A couple factors must be addressed when evaluating time efficiency and accuracy in the use of dictation software. One of the greatest factors that must be taken into account is the amount of training and resources healthcare professionals receive when being introduced to dictation software. In her blog, Daphne Gray-Grant discusses the benefits of dictation over typing when writing for a publication. Although this source does not pertain to the field of healthcare, the process of adjustment is the same. In fact, the dictation software she chose to explore was Dragon Dictate by Nuance, one of the most commonly used softwares in the healthcare field. She discusses her first attempt with the software and mentioned that the errors with the software made her so frustrated that she could not continue using it. However, a few years later, she attempted to try voice dictation a second time, hiring a consultant to help understand how to use the software properly. This time, she was able to make effective use of the software after only an hour of training (Gray-Grant). This exemplifies how important training is to effectively using dictation software. Unfortunately, the levels of training that are able to be provided to healthcare professionals will not be uniform across institutions, making it difficult to accurately assess the effectiveness of dictation software. In addition, it was noticed that the resources that are provided along with the dictation software vary greatly even across studies. In some studies, training, licenses, and relevant devices were provided to all participants (Fernandes et al.). In others, there was prompt on-site technical support, maintenance, and upgrades were readily accessible (Joseph). Yet there were also studies where speech recognition software was solely provided (Derman). The variance in resources and training able to be provided greatly impact the evaluation of dictation software. It is also worthy to note that the quality of medical documentation is quite difficult to examine. With these limitations, evaluating whether dictation software improves efficiency for healthcare professionals becomes more theoretical (Fernandes).