Certain embodiments of the present invention provide a medical workflow system including a subvocal input device, an impulse processing component, and an information management system. The subvocal input device is capable of sensing nerve impulses in a user. The impulse processing component is in communication with the subvocal input device. The impulse processing component is capable of interpreting nerve impulses as dictation data and/or a command. The information management system is in communication with the impulse processing component. The information management system is capable of processing dictation data and/or a command from the impulse processing component.