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Got a critical error for "omitting dictation of a critical nature." - mt

Posted: Jan 04, 2010

The dictator said "... will get cardiac enzymes and will get a carotid Doppler in the morning...", or something similar, I have deleted the report. I left out the second will. This is not a verbatim account. Critical error for omitted dictation pertains to lab results, normal values, etc. I didn't think the word will meets that criteria. I also had Tylenol No. 3 changed to Tylenol #3. The drug lists still show it as No. 3.

The Quality Coaches are the ones doing the auditing/grading. - I would ask her.

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x

Ridiculous!! - Fed Up

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I have also noticed changes in my reports that don't need to be there. If I send a report to QA with 1 blank in it, and then review it, QA will have made other changes in the report.

Most of the time, they change words that don't need to be changed, or ad words that I omitted for redundancy (like you did). My account is not verbatim either.

The nitpicking is getting out of control. I hope that you are going to complain to the powers that be about this. A critical error? I think not! Not an error at all!

Thanks. I'm starting to wonder if I know anything anymore. nm - mt

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Agree nitpicking getting ridiculous and extremely irritating when dictators are obviously not held t - yellow submarine

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and apparently not even required to speak English.

I don't have a problem with valid correction and want to know if I make real errors. Emphasis on real. The rest is nothing but pointless, irritating micromanagement that has absolutely no effect on patient care, just making this job harder than it already is.

Most of the experienced QAs left with the paycut and - sm

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change to MME. MQ is getting what they pay for, and unfortunately the MTs, MMEs, clients, and patients are the ones to suffer.

Tylenol No. 3 - MT

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Saunders Pharmaceutical Word Book: Tylenol No. 3. The heck with the Internet. Books have errors, but they're far more accurate than the Internet.

As for your word omission--not sure what the rules are. An omission is an omission, but that should have at least been downgraded. Totally silly to take points off for that.

No kidding...I just had one come - back

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with mL changed to cc.

What?? The BOS even says to use mL instead of cc.

Considering I've already sent 3 emails today because of "corrections" made to my reports that were INcorrect, I'm starting to feel like it doesn't matter. I could type jibberish and they would probably let it go through....oh, but they would change the word 'and' to an ampersand! (&)

no kidding - calgal

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New MQ standards say can use "cc" if they dictate "cc". Also say not to use "&" and type out "and". I know I for sure wish they would make up their little pea-brains and quit going back-and-forth on their instructions. I think changes from one person in charge to another.

I always type out - back

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'and' but they corrected a report today and changed H and P to H&P. I was not aware of the cc change. As far as I knew, we were suppoed to change to mL.

I know, I wish they would make up their minds too! It's so frustrating. I feel like an idiot half the time and I've been doing this for 10+ years!

i always type out - back - calgal

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They made up new "standards" a few months ago. I had to have MANY things verified for my BOB as to changes such as pt's names allowed in text - standards say "no", but most of my accounts say it's OK if dictated. SOO CONFUSING. Told to always go by client profile first. I feel stupid too - have been doing this job since 1972, working for MQ for 12 yrs.

This is a perfect example of why MMES are - becoming so frustrated

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with this job. No matter how many times an explanatory note is left for MTs stating to please check the new MQ Guidelines regardomg cc amd mL, the note just never seems to be read by some MTs.

Please see MQ Guidelines: You will find that cc is not on the list of prohibited abbreviations. Never was. MQ uses the short list. Not the long list that included suggestions to adopt at a later date (that's where the mL for cc was located).

Eventally MMEs completely give up on leaving notes and just do the correction without taking the time to leave the comment. What is the point if it is obvious the same comment is being written for the same person over and over and that person never bothers to read it ?

As for the ampersand, check the list of prohibited symbols in the new MQ Guidelines.

I have only been with MQ for - a short

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time. I have never been left notes. That is why I have sent emails asking for clarification.

The MQ standards that I have state that ampersands are prohibited. And all of my client profiles say to go by BOS II, which says to use mL instead of cc. Go figure.

How am I supposed to know if I don't get left a note?

Where to find new MQ Guidelines... - Sioux City

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I've looked on MQCentral, but cannot seem to find. Thanks.

QC e-mailed them to all of us, but they are some - where on MQ Central NM

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NM

Look under shopping on MQ Central - Dinosaur

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I believe it is there, as is the approved website list. It is under MT resource information.

I can understand your frustration, but you - Dinosaur

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are more than likely the exception rather than the rule. I have only had maybe 3 or 4 notes in many years and I have appreciated each of them. The last one was approximately 2 years ago, a very picky client with an extensive CP. The QA person (I don't believe we had MEE then) changed all the headings to what the doc dictated instead of the standard. Before I could even read the feedback she left, the hospital called and had a fit because Dr. Whatever's reports were not on the standard. The poor QA was fairly new and didn't read the CP. I felt a bit bad for her.

In any case, from what I understand the new pecking order is CP first, MQ Guidelines second and BOS 2 third. All of my CPs do not allow cc, want everything changed either mL or cubic centimeter.

Please, keep leaving the notes, we do appreciate your efforts. None of us want to make the same mistake over and over again. We all want to produce the best quality report we can.

Also, anyone new to the Q or DQS, if you hover your cursor over the "Quality assurance feedback" section on the right you should be able to read QA/MEE feedback. If there is feedback left for ADT it will be at the top of the screen under the ADT & Demographics tab.

I had a critical error for leaving out "a"... - huh?

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On a verbatim account in a sentence where the dictator did not say "a".

Go figure.

critical error - onlyhuman

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Challenge them about this!!!

Does challenging make any difference? Do they remove - mt

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it from you stats?

My problem with verbatim - Dinosaur

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Your account is not verbatim so you did the right thing, the second "will" is redundant. Most times they preach "verbatim" but nothing is actually verbatim, or the clients would really have a fit. I can see it now, actual verbatim "I, um, the patient and is also, um with, you know, the CKD" even if you take out the "um and you know" it still sounds stupid. I make small minor changes so the dictator doesn't sound like an idiot. Sometimes I get busted for them, the same as some of you have, sometimes not. Which brings me to my next beef so to speak. If an MT/ME is technically correct in accordance to the CP, MQ Guidelines and BOS 2, or is technically correct because it was not mentioned in CP or MQ Guidelines but is shown as being correct in BOS 2 in multiple ways, don't make a correction based on someone else's personal preference. We all have a personal preference, if it is technically correct leave it alone.

As far as the Tylenol No. 3, No. 3 is correct, not #3. According to Rxlist.com, Steadman's drug book and Tylenol.com itself, Tylenol No. 3 is correct.

absolutely ridiculous - mushroom

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I think I'd have to say something about that - so stupid!!

absolutely ridiculous - mushroom

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I think I'd have to say something about that!!

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