1 Safety, Reliability and Human Factors, Systems Analysis Division, Risø National Laboratory for Sustainable Energy, Technical University of Denmark2 Systems Analysis Division, Risø National Laboratory for Sustainable Energy, Technical University of Denmark3 Risø National Laboratory for Sustainable Energy, Technical University of Denmark4 Department of Management Engineering, Technical University of Denmark
This PhD thesis in human-computer interfaces (informatics) studies the case of the anaesthesia record used during medical operations and the possibility to supplement it with speech recognition facilities. Problems and limitations have been identified with the traditional paper-based anaesthesia record, but also with newer electronic versions typically based on touch-screen and keyboard, in particular ergonomic issues and the fact that anaesthesiologists tend to postpone the registration of the medications and other events during busy periods of anaesthesia, which in turn may lead to gaps and inaccuracies in the anaesthesia record. Supplementing the electronic anaesthesia record interface with speech input facilities is proposed as one possible solution to a part of the problem. The testing of the various hypotheses has involved the development of a prototype of an electronic anaesthesia record interface with speech input facilities in Danish. The evaluation of the new interface was carried out in a full-scale anaesthesia simulator. This has been complemented by laboratory experiments on several aspects of speech recognition for this type of use, e.g. the effects of noise on speech recognition accuracy. Finally, the last part of the thesis looks at the acceptance and success of a speech recognition system introduced in a Danish hospital to produce patient records.