在紧急医疗环境中评估自动语音识别技术的有效性:对四个人工智能驱动的引擎进行比较研究
Xiao Luo1,2, Le Zhou3, Kathleen Adelgais4
1Department of Management Science and Information Systems, Oklahoma State University, Stillwater, OK USA.
Journal of healthcare informatics research
|July 29, 2025
概括
先进的自动语音识别 (ASR) 显示出医疗文档的潜力,但在杂的紧急环境中扎. 谷歌的ASR表现最好,尽管关键数据准确性需要改进,以便实时临床使用.
科学领域:
- 医疗信息学 医疗信息学
- 语音技术 语言技术
- 紧急医疗 紧急医疗
背景情况:
- 自动语音识别 (ASR) 提供了实时临床文档的潜力,以减少临床医生的工作量.
- 在动态和杂的医疗环境中,特别是紧急医疗服务 (EMS) 中,ASR的有效性尚未得到充分理解.
研究的目的:
- 评估四个领先的ASR引擎在从紧急医疗服务 (EMS) 遭遇中转录医疗信息时的准确性.
- 确定当前ASR技术在高压医疗环境中用于临床文档的优点和局限性.
主要方法:
- 四个ASR引擎 (谷歌语音到文本临床对话,OpenAI语音到文本,亚马逊转录医学,Azure语音到文本) 进行了测试.
- 使用40个模拟EMS记录来评估准确性,分析了23个电子健康记录 (EHR) 类别的转录.
主要成果:
- 谷歌语音到文本临床对话显示出优越的整体性能,在"精神状态"和"过敏"等类别中具有高准确性.
- 所有测试的ASR发动机都在准确转录关键EMS数据方面表现出显著的局限性,例如"气道"和"学生"信息.
结论:
- 当前的ASR技术在苛刻的EMS环境中对准确的医学转录有局限性.
- 进一步的进展是必要的,以提高ASR准确性和可靠性,用于紧急医学的实时临床文档.
相关概念视频
Cardiopulmonary Resuscitation II: ACLS Airway Management
97
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
97
Cardiopulmonary Resuscitation III: AED Use
70
Introduction to AEDAn Automated External Defibrillator (AED) is a portable medical device that analyzes the heart's rhythm and, if necessary, delivers an electrical shock to help the heart re-establish an effective rhythm during sudden cardiac arrest (SCA). SCA occurs when the heart suddenly and unexpectedly stops beating, leading to a loss of blood flow to the brain and other vital organs. In such emergencies, time is of the essence, and using an AED, combined with Cardiopulmonary...
70
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
84
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
84
Types of Reports III: Telephone and Verbal Reports
808
Telephone and Verbal Reports in healthcare settings are two communication methods for conveying therapeutic instructions from healthcare providers to nurses or other healthcare staff.
Here's an overview of each type:
Telephone Orders
Here's an overview of each type:
Telephone Orders
808
SBAR II: Application of SBAR
4.8K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
4.8K
Cardiopulmonary Resuscitation IV: Pharmacological Management
78
Pharmacologic intervention is crucial in treating cardiac arrest patients during ACLS or Advanced Cardiovascular Life Support. The ACLS algorithms guide the administration of specific drugs based on the patient's cardiac arrest rhythm, which includes pulseless ventricular tachycardia (VT), ventricular fibrillation (VF), asystole, and pulseless electrical activity (PEA).EpinephrineIndication: Epinephrine is the first-line drug for all cardiac arrest rhythms.Mechanism of Action: Epinephrine...
78


