At one time I invested in a medical transcription business that experimented with voice-to-text technologies but couldn't generate any additional efficiency in transcription by using technology. What worked in improving efficiency was the transcriber's knowledge of medical terminology and medical field, matching the same transcriber with the same speaker as transcriber became acclimated with the nuances and tones of the speaker, and letting transcriber handle only certain type of transcription.
Transcription is a manual operation and Toyota Way is a good way to maximize efficiency.