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Efficiency and safety of speech recognition for documentation in the electronic health record.


ABSTRACT: Objective:To compare the efficiency and safety of using speech recognition (SR) assisted clinical documentation within an electronic health record (EHR) system with use of keyboard and mouse (KBM). Methods:Thirty-five emergency department clinicians undertook randomly allocated clinical documentation tasks using KBM or SR on a commercial EHR system. Tasks were simple or complex, and with or without interruption. Outcome measures included task completion times and observed errors. Errors were classed by their potential for patient harm. Error causes were classified as due to IT system/system integration, user interaction, comprehension, or as typographical. User-related errors could be by either omission or commission. Results:Mean task completion times were 18.11% slower overall when using SR compared to KBM (P?=?.001), 16.95% slower for simple tasks (P?=?.050), and 18.40% slower for complex tasks (P?=?.009). Increased errors were observed with use of SR (KBM 32, SR 138) for both simple (KBM 9, SR 75; P?

SUBMITTER: Hodgson T 

PROVIDER: S-EPMC7651984 | biostudies-literature | 2017 Nov

REPOSITORIES: biostudies-literature

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Efficiency and safety of speech recognition for documentation in the electronic health record.

Hodgson Tobias T   Magrabi Farah F   Coiera Enrico E  

Journal of the American Medical Informatics Association : JAMIA 20171101 6


<h4>Objective</h4>To compare the efficiency and safety of using speech recognition (SR) assisted clinical documentation within an electronic health record (EHR) system with use of keyboard and mouse (KBM).<h4>Methods</h4>Thirty-five emergency department clinicians undertook randomly allocated clinical documentation tasks using KBM or SR on a commercial EHR system. Tasks were simple or complex, and with or without interruption. Outcome measures included task completion times and observed errors.  ...[more]

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