The accuracy of the radiology vocabulary domain of the IBM VoiceType D
ictation for Windows speech recognition system for use in a clinical s
etting was evaluated. Six men and one woman dictated a case report und
er several conditions. The impact of vocabulary domain, microphone pos
ition, personal enrollment, and background noise were assessed. The di
ctations were exported to Microsoft Word 6.0, printed, and graded for
accuracy. The data were expressed as a percentage correct. The enrollm
ent and training processes took an average of 5 hours to complete. The
accuracy of VoiceType Dictation was significantly reduced by speech v
olume and background noise level so that it could not be used to dicta
te clinical information accurately in a hospital setting. Although IBM
's VoiceType Dictation with the radiology vocabulary domain has improv
ed speech recognition, it is not a reliable dictation system for accur
ate and efficient clinical dictation in a hospital setting.