{"id":301638,"date":"2025-07-15T15:46:41","date_gmt":"2025-07-15T13:46:41","guid":{"rendered":"https:\/\/slf.se\/vastra-gotalands-lakarforening\/?p=301638"},"modified":"2025-08-27T21:19:25","modified_gmt":"2025-08-27T19:19:25","slug":"taligenkanning-pressas-igenom-trots-allvarliga-brister","status":"publish","type":"post","link":"https:\/\/slf.se\/vastra-gotalands-lakarforening\/nyheter\/taligenkanning-pressas-igenom-trots-allvarliga-brister\/","title":{"rendered":"Taligenk\u00e4nning pressas igenom trots risken f\u00f6r allvarliga konsekvenser"},"content":{"rendered":"\n

\u2013 En kollega skulle skriva ”ingen mer utredning beh\u00f6vs”, men det blev ”inga fler \u00e5terupplivningsf\u00f6rs\u00f6k beh\u00f6vs”. Det \u00e4r oerh\u00f6rt allvarligt, s\u00e4ger Jenny Larsson Frid\u00e9n<\/strong>, \u00f6verl\u00e4kare, f\u00f6rsta vice ordf\u00f6rande i Sektion NU i V\u00e4stra G\u00f6talands l\u00e4karf\u00f6rening och skyddsombud i NU-sjukv\u00e5rden, i en intervju med TTELA.<\/p>\n\n\n\n

Bakgrunden \u00e4r det nya AI-program f\u00f6r taligenk\u00e4nning (TIK) som inf\u00f6rdes i V\u00e4stra G\u00f6talands h\u00e4lso- och sjukv\u00e5rd under 2023. Taligenk\u00e4nning bygger p\u00e5 att l\u00e4kare talar in journalanteckningar direkt i systemet i samband med patientm\u00f6tet, ist\u00e4llet f\u00f6r att diktera till ljudfil som sedan skrivs ut. <\/p>\n\n\n\n

”Kan bli v\u00e4ldigt obehagligt”<\/h2>\n\n\n\n

Problemet \u00e4r att TIK-programmet har brister som f\u00f6rs\u00e4mrar arbetsmilj\u00f6n och stj\u00e4l tid fr\u00e5n patienterna. Det visar en TIK-enk\u00e4t som V\u00e4stra G\u00f6talands l\u00e4karf\u00f6renings sektion i NU-sjukv\u00e5rden har gjort, d\u00e4r nio av tio l\u00e4kare uppger att det blir fel i varje journalanteckning. <\/p>\n\n\n\n

Ett av enk\u00e4tsvaren lyder: \u201dDet \u00e4r den st\u00f6rsta arbetsf\u00f6rs\u00e4mring jag varit med om. Otrolig stress att g\u00f6ra mitt i mottagning n\u00e4r jag har patienter. Man hinner inte se om det blir fel och fel blir det ofta. \u00c4r inte alls sj\u00e4lvl\u00e4rande utan g\u00f6r samma fel hela tiden. K\u00e4rnan i sjukhusets verksamhet \u00e4r att l\u00e4kare behandlar s\u00e5 m\u00e5nga patienter som m\u00f6jligt s\u00e5 att v\u00e5r tillg\u00e4nglighet \u00f6kar. Att d\u00e5 inf\u00f6ra system som tar bort patienttid och \u00f6kar administrativ tid \u00e4r kontraproduktivt.\u201d<\/p>\n\n\n\n

\u00c5terkommande felaktigheter i journalen kan f\u00e5 allvarliga konsekvenser \u2013 fler \u00e4n en av tio l\u00e4kare k\u00e4nner enligt enk\u00e4ten till allvarliga fel som har intr\u00e4ffat p\u00e5 grund av TIK.<\/p>\n\n\n\n

\u2013 Om n\u00e5gon ska opereras och det blir fel p\u00e5 h\u00f6ger och v\u00e4nster. Eller n\u00e4r du g\u00e5r in och l\u00e4ser i din journal och det ska st\u00e5 ”ej cancer” men ordet ”ej” faller bort. Det kan bli v\u00e4ldigt obehagligt, s\u00e4ger Jenny Larsson Frid\u00e9n till TTELA.<\/p>\n\n\n\n

”Finns inga perfekta system”<\/h2>\n\n\n\n

Bj\u00f6rn J\u00e4rbur<\/strong>, sjukhusdirekt\u00f6r f\u00f6r NU-sjukv\u00e5rden, h\u00e5ller med om att systemet har brister.
\u2013 Programmet \u00e4r inte s\u00e5 bra som det borde vara. Det \u00e4r inte ett hundraprocentigt system. Men man j\u00e4mf\u00f6r ju g\u00e4rna med perfekta system, och det finns inga perfekta system, s\u00e4ger han till TTELA.<\/p>\n\n\n\n

Efter att Millennium pausats har VGR backat fr\u00e5n beslutet om ett fullskaligt TIK-inf\u00f6rande i regionen. Taligenk\u00e4nning ska fortsatt anv\u00e4ndas i VGR \u2013 men d\u00e4r det fungerar och skapar nytta f\u00f6r verksamheten. NU-sjukv\u00e5rdens ledning har i sin tur drivit p\u00e5 f\u00f6r att avveckla diktering helt och h\u00e5llet vid \u00e5rets slut, men p\u00e5 den fronten har man nu backat, menar Bj\u00f6rn J\u00e4rbur.<\/p>\n\n\n\n

\u2013 Jag blir f\u00f6rv\u00e5nad och lite besviken \u00f6ver kritiken eftersom vi har g\u00e5tt facket till m\u00f6tes. Vi har inte l\u00e4ngre en fast tidsplan, och vi har inget krav p\u00e5 att det ska g\u00f6ras likadant p\u00e5 alla verksamheter. D\u00e4remot \u00e4r slutm\u00e5let detsamma som innan, s\u00e4ger Bj\u00f6rn J\u00e4rbur vidare till TTELA.<\/p>\n\n\n\n

\u2013 Vi har arbetat enormt traditionellt fram tills nu. Vilket system vi ska ha i framtiden vet vi inte, men f\u00f6rm\u00e5gan att ta till sig nya system \u00e4r enormt viktig. V\u00e5r huvudpo\u00e4ng \u00e4r att vi m\u00e5ste g\u00e5 \u00f6ver till realtidsdiktering och d\u00e5 kommer det att st\u00e4llas krav p\u00e5 l\u00e4karkollektivet.<\/p>\n\n\n\n

Jenny Larsson Frid\u00e9n menar att de inte har f\u00e5tt tillr\u00e4ckligt geh\u00f6r f\u00f6r sin kritik. Hon s\u00e4ger ocks\u00e5 att det finns en stark vilja bland l\u00e4karna att f\u00e5 nya arbetsredskap att fungera. Johan Klaar<\/strong>, ordf\u00f6rande i Sektion NU, inst\u00e4mmer:<\/p>\n\n\n\n

\u2013 Vi \u00e4r inte emot realtidsdokumentation och taligenk\u00e4nning \u2013 vi v\u00e4lkomnar l\u00f6sningar som frig\u00f6r tid f\u00f6r patienterna. Problemet \u00e4r att regionens TIK-verktyg inf\u00f6rs utan h\u00e4nsyn till om det \u00e4r tillr\u00e4ckligt bra. Grundtanken \u00e4r god, men bristerna kan f\u00e5 allvarliga konsekvenser.<\/p>\n\n\n\n

L\u00e4s hela artikeln i TTELA:
L\u00e4karnas kritik mot taligenk\u00e4nning: \u201dFruktansv\u00e4rt frustrerande\u201d<\/a><\/p>\n\n\n\n

L\u00e4s \u00e4ven i DN och L\u00e4kartidningen:
Livsavg\u00f6rande ord f\u00f6rsvinner ur sjukhusets journaler<\/a>
VGR f\u00e5r betala f\u00f6r kritiserat program f\u00f6r taligenk\u00e4nning till 2032<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

\u2013 En kollega skulle skriva ”ingen mer utredning beh\u00f6vs”, men det blev ”inga fler \u00e5terupplivningsf\u00f6rs\u00f6k beh\u00f6vs”. Det \u00e4r oerh\u00f6rt allvarligt, s\u00e4ger Jenny Larsson Frid\u00e9n, \u00f6verl\u00e4kare, f\u00f6rsta vice ordf\u00f6rande i Sektion NU i V\u00e4stra G\u00f6talands l\u00e4karf\u00f6rening och skyddsombud i NU-sjukv\u00e5rden, i en intervju med TTELA. Bakgrunden \u00e4r det nya AI-program f\u00f6r taligenk\u00e4nning (TIK) som inf\u00f6rdes i … L\u00e4s hela<\/a><\/p>\n","protected":false},"author":5804,"featured_media":298929,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"local_restriction":[],"class_list":["post-301638","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"acf":[],"yoast_head":"\nV\u00e4stra G\u00f6talands l\u00e4karf\u00f6rening<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/slf.se\/vastra-gotalands-lakarforening\/nyheter\/taligenkanning-pressas-igenom-trots-allvarliga-brister\/\" \/>\n<meta property=\"og:locale\" content=\"sv_SE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Taligenk\u00e4nning pressas igenom trots risken f\u00f6r allvarliga konsekvenser - V\u00e4stra G\u00f6talands l\u00e4karf\u00f6rening\" \/>\n<meta property=\"og:description\" content=\"\u2013 En kollega skulle skriva ”ingen mer utredning beh\u00f6vs”, men det blev ”inga fler \u00e5terupplivningsf\u00f6rs\u00f6k beh\u00f6vs”. 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