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Record W4411857731 · doi:10.1186/s12911-025-03061-0

Evaluating the performance of artificial intelligence-based speech recognition for clinical documentation: a systematic review

2025· review· en· W4411857731 on OpenAlexaff
Johan Y. Y. Ng, Eugene Wang, Xinyan Zhou, Kevin Xiang Zhou, C Goh, Ga-Hee Sim, Hiang Khoon Tan, Serene Si Ning Goh, Qin Xiang Ng

Bibliographic record

VenueBMC Medical Informatics and Decision Making · 2025
Typereview
Languageen
FieldHealth Professions
TopicElectronic Health Records Systems
Canadian institutionsMcGill UniversityMcGill University Health Centre
Fundersnot available
KeywordsDocumentationHealth informaticsComputer scienceArtificial intelligenceNatural language processingSpeech recognitionMedicinePublic healthPathology

Abstract

fetched live from OpenAlex

BACKGROUND: Clinical documentation is vital for effective communication, legal accountability and the continuity of care in healthcare. Traditional documentation methods, such as manual transcription, are time-consuming, prone to errors and contribute to clinician burnout. AI-driven transcription systems utilizing automatic speech recognition (ASR) and natural language processing (NLP) aim to automate and enhance the accuracy and efficiency of clinical documentation. However, the performance of these systems varies significantly across clinical settings, necessitating a systematic review of the published studies. METHODS: A comprehensive search of MEDLINE, Embase, and the Cochrane Library identified studies evaluating AI transcription tools in clinical settings, covering all records up to February 16, 2025. Inclusion criteria encompassed studies involving clinicians using AI-based transcription software, reporting outcomes such as accuracy (e.g., Word Error Rate), time efficiency and user satisfaction. Data were extracted systematically, and study quality was assessed using the QUADAS-2 tool. Due to heterogeneity in study designs and outcomes, a narrative synthesis was performed, with key findings and commonalities reported. RESULTS: Twenty-nine studies met the inclusion criteria. Reported word error rates ranged widely, from 0.087 in controlled dictation settings to over 50% in conversational or multi-speaker scenarios. F1 scores spanned 0.416 to 0.856, reflecting variability in accuracy. Although some studies highlighted reductions in documentation time and improvements in note completeness, others noted increased editing burdens, inconsistent cost-effectiveness and persistent errors with specialized terminology or accented speech. Recent LLM-based approaches offered automated summarization features, yet often required human review to ensure clinical safety. CONCLUSIONS: AI-based transcription systems show potential to improve clinical documentation but face challenges in accuracy, adaptability and workflow integration. Refinements in domain-specific training, real-time error correction and interoperability with electronic health records are critical for their effective adoption in clinical practice. Future research should also focus on next-generation "digital scribes" incorporating LLM-driven summarization and repurposing of text. CLINICAL TRIAL NUMBER: Not applicable.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.017
metaresearch head score (Gemma)0.087
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Systematic review · Consensus signal: Systematic review
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.017
Threshold uncertainty score0.092

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0170.087
Meta-epidemiology (narrow)0.0020.001
Meta-epidemiology (broad)0.0090.009
Bibliometrics0.0110.009
Science and technology studies0.0010.002
Scholarly communication0.0040.003
Open science0.0030.002
Research integrity0.0020.001
Insufficient payload (model declined to judge)0.0040.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.534
GPT teacher head0.651
Teacher spread0.117 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designSystematic review
Domainnot available
GenreReview

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations60
Published2025
Admission routes1
Has abstractyes

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