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Medical documentation is always an issue for healthcare units and clinics. With the implementation of EHR, it is believed that the role of medical transcription has been ruled out. But in reality, transcription is still an integral part of clinical documentation and workflow. With transcription and EHR, the physician’s dictation can be captured and converted into text format accurately while still keeping the transcription cost manageable. This blended approach of transcription and EHR helps deliver accurate and complete clinical documentation for patient care.
Today, with advanced technology like AI or speech recognition, healthcare organizations are now switching to automated transcription. But these advanced technologies cannot match the efficiency of the human transcriptionist. A research published in wired.com showed a comparison of accuracy rates between human transcriptionists and automatic speech recognition software. Human transcriptionists had an error rate of about 4% while commercially available ASR transcription software’s error rate was found to be 12%. This was because machines or newfound software are not capable enough to pick up the human language’s nuances, accents and tones. Following are 4 reasons why human transcription is better than automated transcription.
Clear understanding of dialects and accents: Professional transcriptionists are qualified and more experienced than machines and software and so they can capture any dialect or accent quickly. Transcriptionists can understand any dialect or accent and if they come across any unfamiliar ones, then they can search and come to the right conclusion. But a machine does not have the capability to comprehend different accents or dialects and it leads to mistranslated words or incorrect words that have no clarity or proper understanding.
Accuracy with Medical Transcription
With EHR, many physicians find the checkbox or template method insufficient and inefficient to note down the patient’s health condition. In the case of EHR, physicians either enter the patient details directly into the EHR or dictate using microphone and then edit and enter the data into the EHR. The drawbacks of this process are:
The solution to this problem is the use of transcription while documenting EHR. With voice recognition integrated EHR, physicians can dictate and the physician’s notes are then sent to the transcription department for editing and later uploaded correctly into the EHR. Another alternative is to outsource, the physicians dictate and the audio files are outsourced to a medical transcription company. The skilled transcriptionists transcribe the audio files into patient narratives and then upload into the physician’s EHR using HL7 interface.