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Speech recognition software and electronic psychiatric progress notes: physicians' ratings and preferences.

Yaron D Derman¹, Tamara Arenovich, John Strauss

¹Information Management Group, Centre for Addiction and Mental Health, 1001 Queen St, West, Toronto, Ontario, M6J 1H4, Canada.

BMC Medical Informatics and Decision Making

|August 27, 2010

Summary

This summary is machine-generated.

Speech recognition (SR) shows promise for mental health electronic progress notes (ePNs), though results were mixed. Six of twelve physicians preferred SR, but no clear benefits in time, quality, or workflow were found.

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Area of Science:

Medical Informatics
Clinical Documentation
Mental Health Technology

Background:

Mandatory adoption of electronic clinical documentation in mental health settings presents unique challenges due to dense narrative content.
Psychiatric electronic documentation requires specialized solutions to meet physician needs.

Purpose of the Study:

To evaluate the effectiveness of speech recognition (SR) in facilitating the creation of electronic progress notes (ePNs) for physicians in a mental health organization.
To assess the perceived usability, time savings, impact on documentation quality, and workflow changes associated with SR implementation.

Main Methods:

A qualitative study design was employed over a four-week period.
Twelve physicians utilized SR software for creating ePNs.
Wilcoxon signed rank tests compared pre- and post-SR implementation measures.

Main Results:

Six out of twelve physicians favored using SR for ePN creation, with some preferring SR alone or via a digital recorder.
No significant perceived benefits were observed regarding data entry time savings, quality of care, documentation quality, or clinical/administrative workflow.

Conclusions:

Speech recognition technology holds potential for improving mental health documentation processes.
Further research with larger participant numbers, diverse document types, and varied SR methods is recommended to fully ascertain its utility.