this post was submitted on 16 Feb 2024
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Privacy
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Will they allow you to use your own non-cloud solution? As long as you turn in text documents and they don't have to pay a person to transcribe, they should be happy. There are a number of speech to text apps you can run locally on a laptop, phone, or tablet.
But of course, it's sometimes about control and exercising their corporate authority over you. Bosses get off on that shit.
Not sure which type of doctor you are, but there's a general shortage of NPI people. I hope you can fight back with some leverage. Best of luck.
It will not be possible to use my own software. The computer environment is tightly controlled. If this is implemented my only input device to the medical records will be the AI transcriber (stupidity).
I'm a psychiatrist in the field of substance abuse and withdrawal. Sure there's a shortage of us too but I want the hospital to understand the problem, not just me getting to use a old school secretary by threatening going to another hospital.
I understand that you keep steering away from legal arguments, but that can't be legal either. How could a doctor not have direct, manual access to patient records?
Anyway, practical issues:
You need some way to manually interact with patient records in the inevitable event the AI transcription gets it wrong. It only takes one time messing up transcription on something critical and you have a fucking body on your hands. Is your hospital prepared to give patients the wrong dosages because background noise or someone else speaking makes the AI mishear? Who would be held responsible in the case of mistreatment due to mistranscription? Is your hospital willing to be one of the first to try and tackle that legal rats nest?
A secretary is able to do a sanity check that what they heard make sense. AI transcription will have no such logic behind it. It will turn what it thinks it heard into text and chuck it wherever it logs to. It thinks you've called for leeches when you said something about lesions? Have fun.
Whenever there's an issue with the transcription service you'd be screwed too. That could mean network outage, power outage, microphone breaks, any part of this equipment breaks, and this whole system falls apart.
The problem with incorrect transceiption exists with my secretary too. In the system I work in the secretary write my recordibg, sends it to me, I read it. I can edit the text at this point and then digitally sign it with a personal private key. This usually happens at least a day after being recorded. All perscriptions or orders to my nurses are given inannother system besides the raw text in the medical records. I can't easily explain the practical workings but I really don't see that the AI system will introduce more errors.
But I agree that in the event of a system failure, there will be a catastrophic situation.