Home Forums Discussions Problems Inadvertent field changes

Using Dragon version 10, I find that if I dictate the word "pound" in the plan field, it sends the cursor to the weight field and changes that field to KG (assuming it was in "lb" before). Similarly, if I say the word "in" it goes to the height field and changes it to meters. Does it do this for others, or do I have some weird command someplace in Dragon?

You are not alone, this happens to me all the time.

However, only if you dictate that word alone, not within a context with other words. If you dictate the word "no" alone (or with a pause) in the Encounter window, it will drop down the "Know" menu from the top of the window. If you dictate it as "no period" it will correctly type "no."

My observation is that the Dragon speech engine is very accurate within the context of a sentence. Less so with single words.

The problem as i see it is with AC. If the programmers want it to be dragon friendly they should change the field names. Especially know and in. They could be knowledge and inch.

I don't utter any "go to" commands when this happens. Any clue why Dragon is sensing this as a command, not just a word?

I think the problem is with AC's functioning relative to Dragon. Even if you turn off the Desktop Navigation option in Dragon, it still jumps to the menu item in AC. Whereas this does not happen with Word or my email program.

Boy, am I pleased to see that this happens to somebody else and it isn't just me.

I thought I was too stupid to figure out how to get that to quit happening and am too busy to chase down Dragon or AC tech support to figure it out....so I would sigh, correct the unintended change and put the cursor back where it belongs.

I don't even think I sound that "commanding" when Dragon interpets it as a command. Still, Dragon saves me a bunch of time and you could think of those quirks as endearing.

From dragon viewpoint any single word makes a bad command. Better to use two or three words to do an action. AC is in control of naming of buttons etc. Dragon will find them by design if you say the proper word eg in or know. Because of the English language, no will also do it. The cap command even is a problem within dragon, but otherwisr it seems selfconsistent.

I learned early on to make my user defined commands unique like "command transfer" or "command paste". Dragon 10 is good enough that I am taking it more for granted that it will interpret correctly, and so am often looking elsewhere while I am dictating (never could get away with that with Dragon 9). So, it is kind of annoying to find the last three sentences have gone into the weight field.

Before I posted here, I did query AC tech support. Their reply was roughly "Wow! That's wild!"

I think it has been mentioned before, that if AC wants to claim on its website that it works with Dragon Medical, someone with Amazing Charts should survey Dragon Medical users to make voice dictation work more effectively with AC.

I am thinking about getting Dragon to make my long notes quicker. I am a fast typer, but this would be easier. With all these problems, do you users feel it is worth buying?

I chart in the room and am a reasonably fast typer. I rarely leave a chart undone at the end of the day, and mostly finish before I leave the room.

I used V9 of dragon which was reasonably accurate but also worked with AC. I found that most visits could be typed and templated faster than using Dragon.

There were some complicated patients that it would be better to use Dragon but then I had to put them aside to the end of the day and "fire up" Dragon to do them. I would have to put on the headset and start dictating. Mostly I used it for the HPI. Everything else was templated with a few modifications. Minor stuff in Plan section. It was more tedious than doing it by hand. Eventually, I upgraded that computer and didn't miss Dragon.

I think it is a great idea, it just didn't save time.

Where is Brian when you need him? 970

Unlike Wendell, I never attempt to complete a chart in a room, despise templates, and dictate extensive notes between patients or at lunch and day's end. I couldn't do without Dragon. It all depends on your charting style.

Chris,
I use Dragon 10.1 with a 2 in 1 TableMike at my office desk and dictate HPI, Exam, Diagnoses, Plan and Rxs between patients. Lots of running back and forth, but the office is well laid out. I can't imagine using AC without Dragon. Voice dictation "tells the story" better than templates and helps jog my memory at the follow-ups. I use templates for simple stuff, primarily well-child visits (all templated). Getting a good reliable microphone makes all the difference. (Except for the infamous AC "know" and "in" quirks.
Dave

I tried using the software the comes with Windows 7. After some training, it seems to be working fairly well.

I just received the new version of Dragon Medical 11.5. In response to David's post above, there is now an option in the program preferences to require the word "click" be spoken before Dragon recognizes a dictated word as being a command to move to a menu item or text box. This has been an ongoing irritation with Dragon Medical 10 used in AC, as related by David and several of us in the posts above.

I turned on the "click" option, and I no longer have the cursor migrating to the "Know" menu when I say "no", or the height box when I dictate "in". To move to a menu item or text box, I now dictate "click File" (to move to the File menu, for example).

Hallelujah!