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Speech recognition technology in prehospital documentation: A scoping review.
Desmond Hedderson1, Karen L Courtney1, Helen Monkman1
1School of Health Information Science, University of Victoria, Victoria, Canada.
International Journal of Medical Informatics
|October 26, 2024
Summary
Speech recognition technology can improve paramedic documentation and patient handovers. Further research in live settings is crucial to understand user needs for successful adoption in paramedicine.
Area of Science:
- Emergency medicine
- Health informatics
- Paramedicine
Background:
- Paramedic workflows involve concurrent care and charting, leading to incomplete patient care reports.
- Charting delays and memory recall can cause information gaps, increasing emergency department workload and risks.
Purpose of the Study:
- To determine paramedic perceptions and user requirements for speech recognition documentation technology.
- To explore the potential of speech recognition to improve prehospital documentation and handover.
Main Methods:
- A scoping review of literature from 2014 to March 2024 was conducted.
- Searches included MEDLINE, Google Scholar, IEEE Explore, ProQuest, and CINAHL.
- Studies focused on paramedic use or perceptions of speech recognition in prehospital and adjacent settings.
Main Results:
- Eight small, laboratory-based studies published since 2020 met inclusion criteria.
- Key user requirements identified include hands-free operation, noise reduction, battery life, and word accuracy.
- Five studies recommended live environment testing, and all recommended further research and development.
Conclusions:
- Growing interest exists for speech recognition in paramedicine, but more research with larger, live-environment samples is needed.
- Understanding user requirements and perceptions is vital for designing systems with high adoption rates in paramedicine.
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