{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,13]],"date-time":"2026-06-13T07:21:13Z","timestamp":1781335273461,"version":"3.54.1"},"reference-count":42,"publisher":"Oxford University Press (OUP)","issue":"e1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Objective To review literature assessing the impact of speech recognition (SR) on clinical documentation.<\/jats:p><jats:p>Methods Studies published prior to December 2014 reporting clinical documentation using SR were identified by searching Scopus, Compendex and Inspect, PubMed, and Google Scholar. Outcome variables analyzed included dictation and editing time, document turnaround time (TAT), SR accuracy, error rates per document, and economic benefit. Twenty-three articles met inclusion criteria from a pool of 441.<\/jats:p><jats:p>Results Most studies compared SR to dictation and transcription (DT) in radiology, and heterogeneity across studies was high. Document editing time increased using SR compared to DT in four of six studies (+1876.47% to \u201316.50%). Dictation time similarly increased in three of five studies (+91.60% to \u201325.00%). TAT consistently improved using SR compared to DT (16.41% to 82.34%); across all studies the improvement was 0.90% per year. SR accuracy was reported in ten studies (88.90% to 96.00%) and appears to improve 0.03% per year as the technology matured. Mean number of errors per report increased using SR (0.05 to 6.66) compared to DT (0.02 to 0.40). Economic benefits were poorly reported.<\/jats:p><jats:p>Conclusions SR is steadily maturing and offers some advantages for clinical documentation. However, evidence supporting the use of SR is weak, and further investigation is required to assess the impact of SR on documentation error types, rates, and clinical outcomes.<\/jats:p>","DOI":"10.1093\/jamia\/ocv152","type":"journal-article","created":{"date-parts":[[2015,11,18]],"date-time":"2015-11-18T02:52:46Z","timestamp":1447815166000},"page":"e169-e179","source":"Crossref","is-referenced-by-count":71,"title":["Risks and benefits of speech recognition for clinical documentation: a systematic review"],"prefix":"10.1093","volume":"23","author":[{"given":"Tobias","family":"Hodgson","sequence":"first","affiliation":[{"name":"Centre for Health Informatics, Australian Institute of Health Innovation, Macquarie University, L6 75 Talavera Rd, North Ryde, NSW 2109, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enrico","family":"Coiera","sequence":"additional","affiliation":[{"name":"Centre for Health Informatics, Australian Institute of Health Innovation, Macquarie University, L6 75 Talavera Rd, North Ryde, NSW 2109, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2015,11,17]]},"reference":[{"issue":"1","key":"2020110612362007600_ocv152-B1","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1186\/1472-6947-14-94","article-title":"A systematic review of speech recognition technology in health care","volume":"14","author":"Johnson","year":"2014","journal-title":"BMC Med Inform Decis Mak."},{"issue":"5","key":"2020110612362007600_ocv152-B2","doi-asserted-by":"crossref","first-page":"23","DOI":"10.37549\/AR1246","article-title":"Speech recognition and the creation of radiology reports","volume":"33","author":"Herman","year":"2004","journal-title":"Appl Radiol."},{"key":"2020110612362007600_ocv152-B3","author":"Lawrence"},{"key":"2020110612362007600_ocv152-B4","doi-asserted-by":"crossref","DOI":"10.1007\/978-1-4614-6018-3","volume-title":"Mobile Speech and Advanced Natural Language Solutions","author":"Neustein","year":"2013"},{"key":"2020110612362007600_ocv152-B5","volume-title":"Speech Recognition for the Health Professions: (using Dragon NaturallySpeaking)","author":"Bliss","year":"2005"},{"key":"2020110612362007600_ocv152-B6","doi-asserted-by":"crossref","DOI":"10.1201\/9781420046090","volume-title":"Video, Speech, and Audio Signal Processing and Associated Standards","author":"Madisetti","year":"2009"},{"issue":"1","key":"2020110612362007600_ocv152-B7","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1016\/j.jbi.2008.08.001","article-title":"Improving language models for radiology speech recognition","volume":"42","author":"Paulett","year":"2009","journal-title":"J Biomed Inform."},{"issue":"3","key":"2020110612362007600_ocv152-B8","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1561\/2000000004","article-title":"The application of hidden Markov models in speech recognition","volume":"1","author":"Gales","year":"2008","journal-title":"Found Trends Signal Process."},{"issue":"10","key":"2020110612362007600_ocv152-B9","doi-asserted-by":"crossref","first-page":"1315","DOI":"10.1038\/nbt1004-1315","article-title":"What is a hidden Markov model?","volume":"22","author":"Eddy","year":"2004","journal-title":"Nat Biotech"},{"key":"2020110612362007600_ocv152-B10","volume-title":"Handbook of Natural Language Processing","author":"Indurkhya","year":"2012"},{"key":"2020110612362007600_ocv152-B11","volume-title":"Conditional Random Fields: Probabilistic Models for Segmenting and Labeling Sequence Data","author":"Lafferty","year":"2001"},{"issue":"4","key":"2020110612362007600_ocv152-B12","doi-asserted-by":"crossref","first-page":"264","DOI":"10.7326\/0003-4819-151-4-200908180-00135","article-title":"Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement","volume":"151","author":"Moher","year":"2009","journal-title":"Ann Int Med."},{"issue":"4","key":"2020110612362007600_ocv152-B13","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1037\/h0026256","article-title":"Weighted kappa: nominal scale agreement provision for scaled disagreement or partial credit","volume":"70","author":"Cohen","year":"1968","journal-title":"Psychol Bull."},{"issue":"7","key":"2020110612362007600_ocv152-B14","doi-asserted-by":"crossref","first-page":"1451","DOI":"10.1007\/s003300050869","article-title":"Speech processing in radiology","volume":"9","author":"Hundt","year":"1999","journal-title":"Eur Radiol."},{"issue":"11","key":"2020110612362007600_ocv152-B15","first-page":"1205","article-title":"Voice recognition for radiology reporting: is it good enough? 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