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Dragon Medical One – Frequently Asked Questions

Getting StartedMicrophone’sDictation TechniquePunctuationManaging the VocabularyAuto-Text’s
Step-by-Step CommandsDictation BoxTroubleshootingGeneralSecurityVersion Information

Getting Started

Where do I obtain a user account from, or get more information?

If your establishment has Dragon licences already, ask whoever looks after them to see if there are any spare, alternativley, we can arrange for a 30-day trial account to be setup if you call us, or you can find out more information by requesting a quotation or booking a demonstration.

Where can I find the Dragon Medical One installation links?

You can find all of the information needed to install Dragon, PowerMic Mobile, or the Dragon web extension on the DMO Implementation page. This information is aimed at end users, for those loooking to deploy Dragon or install into a thin client environment contact our support team and they will assist you with downloading the advanced Dragon packages.

All Dragon subscriptions come with technical support so feel free to call one of our helpdesk team if you need help.

Are there any resources available prior to the recommended one-to-one training?

Dragon has several in-built resources available.

  • A help file accessible from the menu which contains information on items such as functionality, tips, best advice and more.
  • A video tutorial accessible from the menu , or by telling Dragon to “Show tutorial”.
  • A comprehensive list of available commands and auto-texts accessible from the menu, or by asking Dragon “What can I say”.

We have also produced a general Speech on Demand video showing the basics, and have videos showcasing Dragon integrating with EMIS and SystmOne on our videos page.

Microphones

Can I use any microphone with Dragon?

We recommend headsets from a known brand such as Plantronics (now Poly), Jabra or Sennheiser as they are designed to provide high quality audio. In our experience, headsets also yield high levels of accuracy as they provide consistent audio input volumes. Professional USB dictation devices from Olympus (RecMic), Philips (SpeechMike) and Nuance (PowerMic) also work well providing good quality and input volumes for those in quieter environments.

Nuance also provide an Android and iOS APP called PowerMic Mobile which turns your smartphone into a high quality microphone. The advantage of the APP is it is always with you so you dont have to carry a microphone around, and it works in any environment, including thin client.

In general, we find built-in laptop/webcam microphones do not produce good recognition results and ask users to refrain from using them because of the following reasons.

  • Positioning – Being in a fixed position they cannot be optimally placed to capture clear audio (1-3 inches from the mouth).
  • Audio Quality – They tend to use lower-quality components which can be sensitive producing muffled or tinny sound.
  • Background Noise – Being in close proximity to other electrical components (screens, cameras, etc…) they are somewhat suseptable to interference.
How do I select the microphone I want to use?

Microphone selection is performed on the speech profile screen shown after inputting your password. Dragon mirrors the available micrphones on the computer and assuming it is available, by default the last microphone used will be selected. You also have the PowerMic Mobile APP listed which can be used if subscribed to.

If you are already logged in to Dragon, or are unsure which microphone was selected on the speech profile screen, you can also set you microphone using the microphone option accessible from the menu.

Dictation Technique

So I just talk into the microphone as if I am talking to another person?

Depending on what it is you want to achieve yes, it can be as simple as that. However, there are recommendations to yield the best results.

  • Ensure the cursor is in the position where you would like recognised words returned, such as a Microsoft Word document, consultation screen of your clinical system or notes section of your EPR.
  • Think about what you want to say before you start to speak. Dragon is designed to recognise conversational speech based around the specialty selected when logging in. Take a look at our Sample Medical Text to understand the type of voice Dragon is expecting to recieve.
  • Speak clearly at your natural volume and pace, its important you let Dragon adapt to you and not the other way round.
  • Remember to structure your dictation using commands such as ‘New Line’ and ‘New Paragraph’, this helps Dragon format your document as text is returned.
  • Use punctuation when dictating to help Dragon with capitalisation and to save you time adding this manually later.
  • Correct text that is incorrectly recognised to teach Dragon like you would a real person, this will increase Dragon’s accuracy and decrease your frustration.
  • Ensure you switch off your microphone when not dictating to Dragon, failing to do this can confuse Dragon and return text that may not be wanted.

Punctuation

Is there a list of common punctuation that Dragon understands?
Say:To Enter:Say:To Enter:
Full Stop.Question Mark?
Comma,Apostrophe
Exclamation Mark!Open Square Bracket[
Hyphen/Minus SignClose Square Bracket]
Colon:Open Curley Bracket{
Semi Colon;Close Curley Bracket}
Open QuoteAsterisk*
Close QuoteBack Slash\
Open Parenthesis(Forward Slash/
Close Parenthesis)Ampersand&
Plus Sign+Copyright Sign©
Equals Sign=Registered Sign®
Vertical Bar|At Sign@
For more information

Managing the Vocabulary

What is a vocabulary?

A vocabulary should be thought of as a dictionary of words containing a statistical likelihood of which ones will appear together. This ensures Dragon can provide the most accurate results based on the specialty selected on the speech profile screen. Dragon has a base vocabulary which cannot be changed, and a personal vocabulary which allows you to add or disable words or phrases, add pronounciations, and have words or phrases with different spoken and written forms (acronyms). The personal vocabulary is linked to your accoustic profile and takes presedence over the base vocabulary.

As the statistical likelihood of which words or will appear together differs between specialties, it is very important the right specialty is selected during the logon process. We recommend a ‘Medical’ vocabulary is chosen unless something more specific is available in the listing.

How do I add words/phrases to my vocabulary?

There are different ways/recommendations depending on what you want to add/achieve, please examine the example within each one before making your choice.

To add a single word/phrase to your vocabulary that has the same spoken and written form:

Example: A phobia not in Dragon’s vocabulary such as ‘arachibutyrophobia’ (the fear of having peanut butter stick to the roof of your mouth).

  • Select Manage Vocabulary from the Dragon menu.
  • Click the plus (+) sign.
  • Enter the word you want to add.
  • If what you have entered is pronouned as spelt, click Use Default Pronunciation. If what you have entered is pronounced differently, press the Microphone Icon and say the word(s) as you would normally pronounce it/them.
To add multiple words or a multi-word phrase to your vocabulary that has the same spoken and written form:

Example: The name of a person (Gutari Sandletor) or place (The Crescendo Medical Centre)

  • Select Manage Vocabulary from the Dragon menu.
  • Click the plus (+) sign.
  • Enter the word(s) you want to add.
  • If what you have entered is pronouned as spelt, click Use Default Pronunciation. If what you have entered is pronounced differently, press the Microphone Icon and say the word(s) as you would normally pronounce it/them.

Note: Adding multiple words (‘Gutari Sandletor’) instead of each word on their own (‘Gutari’ and ‘Sandletor’) informs Dragon the likelyhood of those words appearing together is high, providing higher levels of accuracy.

To add a word your vocabulary with a different spoken and written form:

Example: IEEE (spoken form and written form sound similar):

  • Select Manage Vocabulary from the Dragon menu.
  • Click the plus (+) sign.
  • Select Enter the word as you would pronounce it.
  • Enter the word you want to add – ‘IEEE’.
  • Enter the Pronunciation/Spoken Form – ‘I triple E’.
  • Click Save.
To add an acronym to your vocabulary (different spoken and written form):

Example: The acronym AI (spoken form ‘AI’, written form ‘Artificial Intelligence’):

  • Select Manage Vocabulary from the Dragon menu.
  • Click the plus (+) sign.
  • Select Enter the word as you would pronounce it.
  • Enter the word you want to add – ‘Artificial Intelligence’.
  • Enter the Pronunciation/Spoken Form – ‘AI’.
  • Click Save.
How do I disable words or phrases in my vocabulary?

You should only disable words in your vocabulary if all other workarounds have been explored, disabling a word does not remove it from the dictionary, it removes all statistical likelihood it will appear along with its language model information and in most cases this is irriversable.

There are different ways/recommendations depending on what you want to achieve, please examine the example within each one before making your choice.

Disabling a custom word/phrase (something you previously added to your vocabulary):

Example: You added a word/phrase to your vocabulary but have now decided you no longer need this word/phrase or want Dragon to output it to the screen.

  • Select Manage Vocabulary from the Dragon menu.
  • Highlight the word/phrase you wish to disable.
  • Press the Disable button.
  • Press Confirm.
Disabling a word in the default vocabulary (something not present in your vocabulary):

Example: You dictate with a slight accent and occaisionally when saying ‘mum’, Dragon outputs ‘mom’ instead and no amount of correcting will stop it.

Disabling a word in the default vocabulary is a multi-step action as the word must be added to your personal vocabulary before it can be disabled.

  • Select Manage Vocabulary from the Dragon menu.
  • Click the plus (+) sign.
  • Enter the word you want to add.
  • Click Use Default Pronunciation.
  • Highlight the word you added.
  • Press the Disable button.
  • Press Confirm.

Note: Disabled words/phrases cannot be seen in Manage Vocabulary, if you would like a list of words that have been disabled, please contact the Crescendo helpdesk.

Disabling a punctuation command (where a punctuation command such as ‘period’ is causing issues):

Example: You dictate the word period and occasionally Dragon replaces the word with a full stop.

Disabling a word in the default vocabulary is a multi-step action as the word must be added to your personal vocabulary before it can be disabled.

  • Ask Dragon to “Select Period”, if Dragon does not highlight the full stop, use the “Select Previous” or Select Next” commands to navigate to it.
  • Once Dragon has opened the correction window, tell Dragon “Do not recognise that word” or choose this option from the menu.
  • Click the Confirm button.
  • Enter ‘period’ as the ‘Spoken Form’.
  • Click Disable.
  • Add the word ‘period’ to your personal vocabulary so Dragon knows it as a ‘standard’ word.

Note: Disabled words/phrases cannot be seen in Manage Vocabulary, if you would like a list of words that have been disabled, please contact the Crescendo helpdesk.

Auto-Text’s

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Step-by-Step Command’s

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Dictation Box

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Troubleshooting

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General

Can I use Dragon Medical One when working from home?

Yes, you can use Dragon Medical One anywhere you have a computer/laptop with an internet connection.

Security

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Version Information

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