The impact of clinical speech recognition in the Emergency Department
Results of a study at an NHS Foundation Trust.
This report summarises the results of a study into the impact of Nuance Dragon Medical speech recognition deployed within the Emergency Department (ED) at an NHS Foundation Trust as reported by ED clinicians responding to an in-depth structured questionnaire. It provides learnings and recommendations for other healthcare leaders who may be investigating similar digital solutions to create complete, accurate and timely patient records.
— ED Consultant and CCIO
As earlier studies have identified, hand-writing or self typing reports is widespread across NHS Trusts. This practice was also evident within ED prior to deploying the departmental EPR. For example, 95% of its Main department clinical team were either hand-typing or using pen and paper to create their patient records. See & Treat saw 53% of the clinical team relying on hand-writing and typing and 28% relying on traditional dictation using secretaries and support staff. For those working when dictation or audio typing was used, 32% of clinicians cited delays of one or two days in notes reaching patient records following consultations. 28% reported that this process typically took 2-6 days. Some clinicians – 9% – reported that notes took more than two weeks to reach clinical records – such that they could not be used in the ongoing treatment of the patient by other clinicians. Following implementation of the EPR it was anticipated that many clinicians, limited to typing notes directly into the EPR, would struggle to adopt the technology.