Spoken document representations for probabilistic retrieval

This paper presents some developments in query expansion and document representation of our spoken document retrieval system and shows how various retrieval techniques affect performance for different sets of transcriptions derived from a common speech source. Modifications of the document representation are used, which combine several techniques for query expansion, knowledge-based on one hand and statistics-based on the other. Taken together, these techniques can improve Average Precision by over 19% relative to a system similar to that which we presented at TREC-7. These new experiments have also confirmed that the degradation of Average Precision due to a word error rate (WER) of 25% is quite small (3.7% relative) and can be reduced to almost zero (0.2% relative). The overall improvement of the retrieval system can also be observed for seven different sets of transcriptions from different recognition engines with a WER ranging from 24.8% to 61.5%. We hope to repeat these experiments when larger document collections become available, in order to evaluate the scalability of these techniques.

Unity in diversity: electronic patient record use in multidisciplinary practice

In this paper we examine the use of electronic patient records (EPR) by clinical specialists in their development of multidisciplinary care for diagnosis and treatment of breast cancer. We develop a practice theory lens to investigate EPR use across multidisciplinary team practice. Our findings suggest that there are oppositional tendencies towards diversity in EPR use and unity which emerges across multidisciplinary work, and this influences the outcomes of EPR use. The value of this perspective is illustrated through the analysis of a year-long, longitudinal case study of a multidisciplinary team of surgeons, oncologists, pathologists, radiologists, and nurse specialists adopting a new EPR. Each group adapted their use of the EPR to their diverse specialist practices, but they nonetheless orientated their use of the EPR to each others' practices sufficiently to support unity in multidisciplinary teamwork. Multidisciplinary practice elements were also reconfigured in an episode of explicit negotiations, resulting in significant changes in EPR use within team meetings. Our study contributes to the growing literature that questions the feasibility and necessity of achieving high levels of standardized, uniform health information technology use in healthcare.