Evidence map›Paper›PMID 40726745›Full record

ArticleJournal of healthcare informatics research2025

Assessing the Effectiveness of Automatic Speech Recognition Technology in Emergency Medicine Settings: a Comparative Study of Four AI-Powered Engines.

Xiao Luo, Le Zhou, Kathleen Adelgais, Zhan Zhang

Abstract read
In one paragraph

Article in Journal of healthcare informatics research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Pseudocode Generation from Clinical Protocol Flowchart using Large Vision-Language Models.Proceedings. IEEE International Conference on Healthcare Informatics · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Promise and Caution: Mapping Opportunities for AI Decision Support in Emergency Medical Services.Proceedings. IEEE International Conference on Healthcare Informatics · 2026
    Article
  8. Article
  9. Review
  10. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Xiao LuoDepartment of Management Science and Information Systems, Oklahoma State University, Stillwater, OK USA.
Le ZhouSchool of Computer Science and Information Systems, Pace University, New York, NY USA.
Kathleen AdelgaisSchool of Medicine, University of Colorado, Aurora, CO USA.
Zhan ZhangSchool of Computer Science and Information Systems, Pace University, New York, NY USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study investigates the potential of advanced automatic speech recognition (ASR) technology for transcribing and recognizing medical information during patient encounters, with the aim of enabling real-time clinical documentation to alleviate clinicians' workload. While ASR holds promise, its effectiveness in noisy and dynamic medical settings, such as emergency medical services (EMS), remains underexplored. To address this, four ASR engines-Google Speech-to-Text Clinical Conversation, OpenAI Speech-to-Text, Amazon Transcribe Medical, and Azure Speech-to-Text-were evaluated using 40 EMS simulation recordings. Transcriptions were analyzed for accuracy across 23 electronic health record (EHR) categories relevant to EMS. Google Speech-to-Text Clinical Conversation showed the best overall performance, excelling in categories such as "mental state" (F1 = 1.0), "allergies" (F1 = 0.912), and "electrolytes" (F1 = 1.0). However, all engines struggled with critical EMS categories like "airway" (F1 = 0.524) and "pupils" (F1 = 0.542). These findings highlight the limitations of current ASR technologies and the need for further advancements to improve accuracy and usability in time-sensitive and high-pressure medical environments. Supplementary Information: The online version contains supplementary material available at 10.1007/s41666-025-00193-w.

Indexed as

Automatic speech recognitionClinical documentationElectronic health recordsEmergency medicineMedical scribe

Identifiers

PMID40726745
PMCPMC12290131

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.