The implementation of voice recognition technology has been expected to occur in mobile healthcare settings, but it is the least studied solution in nursing. The objective of this study is to examine its value to mobile nursing. The study was done at a triage station in an emergency department. The system was developed using VB6.0, Microsoft Speech SDK 5.1 and the Simplified Chinese Language pack, and was installed on touchscreen PCs with wireless headsets. Thirty nurses were enrolled. Accuracy rate and operation time were used to measure the subjects' performance. A "willingness to use" score on a scale of 1 to 10 was used to measure subjects' preference for the system. The results showed that the average accuracy rate was 99%, the average operation time was 108 seconds, and the mean "willingness to use" rating was 8.2. This study demonstrates the value of multimodal voice recognition techniques to mobile nursing.

The support systems for the Emergency Medical Services (EMS) at mass gatherings, such as the local marathon or large international baseball games, are underdeveloped. The purposes of this study were to extend well-developed, triage-based, EMS Personal Digital Assistant (PDA) support systems to cover pre-hospital emergency medical services and onsite evaluation forms for the mass gatherings, and to evaluate users' perceived ease of use and usefulness of the systems in terms of Davis' Technology Acceptance Model (TAM). The systems were developed based on an established intelligent triage PDA support system and two other forms-the general EMS form from the Taipei EMT and the customer-made Mass Gathering Medical form used by a medical center. Twenty-three nurses and six physicians in the medical center, who had served at mass gatherings, were invited to examine the new systems and answer the TAM questionnaire. The PDA systems were composed of 450 information items within 42 screens in 6 categories. The results supported the potential for using triage-based PDA systems at mass gatherings. Overall, most of the subjects agreed that the systems were easy to use and useful for mass gatherings, and they were willing to accept the systems.