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Speed: Is dictation a faster method?

One of the major benefits of dictation software has been that it is a faster method to traditional typing, but this argument has been quite controversial. An article focused on evaluating physician’ ratings and preferences of speech recognition technology found that there was no clear perceived benefit of its usage in terms of usability, data entry time savings, impact on quality of care and quality of documentation, and impact on clinical and administrative workflow (Derman). Another physician expresses his discontent regarding dictation software being a more efficient method through a public question-answer forum, Quora. He refers to the Dragon Medical Dictation system, the most common form of dictation software, stating that dictation is already used quite prevalently in the medical field, but that the software does not facilitate the process of documentation: “EMR [electronic medical record] does not save time, in fact it takes more time if you are going to use it properly…” (Keyes). Alternatively, in a systematic review of ten studies on nursing documentation, nearly 60% of ED-based nurses found that speech recognition facilitated documentation and speech recognition was 3x faster than keyboard-based documentation (Joseph). Out of a group of twelve, 50% of physicians favored the use of SR. As expected, those accustomed to typing were found to be less likely to prefer the use of speech recognition (Derman). In fact, a cardiology nurse practitioner at Hudson Valley Heart Center, even stated that “software can translate her speech to text faster and more accurately than she can type— and she can type fast” (Conn). It is important to note here that typing speed varies per individual so it is difficult to truly compare whether dictation or typing would be more time efficient. However, when evaluating the typing skills of 104 residents at New York Methodist Hospital, it was found that the average typing speed was 30.4 WPM (Kalava et al.). In contrast, average talking speed was found to range from 110 to 150 WPM (Kumah-Crystal et al.). Additionally, a 2018 research article evaluated the use of Dragon dictation software among a group of 55 physicians. It was evident that the active number of users decreased throughout the study, but it was also noted that those who used dictation spent less time documenting (Fernandes et al.). Demonstrating that speech-recognition technology could reduce the time spent on documentation is crucial in transforming how time could be better spent on patient care as a 2008 study showed that nurses spend more time on documentation than direct patient care (Conn). By providing a faster method of medical documentation, healthcare professionals would be able to focus greater time and attention on patient care. 

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