In some embodiments, recognition results produced by a speech processing system (which may include two or more recognition results, including a top recognition result and one or more alternative recognition results) based on an analysis of a speech input, are evaluated for indications of potential errors. In some embodiments, the indications of potential errors may include discrepancies between recognition results that are meaningful for a domain, such as medically-meaningful discrepancies. The evaluation of the recognition results may be carried out using any suitable criteria, including one or more criteria that differ from criteria used by an ASR system in determining the top recognition result and the alternative recognition results from the speech input. In some embodiments, a recognition result may additionally or alternatively be processed to determine whether the recognition result includes a word or phrase that is unlikely to appear in a domain to which speech input relates.