With speech recognition the patient’s chart is always updated

adminHealth Innovation Centre of Southern Denmark

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Doctors use speech recognition to document their patient consultation, the spoken word is automatically translated into writing and transferred to the patient’s chart, which ensures that patient charts are always up to date. 

Speech recognition (SR) was first implemented at a few Hospital departments in the Lillebaelt Region back in 2005. Senior Hospital Physician, Lars Christian Meyer from the Department of Otorhinolaryngology, Head and Neck Surgery, says about his experiences with SR.

“It works, but it requires adaption. In our department, there is general satisfaction with the system. As the system gradually gets to know us, it becomes easier and faster to use.”

An important tool
Odense University Hospital will implement speech recognition, based on the good experience from the Hospitals in the Lillebaelt Region. It is an important tool for doctors and other health workers in realising real-time medical record-keeping.

A conference at the Health Innovation Centre of Southern Denmark, in October 2015 highlighted the benefits of speech recognition.

Managing Hospital Director at Odense University Hospital Niels Nørgaard Pedersen states:
“To have real-time medical record-keeping, is very important for our patients, clinicians, and for our entire operation.”
Because real-time medical record charts provide a better quality, both in terms of patient safety, positive and coherent continuity of care and professional competency to the world around us.

Speech Recognition in Southern Denmark
IT-project manager, in the regional project within digital dictation and speech recognition, Lone Tynan gave an overview of the status of the projects in Southern Denmark and specified pointers towards the next step. Lone Tynan emphasizes:
“The departments, who have the greatest potential to achieve success, are the ones, where SP will be implemented first.”

Acting encourage understanding
Odense University Hospital focused on SR, at a conference October the 29th 2015. At the conference, actors from the Dacapo-theatre played a number of different scenarios, which the participants could recognise.

Two hospital departments, two experiences
Julie is diagnosed with diabetes and must go to the hospital for a consultation with the Doctor Lars, diabetes nurse Sarah and ophthalmologist George.

At one Hospital, they still use digital dictation, where the doctor dictates consultation, and then forward the note to a medical secretary. The medical secretary writes the notes from the consultation onto the patient’s chart – with the delay it provides. Diabetes patient Julie experience the delays as frustrating, to be asked about the same thing every time she meets a new doctor or nurse, because of the delayed updates on her patient chart.

In another Hospital, the implementation of SR is finished. When the physician has completed a consultation, he immediately dictates the note into the patient chart. The patient chart is therefore updated at all times. Consultations and conversations thereafter happen based on the latest notes.

Julie experience continuity and says spontaneously:
“How nice to see, that you all know about my illness.”

Do the medical secretaries have to be concerned?
Will the medical secretaries become unemployed, when doctors’ dictation is automatically converted into text in the patient chart?

Two leading medical secretaries Lotte Laasholdt from the Medical Department at Kolding Hospital and Betina Clausen from the Department of Orthopaedic Surgery at Kolding Hospital believe that the medical secretaries do not need to be concerned of becoming unemployed. Medical secretaries are central, when it comes to the implementation of SR, in the subsequent continuous quality assurance, and coordination of SR-organisations.

“The SR implementation will provide more time for the patient and coordination of patient progresses. We must remember that the medical secretary still has to write letters to the patient and coordinate referrals”, explains Lotte Laasholdt and Betina Clausen, medical secretaries from Kolding Hospital.

By Health Innovation Centre of Southern Denmark