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

Losers with capital L - PolyPPB

Posted: Dec 02, 2013

Like I've said before, Nuance cannot figure it out! I understand having a good QA team, but that does not mean picking apart every comma, typo, and, it, and but particularly when their own product "Dragonspeak" a Nuance product being used by doctors in their own offices makes the most shocking of errors and those errors are going directly into the patient's charts without being fixed. Doctors simply do not have enough time in the day, to fix these errors. I have seen it for myself while working in a doctor's office. If the syntax of the sentence is changed, like it is when using "Dragonspeak," then it is clearly an error, but that means that the wrong words are being used, not insignificant minutia. This company cannot see the forest for the trees and they are driving off a fabulous working force from the US, while allowing their own products to wreak havoc on medical records. Down the line I suppose, justice will be served.

"errors are going directly into the patient's charts without being fixed" - sm

[ In Reply To ..]
"Doctors simply do not have enough time in the day, to fix these errors"

And you blame Nuance for this why? If a physician chooses to use front-end voice recognition - it is up to that physician to edit the document. Otherwise, they can hire a service for their transcription.

You have misrepresented what I have said - PolyPPB

[ In Reply To ..]
Doctors in their private offices use a Nuance Product called "Dragonspeak." I talk to doctors all the time. They have shown me their pile of charts to dictate on in a day. It is the "Dragonspeak" that is making the errors and yes, they do not have the time to fix all of the mistakes and therefore, their office charts are full of these reports with errors. It is a Nuance product so they are at fault for making such a defective product. Yes, true it is up to the physician to edit, but most simply don't have time and don't care to give it a thought. They usually have more important things to attend to and I can attest to that!

Nuance expects perfection from its employees but not its products?

I probably dislike Nuance (and their products) as much as anybody, but - wannie

[ In Reply To ..]
the user of a product is responsible to make sure the end result of such use is right. If the physicians don't have the time to edit or, worse yet, "don't care to give it a thought," that is the physician's (and ultimately his patient's) problem. He could easily hire someone to do his editing for him. We all have lots of things on our plates and some days don't have time to work, but it is ultimately our responsibility to do our jobs and make sure they are done correctly, just like it is the physician's job to make sure his charts are correct.

Nuance and their products - PolyPPB

[ In Reply To ..]
Wannie - In a perfect world your exactly right; however, the problem in this case does not reside just with the doctor but also with the corporation he/she works for. The corporation does not want to pay an MLS the benefits or any kind of wage and thus, we have Nuance. The corporation wants the doctors to use only "Dragonspeak." All I see as a nurse or someone working in the health industry are these reports on patients that are highly flawed. While the physician is responsible for his own work, at this point in time they simply don't care and don't want to spend the time and so the reality, reports with errors. I'm not saying this is right and yes it is the corporation and the doctor's responsibility. Nuance boasts about how perfect Dragonspeak performs.

Nuance expects miracles from their employees, but not their products? Really? My point is whether we like it or not, whether we accept it, medical records are being filed with lots and lots of errors. Probably same thing with Nuances front-end voice wreak. Unlike the MLSs (who in my book are almost perfect) their products need a lot of work.

Your logic is flawed. - see message

[ In Reply To ..]
Yes, Nuance expects a certain level of quality from their MLSs. If a report is edited, then it is exactly that - EDITED. Nowhere does Nuance state that their voice recognition products are 100% accurate 100% of the time.

Medical records should not be "being filed with lots and lots of errors."

If that is truly the case as you say it is - it is the fault of the physicians who are not editing their signed reports, or are not hiring MLSs to edit/transcribe their reports. It is not the fault of Nuance.

I use Dragon on my personal PC. No it's not perfect. As I dictate, I do have to correct errors. But it's a great product and I don't expect it to be flawless.

I beg to differ. - sm

[ In Reply To ..]
I certainly did not misrepresent your statements. Voice recognition is not perfect. The final product needs to be edited. Whether that be by the physician, or an MT.

If a physician is too busy to make edits, they should not be using Dragonspeak.

BEG TO DIFFER - PolyPPB

[ In Reply To ..]
You said it, voice recognition is not perfect. Well far from it. So are the doctors responsible for the voice recognition technology? Obviously not. These are medical records and the efficacy of Nuance's software technology is functioning perhaps at less than 70%. When a doctor sees 80 patients a day can he/she really do the job of an MLS at 99%. I think not! No one but Nuance is responsible for their technology.

Yes, Nuance is responsible for their technology BUT - sm

[ In Reply To ..]
the physicians are responsible for the end result of their reports that they sign. We both agree voice recognition is not perfect. You go on to say, "When a doctor sees 80 patients a day can he/she really do the job of an MLS at 99%."

My point is - if the physician cannot/will not edit their reports, then an MT/editor needs to do the job.

You are blaming Nuance for lack of responsibility on the physician's part.

Beg to differ, too - sm

[ In Reply To ..]
It is the doctor's responsibility. Period.

Also, the "errors" that you think are so bad aren't that bad. MTs are hyper-focused on nonessential details like spelling, punctuation, grammar, and formatting. Syntax errors that result in "wrong words" don't usually don't interfere with understanding the content.

Physicians don't care because they know it isn't important. I think you also have to realize something else ... some of that awful writing IS HOW THEY WRITE. Fabulous spelling and punctuation is not critical to getting into or through medical school; math and science ARE. Their writing is a mess. They don't care and it isn't important.

Your focus on these details isn't bad, but harping on this to turn back the clock isn't useful to you. Why not put your skills to work in a related field where they can serve you and others well? There are lots HIM and informatics jobs that value your knowledge, skills, and attention to detail.

EXCELLENT post. Thank you! - see message

[ In Reply To ..]
It's nice to read a well-balanced statement on this board. They are few and far between.

Never thought about it that way - sm

[ In Reply To ..]
Look how many really horrible transcriptionists we have seen in our years and the docs didn't read before they signed off on that dictation either. We are hyperfocused on detail for 2 reasons: 1) The company we work for is creating that atmosphere with FIESA; 2) We're afraid of losing our jobs and desperately trying to find something wrong with this product to make ourselves feel better.

The whole thing is ludicrous. Even as I sit here reading all the posts I'm thinking about all the mistakes everybody's making in them and really who cares? Just us.

Doctor's being responsible - PolyPPB

[ In Reply To ..]
I do understand the point you are making; however medical transcription is headed for front-end voice recognition without editing by any MLS. I too have seen the errors coming from Dragon. They are not as simplified as you suggest here. It does totally change the syntax of the sentence and clearly not at all what the doctor intended to say. In fact, sometimes it is downright nasty. Technology is going front end because hospitals and doctor's offices think it more cost effective and they are always looking to pay less. So with front-end are you saying that the doctor can do a better job than an MLS who has, as you have pointed out, been trained to pay attention to detail, has the knowledge, skills, and can actually spell. You know spelling was never a prerequisite in medical school.

Exactly what is this life-saving, crucial deal with - spelling?

[ In Reply To ..]
Cn u rd ths? So cn evry1 lse. Nobdy dye bcuz f ths.

What is deal with spelling, your kidding, right? - PolyPPB

[ In Reply To ..]
I believe that is a question for Nuance and FIESA? Why is so much emphasis put on spelling more like minutia of spelling?

Spelling critical, but not punctuation? - Just saying

[ In Reply To ..]
Look at your subject line. It says "Doctor's being responsible.."

Everybody read and understood what you were saying anyway.

Hey "Just Saying" I'm just wondering - Getrude

[ In Reply To ..]
If you are perhaps a salesperson for Nuance products or have some major stock in Nuance?

No, I am not - Just Saying

[ In Reply To ..]
If you read my posts, it would be clear that I am not.

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