Lessons learned from implementation of voice recognition for documentation in the military electronic health record system

This study evaluated the implementation of voice recognition (VR) for documenting outpatient encounters in the electronic health record (EHR) system at a military hospital and its 12 outlying clinics. Seventy-five clinicians volunteered to use VR, and 64 (85 percent) responded to an online questionn...

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Veröffentlicht in:Perspectives in health information management 2010-01, Vol.7 (Winter), p.1e-1e
Hauptverfasser: Hoyt, Robert, Yoshihashi, Ann
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Yoshihashi, Ann
description This study evaluated the implementation of voice recognition (VR) for documenting outpatient encounters in the electronic health record (EHR) system at a military hospital and its 12 outlying clinics. Seventy-five clinicians volunteered to use VR, and 64 (85 percent) responded to an online questionnaire post implementation to identify variables related to VR continuance or discontinuance. The variables investigated were user characteristics, training experience, logistics, and VR utility. Forty-four respondents (69 percent) continued to use VR and overall felt that the software was accurate, was faster than typing, improved note quality, and permitted closing a patient encounter the same day. The discontinuation rate of 31 percent was related to location at an outlying clinic and perceptions of inadequacy of training, decreased productivity due to VR inaccuracies, and no improvement in note quality. Lessons learned can impact future deployment of VR in other military and civilian healthcare facilities.
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central
subjects Accuracy
Adult
Attitude of Health Personnel
Attitude to Computers
Computers
Costs
Data entry
Efficiency, Organizational
Electronic health records
Female
Forms and Records Control - organization & administration
Forms and Records Control - statistics & numerical data
Health facilities
Health Plan Implementation
Hospitals
Hospitals, Military - organization & administration
Humans
Male
Medical Records Systems, Computerized - organization & administration
Medical Records Systems, Computerized - statistics & numerical data
Middle Aged
Military Medicine - organization & administration
Military Personnel
Organizational Innovation
Questionnaires
Software
Speech Recognition Software - utilization
Statistical analysis
Training
United States
Voice
Voice recognition
title Lessons learned from implementation of voice recognition for documentation in the military electronic health record system
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