A community of 30,000 US Transcriptionist serving Medical Transcription Industry


proof docs don't review before signing - memt


Posted: Sep 26, 2011

Just typed a letter to a peer review committee regarding a discrepancy in an operative report and a discharge summary.  The doctor gave the explanation that it was simply a typographical error either from his mumbling or unclear dictation, and that the dx listed in the discharge summary did not make sense and he would not dictate that. Yes, he actually admitted it could have been from his mumbling.  But, why didn't he catch that incorrect diagnosis when he signed the discharge summary??  Probably because he didn't review it before he signed it is my thought.  Thankfully, I don't type his discharge summaries so I know it wasn't my mistake. 

Doctors not reading dictation before signing - MT2011

[ In Reply To ..]
This is one issue that really upsets me. Hospitals seem to have no way of making doctors read their dictation before signing it OR leaving blanks in reports. Something needs to be done about blanks left in signed reports. This is an incomplete report and should not be tolerated. This happened to me at a local hospital when I was receiving care there and the idiot transcription supervisor just blew me off - it never got fixed. This should not be tolerated. Doctors aren't GOD.

When we complete a report at my acct - anon

[ In Reply To ..]
and if there is a question, we can send an instant message to the doctor in PACS and leave the report pending and fix it when they reply. If there is no problem with the report, it goes into DRAFT status and is immediately faxed to the referring doctors and patient record, unsigned. They are signed en masse later on. Many times it is the referring doctor who catches mistakes and notifies MR of the errors. Stupid system.


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