{ Voice Recognition Efficiency in Internal Medicine Documentation Internal Medicine Noon Conference – 11.24.10 Samuel Ash, MD Resident, Department of Internal.

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Presentation transcript:

{ Voice Recognition Efficiency in Internal Medicine Documentation Internal Medicine Noon Conference – Samuel Ash, MD Resident, Department of Internal Medicine University of Washington Medical Center

 Problem  Technology  Experience  Conclusions/Discussion  References  Demonstration  Other Strategies Outline

 Saturday call…  30 hours  10 patient  7 admits  3 forms per admit  Untold number of pages… Problem

Technology  An early 20th century transcribing pool at Sears, Roebuck and Co.  The women are using cylinder dictation machines, and listening to the recordings with ear-tubes (David Morton, the history of Sound Recording History,

Technology

Technology

 Outpatient Pediatric Specialty Practice  2 hours of training + 30 “training” notes  42 “test” notes  Endpoints: time and accuracy Experience

Experience

Experience

 Additional Results  600 new consultations and 1200 repeat visits per year  Average letter/note length 225 words Experience

 Advantages  Average turnaround time 1 day vs. 1 week  Disadvantages  66% less efficient in total time  VRS cost twice as much as traditional transcription (based on attending hourly rate) Experience

 Surgical Pathology  Decreased turnaround times (by ~81%)  Decreased error rate (by ~48%) Experience

Conclusions/Discussion

 Davis KH, Biddulph R and Balashek S, Automatic recognition of spoken digits. J. Acoust. Soc. Am. 1952; 24:  Issenman RM and Jaffer IH. Use of voice recognition software in an outpatient pediatric specialty service. Pediatrics 2004; 114:e290-e293.  Juang BH and Rabiner LR. Automatic Speech Recognition – A Brief History of the Technology Development.  Kang HP, Sirintrapun J, Nestler RJ and Parwani AV. Experience with voice recognition in surgical pathology at a large academic multi-institutional center. Anatomic Pathology 2010; 133: References

Demonstration

Other Strategies