Department of Gastroenterology, Hanwa Sumiyoshi General Hospital, Osaka, Japan.
2nd Department of Internal Medicine, Osaka Medical and Pharmaceutical University, Osaka, Japan.
J Gastroenterol. 2022 Jan;57(1):1-9. doi: 10.1007/s00535-021-01835-7. Epub 2021 Oct 25.
With the increase in endoscopic procedures, endoscopists are spending more time creating reports. Although medical reports have largely become electronic, most of the current reporting systems require manual operation. This study aimed to evaluate the efficacy of a novel endoscopic reporting system that uses voice recognition (VR) technology.
We retrospectively reviewed consecutive patients who underwent esophagogastroduodenoscopy between September 2019 and March 2020 at a general hospital in Japan. The novel reporting system, used during endoscopic procedures, is equipped with VR and provides automatic responses by playing back recognized words. Differences in total time spent on the endoscopic procedure and report preparation between the manual entry (ME) and VR groups were evaluated using a propensity score matching method.
We enrolled 356 patients: 226 and 130 patients in the ME and VR groups, respectively. Propensity score matching created 101 matched pairs. After matching, the median report preparation time (311 vs. 383 s, P = 0.009) and median total time (765 vs. 842 s, P = 0.053) in the VR group were shorter than those in the ME group. The VR system independently shortened the total and report preparation times by 156 s (95% confidence interval, - 274 to - 37 s; P = 0.009) and 118 s (95% confidence interval, - 220 to - 15 s; P = 0.023), respectively, on multiple linear regression analysis.
The VR system could save the report preparation time and the total time. This novel system may improve the efficiency of endoscopy-related tasks.
随着内镜检查数量的增加,内镜医师花费在书写报告上的时间也越来越多。尽管医学报告在很大程度上已经实现了电子化,但目前大多数报告系统仍需要手动操作。本研究旨在评估一种使用语音识别(VR)技术的新型内镜报告系统的疗效。
我们回顾性分析了 2019 年 9 月至 2020 年 3 月期间在日本一家综合医院接受上消化道内镜检查的连续患者。该新型报告系统在进行内镜检查时配备了 VR 功能,通过播放识别出的语音来自动生成回复。采用倾向评分匹配法评估手动录入(ME)组和 VR 组内镜操作时间和报告准备时间的差异。
共纳入 356 例患者:ME 组 226 例,VR 组 130 例。通过倾向评分匹配,创建了 101 对匹配组。匹配后,VR 组报告准备时间(311 秒比 383 秒,P=0.009)和总时间(765 秒比 842 秒,P=0.053)中位数均短于 ME 组。VR 系统独立地将总时间和报告准备时间分别缩短了 156 秒(95%置信区间,-274 秒至-37 秒;P=0.009)和 118 秒(95%置信区间,-220 秒至-15 秒;P=0.023)。
VR 系统可节省报告准备时间和总时间。这种新型系统可能会提高内镜相关任务的效率。