A scientific trial assessing medical documentation speed and accuracy when using Nuance’s web-based clinical speech recognition technology - compared to physicians typing data - has been conducted at Düsseldorf University Hospital in Germany in a first of its kind worldwide. In addition to measuring documentation speed and accuracy, the objective of the independent study was to detail objectively the effects of using Nuance’s medical speech recognition solutions in a university hospital with respect to documentation completeness, length and physician satisfaction over other means of entering information into Electronic Patient Records (EPRs). A full report into the trial’s findings can be found here. http://www.jmir.org/2015/11/e247 Further information about the study, speech recognition and Nuance under www.nuance.co.uk/healthcare

1. SPEED + VOLUME =
SATISFACTION
Analysis of Documentation Speed Using
Web-Based Medical Speech Recognition Technology:
Randomized Controlled Trial
“The way medical documentation influences treatment quality needs
to be understood better to choose the right mode of documentation
and to help both the doctor and the patient.”
To enter information into the EHR…
How can you put a halt to tedious
data capture processes?
Study structure and flow
The impact by the numbers
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University Clinic of Duesseldorf,
Germany
Randomized
controlled trial
120 days
Digital communication and
electronic information exchange
have become a part of everyday
communication.
“What about healthcare?”
28participants
1455clinical reports
727,865
characters
Sources
Clinical study: Analysis of Documentation Speed Using Web-Based Medical Speech Recognition Technology:
Randomized Controlled Trial - Markus Vogel, Dr med ; Wolfgang Kaisers, Dr med ; Ralf Wassmuth, Dr med ;
Ertan Mayatepek, Dr med ; Published on 03.11.15 in Vol 17, No 11 (2015): November, Journal of Medical Internet
Research
Research study: Auf den Spuren der Zeitdiebe im Krankenhaus: Die wahre Belastung durch Dokumentation an
deutschen Akutkrankenhäusern wird unterschätzt; HIMSS Analytics Europe March 2015
Research study: Accuracy & completeness of clinical documentation. Understanding the clinician, patient and
economic implications in NHS England acute trusts; Ignetica ltd, June 2015
Survey report: The art of medicine in a digital world. Healthcare from the patient perspective; Nuance
Communications Ltd April 2015
Infographic
CLINICIANS need to rely
–– on their ability to type
–– on the assistance of
transcriptionists
TRANSCRIPTIONISTS are
–– a limited resource
–– not available at point-of-
care or out-of-hours
ALTERNATIVES for
clinicians are
–– pen-and-paper
documentation
–– self-typing
–– avoidance of
documentation
1455
Clinical reports
eligible for analysis
50.65%
Typing
49.35%
Speech-to-text
recognition
26%
Documentation
speed increase
82%
More data captured
23%
User satisfaction
increase
So what happened using voice?
Increased
documentation
Higher
physician
Increased
documentation
Demonstrated outcome of the usage of medical speech recognition
How frequently do
clinical documents
not include the
information you
need at the time
and in the detail
you need?
It is striking that
times the information wasn’t
available to the level required
and yet as noted in the
comments from respondees
it can be “so routine as to be
unmemorable”.
All
Available
72.6%
Not
available
27.4%
1 in
4
CLINICAL
DOCUMENTATION
is a core aspect of the
healthcare profession
and is more than just
a tool for efficient,
maximized billing.
The emphasis is
still PAPER-BASED
documentation
assisted by electronic
documentation.
Why? Because of
the poor usability
of electronic clinical
documentation
TOOLS.
321
Voice input and speech recognition.
A study describing the effects of Automatic Speech
Recognition (ASR) on the clinical documentation
process based on detailed data recorded by a
computer program.
Do you need to make your hospital more efficient?
Learn more at www.nuance.co.uk/healthcare
and follow us at www.twitter.com/voice4health
SPEED CONTENT SATISFACTION