> Human medical scribes manually document encounters in real-time and, in randomized trials, are more than four times as likely to produce notes physicians rate as ‘accurate’ compared with standard self-documentation4. Automated speech-recognition dictation systems generally have higher error rates—typically 7–11%—owing to the complexity of medical jargon and accent variability5
It used to be common in some places to outsource medical transcription to India (obviously not real-time recording). I spent time in India years ago working with a company in Mumbai (not medical transcription) and there were stories in Indian newspapers about mistakes being made due to the transcribers having no medical knowledge at all. One instance that I've never forgotten is the one where the Doctor had diagnosed "phlebitis" in the patient's leg, and the transcriber had written "a flea bite his leg".
https://pmc.ncbi.nlm.nih.gov/articles/PMC12460601/