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Dragon Medical Practice Edition 4 is released bringing artificial intelligence into medical dictation.

Nuance Unveils Dragon Medical Practice Edition 4 to Advance Clinical Documentation Accuracy and Efficiency

Bringing artificial intelligence into the GP’s surgery to boost productivity and improve patient care

LONDON, January 22, 2018  Nuance Communications, Inc. today announced the release of Dragon Medical Practice Edition 4, the latest on-premise version of Nuance’s industry-leading clinical speech recognition solution for GP surgeries. Through deep learning technology and extensive medical vocabularies based on the unique way clinicians speak, Dragon Medical Practice Edition 4 puts Nuance’s leading artificial intelligence (AI)-powered technology in the hands of hard-pressed GPs in smaller, independent practices. Through increased documentation efficiency, it allows for more time with patients, improved quality to better inform care teams and staff, and increased turnaround time and cost savings.

Dragon Medical Practice Edition is an easy-to-install, easy-to-use documentation solution that makes it easier for clinicians to document care into the electronic patient record (EPR) using their voice five times faster than typing and saving them an hour or more per day.  It is distinct from non-medical speech recognition, supporting more than 60 specialised medical vocabularies for British English.  

Thanks to deep learning technology and neural networks, Dragon Medical Practice Edition 4 offers even more speech recognition accuracy. Deep learning and neural networks mimic the way the human brain recognises and learns patterns. The technology allows the software to continuously adapt to the user’s voice pattern, dialect and accent. The ambient acoustics of the user’s environment are also taken into account helping automatically refine performance. This ensures the speech recognition remains precise and accurate even when dictating in noisy clinic situations.

“The outstanding performance of Dragon Medical Practice Edition 4 is a culmination of decades of Nuance’s innovation in AI,” said Michael Clark, senior vice president and general manager of Nuance Healthcare Provider Solutions. “By applying machine learning to real-time document capture, we are helping address the challenges of smaller surgeries to transform the documentation process directly on the individual user's PC, and improve both the clinician experience and patient care.”

Other highlights in this release:

  • Improved touchscreen usability: Compatibility with Windows 10 touchscreen devices provides clinicians with more productivity and the ability to document how they want. Hybrid touch and keyboard interaction also work together seamlessly for controlling multiple features.
  • Enhanced usability: The newly designed DragonBar provides easy access to popular capabilities and automatically collapses when not in use freeing up screen space
  • Simplified User Profiling: User profiles that contain information about the user's language and allow more accurate, user-specific speech recognition can now be created with just a few mouse clicks.
  • Optimised Profile Creation: Eliminates the need for users to spend time teaching the software the proper pronunciation of specific words and commands.
  • Easier first-time License Authentication: With a user name and login ID, Nuance Healthcare Connection Partners remotely authenticate new licenses of Dragon Medical Practice Edition through a secure internet connection. No more bulky boxes or CDs to juggle, store or lose.

Commenting on the ease-of-use of Dragon Medical Practice Edition 4, Dr Simon Wallace Nuance CCIO and former GP, said: “This latest release of Dragon Medical Practice Edition feels more like a ‘partner’ to a GP’s work rather than just a productivity tool. The more precise speech recognition adapts to the GP’s speaking style and environment. It feels super-fast and super-smooth,..."

Press release above released by Nuance Communications and re-published.  Full press release may be located by clicking here.

Technician Comments

First real world installation by our technical staff here at

Our first installation of DMPE4.

The approximate 3.5 GB file took approximately 35 minutes to download.

Installation time was rather quick.  While we didn't time this exactly, the installation was finished within about 5 to 7 minutes.  Another 3 minutes getting situated with microphone and we were up and running in about 20 minutes time.  Some extra time was taken getting and inputting the proper serial number.

When you are upgrading, you need your previous version serial number or the installation will allow you to continue.

Once installation was done, a test run.  The Physician with an extremely heavy accent noticed immediate improvement right out of the box.

Customer's computer

  • Intel I7 processor @ 2.5 GHz
  • 16GB of RAM
  • MicLabs Super-G microphone dictating approximately 12 inches away from the microphone.

After dictating 172 words, there were 2 errors.  This was based on a brand new profile with no user training.  User was getting approximately 95% accuracy.  Early results are showing 98.84% accuracy.

Once again, allow me to repeat.  A foreign speaker with a deep accent 12 inches away from the MicLabs desktop microphone with only 2 errors in 172 words.

This test alone proves Nuance's claim of 30% less errors.  In fact, in this specific test, we were able to get over 40% less errors based on above calculations.

Dragon Medical Practice 4 is another breakthrough for the medical community and 1 more step towards that 99.9999999% accuracy we all want.

We will have fun making clinicians happy after purchase, installation and microphone setup.

Installation 2

Until the next documented installation.  We will update after some time as we are busy installing upgrades and re-organizing offices with the new capabilities of the ultra accurate system.

For more information on Dragon Medical Practice Edition 4 Upgrades & Bundles and other opportunities, please click the link.


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