A community of 30,000 US Transcriptionist serving Medical Transcription Industry
Pressure - from Nuance and other dime store companies
Posted: Jul 31, 2013
You know this is some food for thought. You know if there are any mistakes on any of these medical records being VR edited or transcribed and it went to court and you know how they say the transcriber/editor would be liable too, well think about this -- the tremendous amount of pressure that these companies put us under including the severe lack of pay, putting us on an almost impossible production scale among pressures from QA and so forth, a transcriber's defense is so easy and is a no brainer IMO to a jury. The tactics that these outside vendors use on their workers that these hospitals hire gets the entire blame here (both of them). Just something to think about. I hope you guys understand what I'm talking about.
not true at all - that is what you call intimidation
[ In Reply To ..]It has always been if the doctor signs the chart the responsibility falls on his head. Remember a few months ago there was a service (don't know if I can use the name) that was part of a lawsuit and they lost because their Indian employee put 80 mg of insulin instead of 8 mg or something like that and it killed the patient. Family sued and won a huge, huge judgement against both the hospital and the service. The hospital was claiming not to know the service sent any work overseas.
The lawsuit never included the transcriptionist. The doctor is responsible for reading the document and then signing it. They still need to click the button to electronically sign the report, at least when I worked in a hospital and we had electronic signature that is how it was done.
Besides I do not think your reasoning would stand up in court anyway. Might be accurate but not a legal defense.
what about the idiot that gave them 80 mg of insulin - who in their right minds would do that
[ In Reply To ..]if a nurse did it she should have been liable. If the patient did it himself then that's a Darwin award right there. How do you go from usually taking 8 mg to 80? how stupid.
Insulin overdose - Cathy
[ In Reply To ..]I remember reading the story about the patient who was given too much insulin. It caught my attention because of my work as an MT and also as a parent of a child with type 1 diabetes. Insulin, unfortunately, doesn't have a "standard" dose. Insulin dosages vary widely across patients. There is no way that a nurse could know that a patient normally took 8 units (insulin is dosed in units and not mg) instead of 80 units. The patient was transferred to a rehab facility after being discharged from the hospital. The rehab facility took the medication list from the discharge summary and ended up giving her 10 times the amount of Levemir insulin she should have gotten. She was found the next morning in a coma with severe brain damage (Levemir is often given at night, when a patient is less likely to recognize the signs of low blood sugar). The outcome of the trial was that the transcription company and the hospital were to blame, not the MD.
This case illustrates why it is paramount to be aware of what is going on while you or your family member are in the hospital. The nurse at the rehab facility could have called the doctor to confirm the insulin dose, but 80 units of Levemir isn't an unheard of amount (my mom takes over 100 units each night). Sadly, if the transcription error didn't happen, the patient would still be alive today.
I was going to say, I see dosages of 80, 90, 100 units all the time. - It is not at all unusual.
[ In Reply To ..]Saying someone is an idiot for typing 80 instead of 8 is an unintelligent statement. Not that I'm defending the Indian MT. The big thing on those sound-alikes is to flag if there's even a hint of a doubt on what they say. That's becoming difficult with companies like Nuance penalizing for blanks. My hospital encourages blanks whenever and wherever needed and that's how it should be to ensure accuracy. Bottom line, this job should be hourly, PERIOD, with no penalties for appropriate use of QA. People won't abuse QA (usually) if they're paid by the hour and then only the true QA issues end up there. Have a minimum LPH requirement that is reasonable be bring back an hourly wage. The industry will see quality come back.
Pressure - MTSO
[ In Reply To ..]I was just saying it in general. They say all the time that we can be held accountable as well. What I'm saying is the working conditions that they put us under and how this profession went down the toilet IMO is a pretty strong defense if a situation like this ever came about in the future. We personally I'm sure have nothing to sue for anyhow.
There is something funny - about this story
[ In Reply To ..]Since when do nurses administer meds off of what we type? I don't believe they ever did it. They would give meds according to physician orders, not the H and P or whatever. I think it is just another example of intimidation.
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