital's CIO.As her patient leaves the consulting room, Susan Roth, M.D., picks up her computer's microphone and begins dictating. The University of California-Irvine Medical Center is testing M-Modal's software that allows doctors to use voice to locate and dictate information to files in its electronic record system. "The idea is to get actionable data while you're interacting with the patient." "A physician may know what to say but not always how to say it," he says. For example, a doctor who is writing a note about a heart failure, but fails to register the level of acuity, would be prompted to give more details on whether it was diastolic or systolic, says Rasu Shrestha of UPMC. In recent years, they've moved on to other software that can transcribe directly as they dictate.īut Nuance's technology - in testing at the University of Pittsburgh Medical Center and a few other hospitals - takes the process a step further, employing a mixture of data mining and more "intelligence" software behind the content. Many speak into a recording device and pay transcribers to type it. That the federal government is also calling for hospitals to install electronic medical record systems has also stirred the industry's curiosity for the technology, says Mary Griskewicz of the Healthcare Information and Management Systems Society.ĭoctors have used dictation for years as they compile patient care history and post-care summaries, orders and prescriptions. Apple's introduction of Siri on iPhone has also raised the public's awareness of its potential. The companies' push into health care, where accuracy is of utmost importance, is enabled by constant improvement in voice technology. They don't want to point and click," says Juergen Fritsch, co-founder of M-Modal. "Physicians prefer to narrate and dictate. ![]() M-Modal, a Nuance competitor, is also working on a similar product that allows physicians to record information in real time on mobile devices as they consult with patients. As doctors input a patient's information via voice, it can highlight and validate medical facts, spot inconsistencies and ask follow-up questions, says Nick Van Terheyden of Nuance. Nuance, the maker of Dragon voice-recognition software, is marketing a new product that is embedded into a hospital's electronic medical record system.
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