scholarly journals Comparing the Efficiency of Software-Based Speech Recognition Versus Traditional Telephone Transcription in an Outpatient Physical Medicine and Rehabilitation Practice

2020 ◽  
Vol 185 (7-8) ◽  
pp. e1183-e1186
Author(s):  
Amir Minerbi ◽  
Markus Besemann ◽  
Tom Kari ◽  
Christina Gentile ◽  
Gaurav Gupta
Keyword(s):  
Speech Recognition ◽  
Health Services ◽  
Clinical Care ◽  
Armed Forces ◽  
Turnaround Time ◽  
Report Generation ◽  
Significance Level ◽  
Written Text ◽  
Canadian Armed Forces ◽  
The Impact

ABSTRACT Introduction Speech recognition (SR) uses computerized word recognition software that automatically transcribes spoken words to written text. Some studies indicate that SR may improve efficiency of electronic charting as well as associated cost and turnaround time1,2, but it remains unclear in the literature whether SR is superior to traditional transcription (TT). This study compared the impact of report generation efficiency of SR to TT at the Canadian Armed Forces Health Services Centre. Materials and Methods Dragon Medical Dictation™ SR software and traditional telephone dictation TT were used for two prespecified clinical days per week. In order to adjust for note length, total transcription efficacy was calculated as follows: word count/[dictation time + correction time]. The means and standard deviations were then separately calculated for TT visits and for SR visits. Differences in transcription efficacy and in visit measures, including patient demographics, visit duration, number of issues raised during the visit, and interventions performed, were compared using ANOVA, with the significance level set to 0.05. Results A total of 340 consecutive visits were analyzed; 198 were dictated over the phone using TT and 142 were transcribed using SR software. Dictation efficacy was significantly higher (p < 0.0001) for TT as compared to SR, while turnaround times were shorter for SR (0.12 versus 4.75 days). Conclusions In light of these results, the Canadian Forces Health Services Centre in Ottawa has returned to use of TT because the relative inefficiency of report generation was deemed to have a greater impact on clinical care when compared to slower dictation turnaround time.

Perceptions of Canadian Armed Forces Health Services health care professionals on cognitive assessment processes

2021 ◽  
pp. e20200066
Author(s):  
Chelsea Jones ◽  
Lorraine Smith-MacDonald ◽  
Suzette Brémault-Phillips
Keyword(s):  
Health Care ◽  
Health Services ◽  
Cognitive Functioning ◽  
Health Care Professionals ◽  
Brain Injuries ◽  
Armed Forces ◽  
Canadian Armed Forces ◽  
Qualitative Thematic Analysis ◽  
Cognitive Screen ◽  
And Function

Lay Summary Canadian Armed Forces (CAF) Service Members (SMs) experience mild traumatic brain injuries (mTBI), which can affect cognitive functioning. Adequate cognitive functioning is needed to perform military duties safely and function in all aspects of life. A standardized process that includes cognitive screen/assessment within a mTBI rehabilitation strategy is not widely used within Canadian Forces Health Services (CFHS). A qualitative thematic analysis nested within an implementation science approach was used to explore the experiences of 17 CFHS health care professionals who perform cognitive screens/assessments. Perceived facilitators, barriers, and recommendations for improving cog-nitive assessment practices for injured CAF-SMs were identified within 5 themes. Development and implementation of cognitive screen/assessment policies and protocols will enable CFHS to best assess and treat cognitive dysfunction among CAF-SMs.

scholarly journals Peranan Olahraga Beladiri Militer Yongmoodo terhadap Kepercayaan Diri Anggota TNI-AD

2019 ◽  
Vol 5 (1) ◽  
pp. 32-38
Author(s):  
Sandi Dwi Triono
Keyword(s):  
Significant Influence ◽  
Martial Arts ◽  
Sampling Technique ◽  
Armed Forces ◽  
Simple Random Sampling ◽  
Significance Level ◽  
Self Confidence ◽  
Ex Post ◽  
Ex Post Facto ◽  
The Impact

This study aims to determine whether the impact of Yongmoodo military martial sports on the self-confidence of TNI-AD members. The method used is the ex post facto method which is a research method used to solve or answer the problems faced in the current situation. The population in this study were members of the Indonesian Armed Forces in the Army Pangalengan. The sample used amounted to 27 people selected through simple random sampling technique. The instrument used was in the form of a questionnaire with the number of questions used 35 questions with instrument reliability 0.893. The results of the test of significance level indicate that the value of Sig. (2-tailed) of 0,000 smaller than <0.05, which means that there is a significant influence of Yongmoodo martial arts on the confidence of members of the Army. The results of processing the confidence percentage data were 91.78%, with sub-variables of confidence in self-ability 92.59%, optimistic 82.96%, objective 90.33%, and responsible 91.85%, rational and realistic 89, 38%. The conclusion of this study is that there is a significant influence on the yongmoodo military martial arts against the confidence of members of the TNI-AD SECATA, Pangalengan.

scholarly journals Impact of COVID-19 and Partial Lockdown on Access to Care, Self-Management and Psychological Well-being among People with Diabetes: A Cross-sectional Study

2020 ◽  
Author(s):  
Ester Yeoh ◽  
Sooon Guan Tan ◽  
Yingshan Lee ◽  
Ying Yee Low ◽  
Su Chi Lim ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Health Services ◽  
Clinical Care ◽  
Self Care ◽  
Well Being ◽  
Cross Sectional ◽  
Disinhibited Eating ◽  
Health Services Access ◽  
The Impact

Background The impact of lockdown measures can be widespread, affecting both clinical and psychosocial aspects of health. This study aims to assess changes in health services access, diabetes self-care, behavioral and psychological impact of COVID-19 and partial lockdown in Singapore. Methods We conducted a cross-sectional online survey amongst people with diabetes with the Diabetes Health Profile-18 (DHP-18). Hierarchical regression analyses were performed for each DHP-18 subscale (Psychological Distress, Disinhibited Eating and Barriers to Activity) as dependent variables in separate models. Results Among 301 respondents, 45.2% were women, majority were ethnic Chinese (67.1%), aged 40 to 49 years (24.2%), have Type 2 diabetes (68.4%) and on oral medications (42.2%). During the lockdown, nearly all respondents were able to obtain their medications, supplies (94%) and contact their doctors (97%) when needed. Respondents reported less physical activity (38%), checking of blood pressure (29%) and blood glucose (22%). Previous diagnosis of mental health conditions (β=11.44, p= 0.017), diabetes-related comorbidities (β= 3.98, p= 0.001) and Indian ethnicity (β= 7.73, p= 0.018) were significantly associated with higher psychological distress. Comorbidities were associated with higher disinhibited eating (β= 2.71, p= 0.007) while mental health condition was associated with greater barriers to activities (β= 9.63, p= 0.033). Conclusion Health services access were minimally affected but COVID-19 and lockdown had mixed impact on self-care and management behaviors. Greater clinical care and attention should be provided to people with diabetes with greater number of comorbidities and previous mental health disorders during the pandemic and lockdown.

A qualitative analysis of the impact of potentially morally injurious experiences in the Canadian Armed Forces

2020 ◽  
Vol 6 (1) ◽  
pp. 67-69
Author(s):  
Stephanie A. Houle ◽  
Colin Vincent ◽  
Rakesh Jetly ◽  
Andrea R. Ashbaugh
Keyword(s):  
Qualitative Analysis ◽  
Armed Forces ◽  
Canadian Armed Forces ◽  
The Impact

scholarly journals Risks and benefits of speech recognition for clinical documentation: a systematic review

2015 ◽  
Vol 23 (e1) ◽  
pp. e169-e179 ◽  
Author(s):  
Tobias Hodgson ◽  
Enrico Coiera
Keyword(s):  
Speech Recognition ◽  
Economic Benefit ◽  
Turnaround Time ◽  
Economic Benefits ◽  
Review Literature ◽  
Error Rates ◽  
Clinical Documentation ◽  
Inclusion Criteria ◽  
Risks And Benefits ◽  
The Impact

Abstract Objective To review literature assessing the impact of speech recognition (SR) on clinical documentation. Methods Studies published prior to December 2014 reporting clinical documentation using SR were identified by searching Scopus, Compendex and Inspect, PubMed, and Google Scholar. Outcome variables analyzed included dictation and editing time, document turnaround time (TAT), SR accuracy, error rates per document, and economic benefit. Twenty-three articles met inclusion criteria from a pool of 441. Results Most studies compared SR to dictation and transcription (DT) in radiology, and heterogeneity across studies was high. Document editing time increased using SR compared to DT in four of six studies (+1876.47% to –16.50%). Dictation time similarly increased in three of five studies (+91.60% to –25.00%). TAT consistently improved using SR compared to DT (16.41% to 82.34%); across all studies the improvement was 0.90% per year. SR accuracy was reported in ten studies (88.90% to 96.00%) and appears to improve 0.03% per year as the technology matured. Mean number of errors per report increased using SR (0.05 to 6.66) compared to DT (0.02 to 0.40). Economic benefits were poorly reported. Conclusions SR is steadily maturing and offers some advantages for clinical documentation. However, evidence supporting the use of SR is weak, and further investigation is required to assess the impact of SR on documentation error types, rates, and clinical outcomes.

scholarly journals Exploring the experience of receiving Canadian Armed Forces’ mental health services

2021 ◽  
Author(s):  
Erin O'Rourke
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Narrative Analysis ◽  
Work Practice ◽  
Armed Forces ◽  
Social Work Practice ◽  
Mental Health Stigma ◽  
Negative Effects ◽  
Canadian Armed Forces

This study uses a narrative approach to explore the experience of receiving mental health services within the Canadian Armed Forces (CAF). Data was collected from media sources where interviews were conducted with current and former CAF members about their experiences with the CAF’s mental health services. Thematic narrative analysis was used to interpret themes that emerged within participants’ stories and to identify similarities and differences across stories. Findings included the experience of structural difficulties when accessing the CAF’s mental health services, the negative effects of mental health stigma, fears related to disclosing issues of mental health and the need for changes to the CAF’s mental health system. The study also presents a preliminary discussion on the relevance of anti-oppressive social work practice for the CAF’s mental health services. Also detailed is the process of completing the research including the challenges encountered when attempting to access the population and recruit participants.

scholarly journals A systematic review of the impact of the Alpha and Gamma variants of concern on hospitalization and symptomatic rates of SARS-CoV-2

2021 ◽  
Author(s):  
Alexandra Schroeder ◽  
Matthew R. MacLeod
Keyword(s):  
Systematic Review ◽  
Relative Risk ◽  
Severe Acute Respiratory Syndrome ◽  
Odds Ratio ◽  
Armed Forces ◽  
Canadian Armed Forces ◽  
Age Related ◽  
Two Parameters ◽  
The Impact ◽  
Epidemiological Parameters

AbstractThe hospitalization and symptomatic rates of Severe Acute Respiratory Syndrome Coronavirus Disease 2019 (SARS-CoV-2) are key epidemiological parameters affecting risk analyses conducted for the Canadian Armed Forces (CAF) during the Coronavirus Disease-19 (COVID-19) pandemic. As one of the criteria of a variant of concern (VOC) is that it affects disease severity, the authors sought to understand whether the Alpha and Gamma VOCs are significantly different in these two parameters than the original wildtype of SARS-CoV-2, the most prevalent in relevant areas of Canada as of study initiation. Searches for studies were conducted in Scopus and PubMed, and located through following citations and receiving studies from daily literature scans. For the hospitalization outcome, effect ratios relative to original wildtype were included. For the symptomatic ratio, the ratio itself for each variant was used. Analysis of age-related effects was of particular value, as CAF members are primarily adults under the age of 60. The firmest conclusion of this review is that the Alpha VOC comes with a higher relative risk of hospitalization compared to the original wildtype, most likely above 1.4, while unlikely to be above 2, with the balance of evidence being that the relative risk is not significantly modified by age. The evidence for Gamma is more limited, but the odds ratio may be above 2, and potentially much greater than that, especially for those 20-39 years of age. For both VOCs reports on symptomatic ratio differed on whether there was an effect, as well as its potential direction.

scholarly journals Exploring the experience of receiving Canadian Armed Forces’ mental health services

2021 ◽  
Author(s):  
Erin O'Rourke
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Narrative Analysis ◽  
Work Practice ◽  
Armed Forces ◽  
Social Work Practice ◽  
Mental Health Stigma ◽  
Negative Effects ◽  
Canadian Armed Forces

This study uses a narrative approach to explore the experience of receiving mental health services within the Canadian Armed Forces (CAF). Data was collected from media sources where interviews were conducted with current and former CAF members about their experiences with the CAF’s mental health services. Thematic narrative analysis was used to interpret themes that emerged within participants’ stories and to identify similarities and differences across stories. Findings included the experience of structural difficulties when accessing the CAF’s mental health services, the negative effects of mental health stigma, fears related to disclosing issues of mental health and the need for changes to the CAF’s mental health system. The study also presents a preliminary discussion on the relevance of anti-oppressive social work practice for the CAF’s mental health services. Also detailed is the process of completing the research including the challenges encountered when attempting to access the population and recruit participants.

scholarly journals 1717. The Impact of Routine Molecular Point-of-care Testing for Gastrointestinal Pathogens in Adults Hospitalized With Suspected Gastroenteritis: Results of a Pragmatic Randomized Controlled Trial (GastroPOC)

2018 ◽  
Vol 5 (suppl_1) ◽  
pp. S51-S51
Author(s):  
Ahalya Malachira ◽  
Kate Beard ◽  
Nathan Brendish ◽  
Tristan Clark
Keyword(s):  
Infection Control ◽  
Point Of Care ◽  
Controlled Trial ◽  
Clinical Care ◽  
Infection Control Measure ◽  
Group Versus ◽  
Antibiotic Use ◽  
Turnaround Time ◽  
Control Group ◽  
The Impact

Abstract Background Adults hospitalised with diarrhoea are routinely isolated as an infection control measure, but many have non-infectious etiology. Side room facilities are a limited resource in hospitals. Routine laboratory testing takes several days to generate results but rapid molecular platforms can test comprehensively for GI pathogens and generate a result in 1 hour, making them deployable as point-of-care tests (POCT). POCT could reduce unnecessary isolation facility use in addition to other benefits. Methods In this pragmatic, pilot randomised controlled trial, adults hospitalised with suspected gastroenteritis were recruited and randomised 1:1 to receive either POCT (using the FilmArray GI panel) or routine clinical care. Results of POCT were communicated directly to clinical and infection control teams. The primary outcome was duration of time in a side room and secondary outcomes included turnaround time, proportion of patients with a pathogen detected, proportion of patients correctly de-isolated, time to de-isolation, antibiotic use and length of hospital stay. Results 140 patients were recruited. Groups (n = 70) were well matched in terms of baseline characteristics. The median [IQR] turnaround time for results was 1.7 [1.6–2.3] hours in the POCT group and 61 [49–84] hours in the control group, P &lt; 0.0001. Pathogens were detected in 44% of patients in the POCT group and 23% in the control group; P = 0.012. Overall the duration of side room isolation was 1.9 [1.0–2.9] days in the POCT group compared with 2.7 [1.8–5.1] days in the control group; P = 0.001. For those testing negative for pathogens this was 1.3 [0.8–2.5] days in the POCT group versus 2.7 [1.8–5.0] days in the control group, P &lt; 0.0001. 63% of pathogen-negative patients were correctly de-isolated in the POCT group versus 28% in the control group, P = 0.0012. Antibiotic use and length of stay data will be available subsequently. Conclusion POCT using the FilmArray GI panel resulted in a substantially reduced turnaround time for results and an increase in the proportion of patients with pathogens correctly detected. POCT was associated with a reduction in the duration of unnecessary side room use. If these benefits are confirmed in further studies and cost effectiveness is demonstrated, molecular POCT for GI pathogens should replace current diagnostic pathways. Disclosures T. Clark, BioFire LLC: Collaborator, Research support and Speaker honorarium. NIHR: Grant Investigator, Grant recipient.

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