Leaders in ai medication transcription9/28/2023 ![]() ![]() Her husband would sit in the corner, quietly taking notes. "She told me, 'When you're really sick, you remember very little of what's said,' " Rao recounts. She was "clearly uncomfortable," Rao remembers, so he asked her what her husband did during these encounters. The medical visit was the first one in a 10-year history of breast cancer that her husband had not been able to attend with her. Before developing the tool with his partners from Carnegie Mellon University, he recalls consulting with a patient who was about to start a chemotherapy treatment that might affect her heart muscle. Rao was inspired to create the original app based on his own family's experience with a rare disease, as well as his professional experiences. After the call, the physician and patient both receive links via a text message to the visit summary. The physician calls the number, adds the patient to the call, ensures the patient consents, and records the conversation. No app is necessary when the system is used this way. As of late May, there were up to a hundred calls daily initiated by physicians. UPMC began using the system in late March, initially with cardiologists, then expanded to other specialists and primary care physicians, according to UPMC's Chief Medical Information Officer Robert Bart, MD. "In a matter of hours, we trained our system to recognize treatments like Remdesivir in a very robust way so we can really go deep and build a system that goes above and beyond what a lot of the off-the-shelf speech transcription models can do." "We quickly circled with experts at the CDC and put together a list of symptoms, diagnostics, and therapeutics related to coronavirus." The team tried to anticipate and capture any topic related to COVID-19 that clinicians and patients might discuss. The pandemic also created a need for the system to learn new terminology. The ambition is to connect the dots across all these types of encounters to deliver the same kind of value." "We quickly transitioned to building capabilities for phone visits, and we've built a proof of concept for video visits. "In this new paradigm, it's so important to be relevant in the remote space," says Rao. When COVID-19 forced clinicians and patients to interact in new ways, the technology evolved. "All of those annotations then are fed into a machine learning system that helps us train models to automate it." The Pandemic Led to Expansion of Capabilities "These were takeaways or next steps related … to the patient's history of present illness," Rao says. ![]() Experts then transcribed the dialogue to correctly capture medical jargon, and organized that information into specific topics. To build its capabilities, the developers started with recordings of about 76,000 fully consented conversations between physicians and patients, Rao explains. "The transcript provides the opportunity, Rao says, "to layer on health literacy, advocacy, and connection-things that can potentially, over time, improve the experience for everyone involved." The tool also defines key medical terms and medications mentioned during the visit, and provides links to discount coupons for some prescriptions. ![]() "All those moments are pulled out like bookmarks for the audio so that you can experience it again and relive those moments that you might've forgotten." Rao says that the transcript functions like a "bookmark," and when the user touches the screen, the associated audio recording plays. Unlike traditional transcription, he says, the technology is trained to focus only on the medical portion of the encounter, and the transcript highlights key words. "There's research … that suggests that sometimes people only remember 10% to 15% of what was said in the encounter, especially if they have a chronic disease." "It's really about improving the doctor-patient communication by recording those conversations and then creating an interactive transcript that highlights the key medical points."Īiding patient's recollection can help improve healthcare, says Rao. "Abridge was founded, first and foremost, to empower patients to stay on top of their health, but also to keep them, their families, and their clinicians all on the same page," says Rao. ![]()
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