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The mean time taken to translate a search string with the PST-A method was 31 minutes versus 45 minutes by the manual method (mean difference 14 minutes). The mean number of errors made per translation by the PST-A method was 8.6 versus 14.6 by the manual method. Large variation in the number of references retrieved makes results for this outcome inconclusive, although the number of references retrieved by the PST-A method was closer to the reference standard translation than the manual method. Conclusion When used to assist with trans