Electronic Health Record Interactions through Voice: A Review.

Appl Clin Inform

Department of Biomedical Informatics, Vanderbilt University Medical Center, Vanderbilt University, Nashville, Tennessee, United States.

Published: July 2018

AI Article Synopsis

  • Usability issues in electronic health records (EHR) have led to inefficiencies in workflows, prompting the exploration of voice input technology as an alternative to traditional interfaces.
  • A systematic review of literature identified 61 relevant studies focusing on the application of voice technology in health care, including documentation and patient navigation aspects.
  • The article discusses both the benefits and challenges of implementing voice technologies in EHRs while highlighting potential future opportunities for voice assistants in health care settings.

Article Abstract

Background: Usability problems in the electronic health record (EHR) lead to workflow inefficiencies when navigating charts and entering or retrieving data using standard keyboard and mouse interfaces. Voice input technology has been used to overcome some of the challenges associated with conventional interfaces and continues to evolve as a promising way to interact with the EHR.

Objective: This article reviews the literature and evidence on voice input technology used to facilitate work in the EHR. It also reviews the benefits and challenges of implementation and use of voice technologies, and discusses emerging opportunities with voice assistant technology.

Methods: We performed a systematic review of the literature to identify articles that discuss the use of voice technology to facilitate health care work. We searched MEDLINE and the Google search engine to identify relevant articles. We evaluated articles that discussed the strengths and limitations of voice technology to facilitate health care work. Consumer articles from leading technology publications addressing emerging use of voice assistants were reviewed to ascertain functionalities in existing consumer applications.

Results: Using a MEDLINE search, we identified 683 articles that were reviewed for inclusion eligibility. The references of included articles were also reviewed. Sixty-one papers that discussed the use of voice tools in health care were included, of which 32 detailed the use of voice technologies in production environments. Articles were organized into three domains: Voice for (1) documentation, (2) commands, and (3) interactive response and navigation for patients. Of 31 articles that discussed usability attributes of consumer voice assistant technology, 12 were included in the review.

Conclusion: We highlight the successes and challenges of voice input technologies in health care and discuss opportunities to incorporate emerging voice assistant technologies used in the consumer domain.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6051768PMC
http://dx.doi.org/10.1055/s-0038-1666844DOI Listing

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