title: Toward Successful Implementation of Speech Recognition Technology: A Survey of SRT Utilization Issues in Healthcare Settings.
abstract: OBJECTIVE
  To evaluate physician utilization of speech recognition technology (SRT) for medical documentation in two hospitals.
  
  
  METHODS
  A quantitative survey was used to collect data in the areas of practice, electronic equipment used for documentation, documentation created after providing care, and overall thoughts about and satisfaction with the SRT. The survey sample was from one rural and one urban facility in central Missouri. In addition, qualitative interviews were conducted with a chief medical officer and a physician champion regarding implementation issues, training, choice of SRT, and outcomes from their perspective.
  
  
  RESULTS
  Seventy-one (60%) of the anticipated 125 surveys were returned. A total of 16 (23%) participants were practicing in internal medicine and 9 (13%) were practicing in family medicine. Fifty-six (79%) participants used a desktop and 14 (20%) used a laptop (2%) computer. SRT products from Nuance were the dominant SRT used by 59 participants (83%). Windows operating systems (Microsoft, Redmond, WA) was used by more than 58 (82%) of the survey respondents. With regard to user experience, 42 (59%) participants experienced spelling and grammatical errors, 15 (21%) encountered clinical inaccuracy, 9 (13%) experienced word substitution, and 4 (6%) experienced misleading medical information.
  
  
  CONCLUSIONS
  This study shows critical issues of inconsistency, unreliability, and dissatisfaction in the functionality and usability of SRT. This merits further attention to improve the functionality and usability of SRT for better adoption within varying healthcare settings.
authors.affiliation: From the Informatics Institute, and the Department of Health Management and Informatics, University of Missouri, Columbia.
authors.forename: Martina A
authors.initials: MA
authors.lastname: Clarke
authors.affiliation: From the Informatics Institute, and the Department of Health Management and Informatics, University of Missouri, Columbia.
authors.forename: Joshua L
authors.initials: JL
authors.lastname: King
authors.affiliation: From the Informatics Institute, and the Department of Health Management and Informatics, University of Missouri, Columbia.
authors.forename: Min Soon
authors.initials: MS
authors.lastname: Kim
mesh_terms: D003258:Consumer Behavior; D003625:Data Collection; D003695:Delivery of Health Care / Q000379:methods*; D004282:Documentation / Q000379:methods*; D006801:Humans; D016347:Medical Records Systems, Computerized / Q000295:instrumentation*; D008923:Missouri; D020380:Needs Assessment; D010820:Physicians / Q000523:psychology*; D011364:Professional Practice / Q000592:standards; D049250:Speech Recognition Software / Q000592:standards / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D014584:User-Computer Interface