Introduction: As of 2016, medical errors were the third leading cause of death in the U.S1, costing over 250,000 deaths and 17 billion dollars annually.

1. Poor communication between patients and their providers leads to increased adverse effects that are primarily drug-drug interactions. Medical miscommunication leads to decreased treatment adherence, dissatisfaction, and inefficient use of resources.

13. Solutions to reduce the errors that arise from miscommunication in the healthcare field are medical transcription apps. HealthKeep by HealthKeep LLC is a medical transcription app that audio records and categorizes visit information and makes it readily accessible to patients, providers, caregivers, and immediate family members.

5. The aim of this study is to conduct a literature review of mHealth applications to identify the common reasons that influence consumers to discontinue use, or more importantly, continue using these applications. The final aim is to identify the market demand and needs of the consumers to ensure better acceptability of our HealthKeep app. Methodology. This literature review was conducted using the ASU library database. The ASU Library database pulls articles from various databases such as PubMed, ScienceDirect, and ProQuest. After applying the inclusion and exclusion criteria, 14 articles were found to be relevant.

Results: Overall, 14 pertinent articles were found through keyword searches. (Healthcare apps) AND (Marketing) - 3, Healthcare transcription apps - 2, Mobile Health Apps - 2, (Security Issues) AND (Healthcare apps) - 1, (gamification) AND (mobile apps) - 2, long term use of mobile health apps “Long term use” AND “ mobile health app” - 1, Medical Miscommunication - 3

Discussion: Top five user concerns were found to be: low awareness, lack of app literacy, cost, non user friendly, lack of security and privacy. Top five ways to foster continued use: social competition, rewards, gamification, convenience/transparency, increased functionality.

Conclusion: The keep strategies for increasing uptake and stickiness: cost friendly, increased app awareness, proper security measures, convenience and low effort, aesthetically pleasing. Healthkeeps future improvements: capture and manage accurate medication lists to reduce medical errors , integrate transcriptions into the EHR, incorporate rewards (tangible and intangible)