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


My biggest QA peeve today is... - Ginger


Posted: Sep 20, 2012

Unless the CP states otherwise...

When the doctor dictates "Dr. Smith," don't pull in his full name with credentials from the database, just type "Dr. Smith."

Example: Dictated: " I called Dr. Smith to the ER. "

Type: I called Dr. Smith to the ER.

NOT: I called Emmett J. Smith, MD, to the ER.

If the doctor does dictate a full name or for some other reason you do pull the name in from the database, remember to put a comma after the credentials if it is in the middle of the sentence.

Dictated: I called Robert Clay, MD, to the ER.

Transcribed: I called Robert Clay, MD, to the ER.

NOT: I called Robert Clay, MD to the ER.

 

Having said that, there are some circumstances where I feel it is okay to pull in from the database even if only Dr. Smith is dictated.  I generally find it is acceptable to pull in the full name (only if you are 100% sure of the first name) under headings such as Referring/Requesting/Ordering Physician, Consultants, etc.

 

What do you think?

it does not matter what we think, QA will change - it to the opposite.

[ In Reply To ..]
One will do it one way, the other will do it the other way, we will bounce like ping pong balls on red bull cause thats our job...

If dictator says Dr Smith, that is ALL you can put. You cannot read - his mind to know he means the Dr Smith Sm

[ In Reply To ..]
you think he means. Dictator might be a scatterbrain who worked with 2 Dr Smiths on this case. you can only put what you KNOW, which is just what your hear. No adding anything extra that was not dictated.


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