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Speech "wreck" is making me crazy! - UsedToLoveMT
Posted: Apr 12, 2013
Anyone else notice more reports showing up with SR instead of TR lately? I have several on my accounts that seem to have been added lately that should not ever be on SR. These are not situations that the speech engine is ever going to "learn." It takes human ears to deciper their "words." These dictators are just awful. You know the ones...they talk so fast they don't finish the sentence and let you guess what it's supposed to be, chop off words mid thought, etc. Well, of course SR cannot figure it out, so I end up having to insert words all throughout the report to make full sentences. I go through so much more nonsense having to edit this crap that my hands are killing me after I finish these reports, so much worse than just typing - it's unreal. I have another doctor, ESL, who was on TR for years, then all of a sudden, there he is on SR. I don't transcribe for him - I INTERPRET for him, his English is so bad. I saw him on SR and literally said out loud to no one "you have got to be kidding me." It is so much harder to turn out a quality report on SR with these tough dictators since there is just too much room for error. There's so much to do! You're listening, you're reading, you're deleting, you're retyping -- so much more difficult than just listening and typing! And of course you're doing all the usual MT duties of researching and proofreading on top of all of this. It's just really getting to me, all of this, expecting 99.5 accuracy to fix these messes, firing people left and right for God knows why, hiring new people for pennies, and now all of this "corporate is watching" BS. It's all so demeaning. I'm an educated, adult woman for Pete's sake. Stop treating me like some sort of subservient peasant!
Well this post wasn't supposed to be a full-on rant, but there it is. Kind of snowballed on me. Thanks for listening.
For your information SR never learns - Knowingone
[ In Reply To ..]I donĂ¢€™t care if ESL or not. I have now worked on VR for over 6 years, the same account, never changed and the absolute best of the best now have serious errors that I change day after day. I am sure I lost about $20.00 on the work day today, just no way to do the amount I want when sentence after sentence has numerous errors to fix. It is bad enough trying to just figure out who a copy goes to, if the patient comes in without identification, have to look for that, an assistant that you do not have the name for, they know but you donĂ¢€™t. I am tired tonight and more than that ticked off because no one seems to understand that not only can we not do the amount we want but how much it demeans us to sit around changing and changing and yet VR does not change.
Here's what fascinates me - about VR "learning" or not
[ In Reply To ..]I work for a hospital that uses DocQScribe/Fluency.
When they switched us to VR, the drafts were originally word salad.
Our department heads were all over M*Modal about the lousy quality. Of course, they were told (and, in turn, assured us) that VR would "learn."
Interestingly, it DID. The drafts certainly still aren't great, but they got considerably better...
...until our department heads calmed down and quit threatening M*Modal that the hospital would take its business elsewhere. At which point, VR stopped learning. Entirely. As so many MTs here have remarked, it will repeat the same really obvious error over and over and over again, even on really good, clear dictators. It honestly never seems to learn a thing. Yet it did -- until my bosses/M*Modal's "customers" were placated.
I'm convinced that there's something M*Modal has to do "extra" -- that costs them money -- in order for VR to "learn."
I suspect that the VR "learning" really involves intervention of some kind by humans. (Presumably in India, but still, not having to pay them at all is still cheaper than the pennies they pay when they have to make VR seem to "learn.") Sort of a "mechanical Turk" con (see link below).
SnowBunny here, who I gather has a lot of experience using Dragon herself, posted something at some point that seemed to me to support this theory, that in order for the VR to "learn," there has to be human intervention.
You are 100% correct, known for a fact - Knowingone
[ In Reply To ..]VR should be "tweaked" ever so often. It was nearly word perfect when I learned in the hospital setting before going home before being outsourced and now, a total hot mess. I have almost perfect speaking doctors that their reports have been almost perfect in the past. I have done these too long not to know, did them before the company had them even. I know how they were, cannot tell me any different. VR can go along almost fine and then it will do something quirky maybe did not do say 4 months ago. For instance right now the system I work on has decided to paragraph when and whenever for whatever reason it wants, no reason behind it, can be in the middle of a sentence. I have reports that are nothing but salad. I asked the higherups to please, please see about tweaking, fell on deaf ears. Snowbunny knew what she was talking about but these companies now days too afraid to say anything at all to the people they receive the work from, afraid they will lose it. We are expected to be almost letter A perfect and yet what do we have to work with? Horrible working conditions, not only the ESLs but doctors dictating from surgery where equipment is being broken down, that interfers with VR, people seemingly partying around the dictating stations, plus having the telephones blast off in your ears because they are put too close to the microphone, people who donĂ¢€™t care how they dictate, donĂ¢€™t start me on people smacking and going on. I had a bad day today. I try to always make a certain amount and there was no way I could get there today. Not my fault and I feel no one cares, only if we put a comma in the wrong spot.
Sure it learns - old and burned out
[ In Reply To ..]It has learned to type "tendonitis" instead of "tendinitis."
My line count is taking a beating tonight too. - Too many corrections.
[ In Reply To ..]Too many corrections and too much punctuation to add. With commas not being added, and patients having numerous medications plus numerous medical conditions, I spend a big chunk of time just adding commas. Add to that, of course, the massive editing and time-consuming formatting. All things you do on the fly when straight typing.
I would F11 that doctor, noting in the Remedy ticket that this doctor should not be on ASR and send the document number and same note to your TSM and QA leader.
Crazy too - MT
[ In Reply To ..]Within the past week a certain work type for a hospital I do has gone ASR. This hospital requires a standard for their PE...all red headings, space between headings...which ASR doesn't pull in so I have to add the standard, cut and paste each section or else just add the red headings as I go and rearrange them into the proper order. This account doesn't have the "type as transcribed" statement at the top of the report and was told I had to manually add the standard..waste of time! I also believe you hear what you see sometimes..if something is questionable you tend to hear what ASR has..not that it is always correct and when it is wrong we will be sure to hear about it.
Something else I have been seeing a lot and really baffles me is words in ASR that were never dictated..no people talking in the background that it maybe picked up. Really odd because these things seem like they "fit" in the dictation...more time consuming BS. Lower rates for ASR is a joke..most of us can type faster than we can edit!
ASR inserting words not dictated.... - UsedToLoveMT
[ In Reply To ..]THAT is one of my biggest gripes of late, and it is happening more and more. It will either insert words/phrases not dictated or leave off important information. There are so many dangerous errors with this software, which is why that 99.5 accuracy thing is ludicrous! I agree with the above poster who mentioned sometimes you think you hear what SR typed - now that is REALLY dangerous. It's kind of like when you worked in a hospital and you ask your co-worker to take a listen -- you don't tell them what you think it is, you wait until they listen so you don't "influence their ears" on what the word might be. SR is "influencing our ears" all day long.
Yes - MT
[ In Reply To ..]Especially dosages or hyper/hypos...drive me nuts! I worry about the inserts also, not sure where it comes from. Like I said a lot of time what is there actually fits and makes sense but was never said.
ASR making random substitutions... - so weird
[ In Reply To ..]Dictator said "information discussed with the patient's daughter." ASR typed "information discussed with patient's wife and son." Why?? It was very clear. Also had a doctor dictate "diagnosis - Bipolar disorder...". ASR typed "diagnosis - schizophrenia bipolar disorder..." Just why?? I don't understand what makes SR do this. It's very weird, of course annoying, and very dangerous.
agree it is very dangerous - anon
[ In Reply To ..]I too don't like the substitutions ASR does or in the case of a report I did recently, the medicine dictated was Renax 5.5 mg, but ASR "picked up" Ranexa 5.5 mg. I knew Ranexa didn't come in a strength like 5.5 so I did some checking and found it was Renax. But I've been doing this 30 plus years. Would a less experienced person go with Ranexa without double checking, thinking ASR was right? I know it must be frustrating for some doctors dealing with it because they will spell things that are so obviously enuciated clearly by them; maybe they've been burned a bit with ASR and inexperienced transcriptionists?
My husband and son have commented how many times I sigh during a work day, the majority of those sighs are because of what ASR "types" versus what is actually dictated.
I go back and proofread all my reports; it is interesting even with years of experience, there will be that occasional ASR incorrect word that slips in because like others said, how our brains are being trained.
MM ASR is now designed to insert phrases. - dnr
[ In Reply To ..]When it hears the first part of a often-used phrase, it will output that phrase. Finally got an IT to admit that as they had denied ASR was adding words. It is so dangerous because, as someone else mentioned, what you hear can be influenced by what you see. Add to that, if it is the 7th hour of an 8-hour day, total accuracy is more difficult.
I have had ER output for disposition "discharged home in stable condition" when the doctor actually dictated "admitted in critical condition" !
If a person is not 100% fluent in English without conscious effort to interpret English, a patient can be really big trouble.
ASR and actual practices by users, not best and prescribed practices, is frightfully dangerous.
And insert it does (Hee-hee)!! - FossilMT
[ In Reply To ..]Just had a report where the doctor stopped dictating and was doing some very loud heavy breathing while he paused. ASR typed an entire paragraph of "it would it would it would it would...", interpreting his inhalations as "it" and his exhalations as "would".
I actually had a report where an entire paragraph was inserted. - it fit too
[ In Reply To ..]An entire paragraph during a very quiet pause, and it was congruent with the op report and very perfect too. Absolutely scary and never would have been caught without 100% listen, and I wonder if the doctor would have noticed (if he read it).
I havent typed a report in so long - all of my work is SR
[ In Reply To ..]I have been doing SR since 2006. In the last 2 years, I dont think I have typed more than 1 report a day.
Oh well.
And? - MT
[ In Reply To ..]And has your line count doubled like them seem to think? The only ones who make more from ASR are the slower typists.
So sorry it isnt just me whose hands hurt worse on ASR - sm
[ In Reply To ..]I honestly thought it was part of my other neck/back problems causing it..Hey I used to work for a company, not a related field, where we proved that one of their practices was medically bad...and they had to change it...anyone else having problems and maybe we can try and get rid of this garbage..
my right hand is horribly worse - with ASR
[ In Reply To ..]Due to the arrows and delete. Severe pain after doing ASR for 7 years. Been doing transcription for 17 years and when I type, no problems.
I actually ended up with de Quervain's... - in my right wrist...
[ In Reply To ..]from doing SR. Since all the "editing" keys, backspace, delete, arrows are on the right, the right hand takes a beating for sure. All the years of typing, never a problem, not even carpal tunnel.
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