Key Concept: Dragon does not understand content All dragon knows is: What vibrations are associated with human speech phonemes What sounds make up words we use What words are likely to occur with each other Successful recognition requires: High quality audio input Appropriate underlying vocabulary from which to choose Clear and fluid speech input Key Point Key Concept: Sound Management is Critical Successful use of speech recognition software depends upon attention to sound and noise management Avoid use in loud environments Position microphone correctly “Manage” the microphone Recalibrate the microphone periodically Noise Control Most noise is unlikely to be translated into words Noise will merge with your own speech input and compromise its clarity, thereby reducing accuracy Try to use Dragon in a quiet setting NOISE Microphone Positioning Ideal Positioning ¾ inch from mouth Position to side of mouth Positioning the microphone directly in front of your mouth will lead to artifact caused by the movement of air. Part One: Key Concepts Key Concept: Master text dictation first … but don’t end there! Open suitable word processing document Turn on microphone Speak clearly and in phrases or complete sentences Say all punctuation Correct mistakes if they occur so Dragon will learn Turn microphone off when done dictating Demonstration: Basic Dictation Key Concept: Dragon does far more than turn speech into text Voice to text Voice Commands Computer control Web searches Overview Introduction & key concepts Basic dictation techniques Vocabulary management Building & using commands Computer control Dragon within an EMR Wrap up Solutions. All rights reserved http://www.1450.com/wp-content/ uploads/2011/08/DMPE_Vertical-Logos.zip http://www.1450.com/wp-content/ uploads/2011/08/DMPE_Logo_RGB333.jpg Installation Hints Close all unnecessary programs Uninstall any prior versions of Dragon Insert installation disk and follow all instructions Choose “Typical/Complete” installation When done, complete on-line registration Create Your First User Profile Install your microphone Start Dragon from desktop or start menu Go through brief product “activation” steps Follow all subsequent instructions Key Concept: microphone management is essential Turn it off when you don’t want Dragon listening! Three ways to turn microphone off and on: Click on microphone icon (slow) By voice (may be compromised by external noise) Say “microphone off” (not With assigned keyboard hotkey – quickest Demonstration of Microphone Control http://medicalvar.com/wp-conten Moving & Selecting by Voice Select <text> Select all Select <text> through <text> Insert before/after <text> Go to Beginning/ End of line Beginning/End of Paragraph Top/Bottom Selects/high-lights desired text Inserts cursor at desired location Part Two: Basic Dictation Basic Dictation: Where & How You can dictate in almost any word processing environment; text will go wherever your cursor sits You must say all punctuation Period, comma, colon, semicolon, etc. New line New paragraph Open quote, close quote Open paren, close paren Exclamation point; Key Concept: High accuracy is dependent upon you! High levels of accuracy depend upon two using phrases and sentences With prolonged use and attention to errors, you will gradually correct your dictation style to optimize accuracy. Key Concept: Dragon is processor hungry – limit competition Close unnecessary programs Be sure to have 2GB or more of RAM Defragment your hard drive Run the “Performance Assistant” from the help menu (turn off functionality not needed) If your PC is old, consider upgrading! Key concept: When accuracy falls it is often helpful to reset the mic volume When changing dictating environment or when accuracy is disappointing, re-run the AUDIO SET-UP WIZARD to reset the microphone volume. Two ways to initiate Audio Setup Wizard Say Document Navigation Dragon fields: Say “next field” or “previous field” to move from [AnyText1] to [AnyText2] Program key on PowerMic II to move through fields Numbered Navigation Fields: [01],[02],[03], etc. Navigate sequentially forward or backwards by saying “next field” or “previous field” *Move to a specific field by saying “field <number>” *Note: field navigation commands require a Speech Recognition Solutions commands which can be downloaded for free and imported into your user profile. Get these at: http://www.speechrecsolutions.com/commands.htm Dragon Types: 1. 2. a. b. 1) 2) Note: these outline and list commands requires a Speech Recognition Solutions commands which can be downloaded for free and imported into your user profile. These can be obtained from: http://www.speechrecsolutions.com/commands.htm through <text> (Works identically for italicize and underline) Capitalize word by saying “Cap <text>” All Cap word by saying “All Caps on” <text> “All Caps off Undoing Dictation “Scratch that” (deletes last utterance) “Undo that” (undoes last action or utterance) Both can be used repetitively Part Three: Correction Formal Correction: Training Dragon Dragon will learn when you use formal correction techniques to deal with errors http://iluvjin.files.wordpress. com/2010/03/how-to-train-your-dragon.jpg Two ways to correct recognition errors: Say “correct <wrong text>” Manually (or by voice) select the word/phrase and say “Correct that" Text Correction Say “Chose 1, 2, 3 etc.” if correct Say “Spell That” if correct phrase not present Two Hints: Select phrases to correct rather than single words When selecting text to correct by voice, use the terminology that Dragon used, not what you intended Part Four: Working with Words and Vocabularies Adding and editing individual words and phrases Changing the “base vocabulary” Choosing and Changing Base Vocabularies Choose the vocabulary appropriate to the type of dictation you are doing. For medical dictation you will want to use the specialty vocabulary you chose when creating your first user profile. If you plan to do non-medical dictation you should add a non-medical “General Non-Medical” vocabulary You can only have one vocabulary running at a time, but can easily switch back and forth Deleting Words Importing & Exporting Commands Importing & Exporting Commands Reasons for exporting commands: Back-up For reimportation into a new profile Sharing with colleagues Reasons for importing commands Moving commands from an old profile to a new one Borrowing commands from colleagues or Speech Recognition Solutions Exporting Commands Importing Commands Copying a Command Useful for: Multiple commands with different names Building a new command based on an existing one Naming Commands Keep the name simple – no more than 2-3 words Develop a naming convention to Naming Commands Keep the name simple – no more than 2-3 words Develop a naming convention to condition> Consent <procedure name> Differential <condition/abnormality> Go to <place in EMR> Insert <EMR data detail> Dragon Commands Text and Graphics command Step-by-step command Macro recorder commands Advanced scripting Commands are recognized by saying the name of the command preceded and followed by a brief pause. For more information on all types of commands, particularly Advanced Scripting commands, please see Larry Allen’s book “Scripting for NaturallySpeaking 11” Quick Demonstration of Dragon Commands Building a Command Building a Text Command Several ways to do it: Select intended text and say “make that a command” Say “Add New Command” to open new command browser and start from scratch Navigate to Tools > Add New Command “Add new command” At home exercise: Make a Text Command The Command Browser Open the command editor in one of two ways: With Dragon open issue the command “open command browser” Navigate to Tools > Command Browser The Command Browser The Command Browser The Command Browser The Command Browser Editing an Existing Command Find the command from the command browser and double click to open it. Modify the contents as desired Click save Computer Control Function Method Example Verbally press any keyboard key or combination Computer Control Say “press <key name>”, “Press escape” “Press alt tab” Open any Program in start menu Say “press <key name>”, “Press escape” “Press alt tab” Open any Program in start menu any Document on Desktop Say “Open <document name> Navigate through menus on any program Say name of menu, or menu item (“File”, Edit”, etc.) “File”, “Print”, “Okay” Conduct web searches on Google, PubMed, UpToDate Say “Search <site name> for <topic name>” Conduct web searches on Google, PubMed, UpToDate Say “Search <site name> for <topic name>” “Send email to Karen Wahrenberger” Initiate Windows Desktop functions Say “Open <function name> “Open my document” “Open task manager” Navigate within a web browser Say command name “Go Back”, “Go Forward”, “Click <link text>” Computer Control Part Seven: Using Dragon with you EMR Suggestions for Dragon in EMR If your EMR allows use of keyboard hotkeys to navigate or initiate functionality, consider creating simple step-by-step commands to emulate these hot-key actions by voice. If your EMR has a system for inserting structured data using keyboard strokes, build step-by-step commands to emulate these Create Dragon commands to initiate note template by voice Use a “hybrid” technique of voice and typing to optimize efficiency. EMR Demonstration: Epic 11.pdf Dragon Command Overview See complete document at: http://www.speechrecsolutions.c om/dragon11commandoverview.html Wrap Up Accuracy is highly influenced by how you speak (enunciate clearly) Manage your microphone to minimize impact of external noise Correct recognition errors when they occur so Dragon will learn Recognition errors will happen – proof read your work! More Information & Training Read the Medical Practice Edition User Guide http://support.nuance.com/usersguides/default.asp?UsersGuidesProduct=naturallyspeaking Dragon Training courses CompuTalk SpeakEasy DVD Series Say-I-Can Dragon Video Guide 1450.com Video Dragon Training Course Best of luck to you with Dragon and the Medical Practice Edition! -Jon W. Wahrenberger, MD, FAHA, FACC Part Six: Computer Control Part Five: Commands