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A Pilot Study for Integrating Automatic Speech Recognition Into Nursing Documentation
Keum-Sook Jeun1, Ye-Il Kim1, Myeung-Ja Lee1
1Department of Nursing, Eunpyeong St. Mary's Hospital.
Computers, Informatics, Nursing : CIN
|February 16, 2026
Summary
This study developed and improved an Automatic Speech Recognition (ASR) system for electronic health records (EHR) used in nursing documentation. Iterative, nurse-centered development enhanced the ASR system
Area of Science:
- Health Informatics
- Medical Technology
- Nursing Informatics
Background:
- Electronic health records (EHR) are crucial for healthcare, but nursing documentation remains time-consuming.
- Integrating advanced technologies like Automatic Speech Recognition (ASR) can streamline clinical workflows.
- Optimizing EHR systems requires understanding user needs and iterative development.
Purpose of the Study:
- To develop and integrate Automatic Speech Recognition (ASR) technology into electronic health records (EHR) specifically for nursing documentation.
- To evaluate the effectiveness and user satisfaction of the ASR system through pilot deployments and feedback.
- To iteratively improve the ASR system based on clinical nurse feedback and identified issues.
Main Methods:
- The study employed the constructive ehealth evaluation method (CeHEM) framework over six phases.
- A multidisciplinary task force collaborated on the design, development, and implementation of the ASR system.
- Pilot deployments, clinical nurse interviews, and online surveys were used for evaluation and feedback collection.
Main Results:
- Version 1 of the Nursing ASR system was piloted in nursing notes and the Kardex.
- Feedback from clinical nurses identified areas for improvement in system functionality and usability.
- Version 2 was redesigned with enhanced features, intuitive commands, and a mobile application.
Conclusions:
- Nurse-centered, iterative development is essential for successful technology integration in healthcare.
- Interdisciplinary collaboration effectively translates user feedback into practical system improvements.
- The study provides valuable insights for healthcare organizations implementing ASR technology in EHR systems.
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