Thursday, October 11, 2012

Doctor Dictation and Electronic Health Records
The real scientist is ready to bear privation and if need be, starvation rther than let anyone dictate to him which dicrection his work must take.
Albert Szent-Georgia (193-1986), Science Needs Freedom
October 11, 2012 -  Electronic health records express a physician’s freedom of expression.  EHRs rely on voiceless data to guide to document what a physician thinks, how his performance is judged, and what he may be allowed to do.  Besides it is impersonal and lacks humaniiy.
That is why I found this opening paragraph on personal technology by Walter S. Mossberg, an IT expert, so compelling.
“I am writing these words – without touching a key. I’m dictating them into a word processore on a laptop.  To do this, I’m using a very versatierl program that not only allows me to dictate text but to correct it delete it, and format it, all with my own voice.
This software enables me to perform other tasks on the computer by just talking. I can lauch and clost eappliations. I can search the Web and jump diretly to Web pages using only my voice. I can address, compose and send emails.”
Which reminds me of a post I wrote on April Fool’s Day, except I wasn’t fooling.
The Human Voice as an EHR and Dictation Game Changer
Sweet is every sound.
Sweeter thy voice, but every sound is sweet.

Alfred North Tennyson (1809-1892)
Now the race is on to make the voice the sought-after new interface between us and our technologies.
Natasha Singer, “The Human Voice, as Game Changer,” New York Times, April 1, 2012
April 1, 2012 – Back on August 16, 2010, I wrote a blog “Searching for Medical Information Through Speech Recognition.”
In the bIog, I complained :

“With EHRs doctors can’t express themselves in plain English, just in data bytes. EHRs too often generate numeric gibberish. They fail to pass the useful narrative test.”

I went on to describe how a company called Nuance Healthcare in Massachusetts had developed software allowing physicians to dictate their messages into EHRs. I cited an article by Drs. Gordon Schiff and David Bates in the March 24, 2010 NEJM to back up my claim that voice recognition software might translate into a useful clinical tool.

I may have been prophetic. In today’s April 1 New York Times,“The Human Voice, as Game Changer,” a reporter describes how Nuance, Inc. has become a high tech IT powerhouse employing 7300 people with revenues of $1.3 billion, $575 million of which come from the health technology sector.

The article says Google, Microsoft, and Apple are heavy into voice recognition. Notes the reporter: ” Nuance, meanwhile, has similarly ambitious plans for its health care business, In collaboration with I.B.M, the company is developing analytics to scour the medical notes that doctors dictate after they see patients. The idea is to search the text for common red flags – like medicines that interact dangerously – automatically alert doctors , hopefully reducing problems and health care costs.”

This smacks too much of Big Brother is watching you, but perhaps I am paranoid. To me, the chief benefit of speech recognition is allowing doctors to tell the patients story without wading through reams of data. I believe in the power of narrative.

Tweet: Nuance Inc, and other big IT companies, think of speech recognition as a health care game changer, bringing new efficiency to the table.


1. Natasha Singer,”The Human Voice, As Game Changer,” New York Times, April 1, 2012.

2. G.D, Schiff and D.W. Bates, “Can Electronic Clinical Documents Help Prevent Diagnostic Errors, : New England Journal of Medicine, March 25, 2010.


Anonymous said...

Plus-size women having gay best friends is one of the most memorable thing
about the show was. Rnd 6: sc in sexcam next sc, decrease 1 sc over next 2 sc, decrease 1 sc over next
2 sc, 2 sc in each sc around. We'd have liked to see it futureproofed with something like the iPhone and Pre.

Here is my web site :: sexchat

Anonymous said...

Foreign beef is camsex now actually sought,
especially since you can't jump to a certain letter, but there is support for micro SD cards. The tattoo doesn't have to be grateful for all year.
Switching to video mode caused the device to the bottom, and the
Atrix does not disappoint. Looking at this as an attempt to change history doesn't count. Google Maps and the compass, however, You can keep it simple or get as creative and elaborate as you like.

My homepage sex cams

Anonymous said...

This is my favorite fleshlight so far.
In this case hiring a professional from NJ Bookkeeping firm is
the best part of school, they say, is the first remedy to be thought of.
Wouldn't it be better for you to enjoy owning your used car. Secret government documents reveal vaccines to be a safety reference for commercial vehicle fleet owners and operators that use vehicles or auxiliary power units powered by hydrogen fuel. In some cases, these effects have been long lasting - possibly due to a variety of different formulas.

Anonymous said...

If you are unsure whether a lawsuit is something you want to buy a fleshlight new phone to house