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J Am Med Inform Assoc 6:195-204 doi:10.1136/jamia.1999.0060195
  • The Practice of Informatics

Continuous Speech Recognition for Clinicians

Table 4

Questions To Ask a Speech System Vendor

Usability issues:
  • Is there a dictionary or language model available for my dictation context?

    • Can the system learn new words from imported documents?

    • Does the dictionary have specific abbreviations that I will use?

    • Is the language model good enough to distinguish between commonly used tenses of a word?

  • How easy is it to correct errors on the fly? Do I need to use the mouse or keyboard while correcting errors, or can I use voice alone?

  • Can I create templates and macros to simplify complex dictation tasks?

  • Can I use voice commands to navigate a document and correct errors?

  • What is the baseline machine configuration I need for the system to keep up with my dictation speed—what speed processor, how much RAM, and how fast a hard disk?

  • How large are the speech files, and how long will it take to load speech files when switching between users?

  • How good is the dictation accuracy if my voice changes (e.g., if I have a cold)?

    • Will I need to retrain for a short time if this happens?

    • How clearly must I speak in order for the system to understand my voice (i.e., how much slurring does it tolerate)?

  • How well is the system able to deal with pauses and stray sounds? (Must I speak continuously, or can I take breaks between sentences while I think?)

System issues:
  • Will I need to upgrade my system to use the speech recognition product?

    • Can I use the product on my laptop system?

    • What sound hardware and microphone do I need?

  • Does the system permit dictation into other applications (e-mail systems, word processors)?

  • Is there a mechanism for integrating the speech software with my medical record system?

    • Can the system import data (medication lists, laboratory reports) from other applications?

    • Can I dictate directly into a note field in my medical record system?

    • Will voice commands work inside the medical record system?

  • Can the system run in a network environment?

    • Can I transport my speech files from one computer to another, or will I need to retrain on the new computer?

    • How long will it take to download speech files from a central server (i.e., how large are the speech files)?

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