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Speaking of IMEDX, has anyone noticed that the VR is almost (sm) - Spinning my wheels


Posted: Dec 04, 2014

it was when we were originally training it?  Some days now it's even worse.  I wonder what is going on.  Things that have been corrected forever now have to be corrected again, and a lot of times it is spewing out gibberish.  What's up with that?

Yeah - me

[ In Reply To ..]
I think it's weird too. I've been fixing things that shouldn't be a problem at all. Words clearly stated are being missed entirely or "misquoted". Words that are garbled come out stranger in the text than what was actually said (or attempted to be said). Sometimes, it makes me laugh. Other times, I wish for a pay raise to make up for the additional work of an almost total rewrite.

Inexperienced MTs or new grads training SR? - Rachel

[ In Reply To ..]
That is the only explanation I can think of why it would learn, then unlearn. I've noticed in the past couple of weeks that the accuracy has taken a nose dive.

There you go blaming the MT...NOT SO Rachel - anon

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1. None of these companies are hiring inexperienced MTs. They have their pick out of hundreds. Why do we always blame the MT? Hospital lawyers always wanted "typo" to be the only classification of a replaced report.
2. The Dragon is a machine.
3. The Dragon is man made.
4. The dictators can be inaudible to a human, let alone a machine.
5. Sales promoters have convinced the clients that the machine makes no mistakes and is faster.
SMALL
EXAMPLE: Machine heard: Metastases.
Word said : Atelectasis.

What is happening is that MTs are making mistakes - I use Dragon, I know

[ In Reply To ..]

Say that a certain doctor was trained correctly and MTs typed correctly, the word metastasis... then another MT comes along, maybe has a report that has to be straight typed or maybe it's an MT who thought the speaker said atelectasis... so they change it.  They just retrained the months of training that had been correct to begin with.  All it takes is one bad apple and then another person to let it slide or not notice it when they have that doctor next... and so on and so on.  The system learns from what we type.  If it's typed more than once or skipped over and not noticed after being typed incorrectly once... then the system is going to go with atelectasis when the doctor said metastasis... from now on - until another MT comes along and fixes it - and then it has to happen a couple of more times...


 This is why VR will never work.  MTs who don't have the experience or even the education of 7th grade English are being hired.  MTs who have experience but are lazy and incompetent at their jobs are being hired.  It's the people who have all of a sudden decided that working from home is the dream job - but they have no real skills to back it up - and companies are hiring them left and right because they will work for dirt.  Blame those MTs.  And yes, it is the MTs messing up the VR, every single time.  I used to train accounts before releasing them to the MTs - and they would be trained perfectly, according to account specifics, etc... and a month later after releasing those accounts - jacked up as heck.  

Happening to me, and I think you are wrong. (sm) - Old Timer

[ In Reply To ..]
We trained the VR on my particular hospital(s) about 3 years ago or so. Very little correction was needed, except for a few words that kept going back and forth, which would bear out your claim - example: arousable/arouseable. This is different, and it is ever since we were informed of this "merger", shortly thereafter anyway. Now it leaves entire phrases out or puts in something really stupid. It can go either way. I don't believe there are that many new people on the account to make this happen. There's another explanation out there, just not sure what it is.

Prob started offshore MTs - Been there

[ In Reply To ..]
Nm

Sure there is, physicians don't know how to speak - properly for VR

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It amazes me that transcriptionists are buying into the fact they are training VR. Really, how do you do that? You putting the voice back through the system when you are done with the job so it can have all those corrections you made. I know when I train I have to repeatedly say the word over and over again until the VR prints out the right word. I gave it the right word.

I posted above this morning, but it was moved to Main Board (sm) - my 2 cents

[ In Reply To ..]
I had a report this morning that said, "Throat: The patient is a horse." Please don't tell me that's a problem with the VR. We had this puppy trained for about 3 years.
Here's another: Velocities on the carotid ultrasound (sm) - The last cities? Really?
[ In Reply To ..]
nm
Ok, last one, I promise (same report, BTW) (sm - me again
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"self limited in terms of symptoms as it already is."

NOT - self limited in terms of symptoms as Citardi is. WHAT???
Exactly. It is the VR not the transcriptionist - nm
[ In Reply To ..]
.

Not all VR programs created equally - NOT necessarily MTs fault

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I have never used Dragon, so I am not commenting on that program; it may be one of the better ones. At TransTech/Imedx I work in ExEditor, which is a really dumb VR. For example ... the system was trained to spit out cm for centimeter and did for a long time. Then comes along some new (I am guessing here) MT or MTs to the account and typed out the word centimeter. Unfortunately, it then learned to spit out the word centimeter instead of cm. My account manager asked us repeatedly (until she gave up because she saw the system was not going to "relearn") to change it back to cm so we could reteach the system. The client had cracked down and was unhappy about it. Because it was emphasized to us so much, client unhappy, etc. I assume the other MTs, as well as myself, made a very conscious effort to change this every single time. Well, the system never has relearned the word to be cm. That was about a year and a half ago.

On this account, this goes for every metric unit of measure. The VR spits out the entire word. Every frickin single report not only do I have to change centimeter to be cm, I have to change millimeter to be mm, milligram to be mg, microgram to be mcg. It is very frustrating and a huge waste of time.

As I said STUPID VR system. It doesn't relearn. If it didn't get it correct in the beginning when the doc first switched over from traditional to speech, forget about it ... its not going to happen.

I know that program, but I am on Editscript, and it is - excellent - (was)

[ In Reply To ..]
nm

Actually the 'cm' versus centimeter issue was a result of - Programming

[ In Reply To ..]
They changed something else in the program and a side effect was no more autucorrect on measurements no matter how many times the MTs correct them, doesnt happen on all sites for account, and for some reason Tech never fixed it, probably too much else going on :(

I've worked on ExEditor as a trainer and the program has a - setting for something like that

[ In Reply To ..]
It sounds like it was reset somehow and your account manager doesn't know this. It has all sorts of formatting options. In other words, depending on client requests, someone can say 5 foot 6 and it can be programmed to put in 5 feet 6 inches, a date dictated 10/23/2014 can be programmed to to display as October 23, 2014, etc. Centimeter vs cm is a simple one. It shouldn't matter what is dictated and what an MT does. It should come out the same way every time if it is set to default to that.

I think the problem is that these software salesmen sell these programs, but don't train the higher-ups at the MTSOs (or the higher-ups don't care or don't pass on what they're told), and thus the program isn't used correctly. It's so frustrating, but it's all to the detriment of the ones who use it the most! All the errors you mention you have to keep changing (and costing you money) such as millimeter vs mm, milligram vs mg, etc. is a SUPER SIMPLE setting. If the VR platform is programmed for the opposite of what it should be, it can never be trained because it's a setting issue. Someone who should be taking care of this has dropped the ball.
This is really disturbing - felt better when I thought was just stupid VR
[ In Reply To ..]
Really ticks me off that someone simply dropped the ball ... A ball that is costing me money every day. I wonder if it is the client who dropped the ball or Transtech/imedx.
I think it has something to do with us now training Indians. - To take our jobs.
[ In Reply To ..]
nm

it's not a "stupid VR" system - anon

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It's stupid people who have control over the speech engine. They can very easily edit the Properties to have the program insert things correctly. Example - they can configure it to always type "cm" after a number.

If the people in charge of the speech engine don't make the changes on their end, there is absolutely nothing you can do on your end to resolve the issue.
IT costs more than MT - Rachel
[ In Reply To ..]
It costs the MTSO nothing to have us changing centimeter to cm, so why should they worry about it? Tech support is usually men, which means they make an hourly living wage, which costs the company 10 tines what we make per hour so they avoid using them.

Atelectasis/metastasis - Not impressed

[ In Reply To ..]
Not every dictation is canned. If atelectasis fits the context of the report then it needs to be changed. QA or the physician is supposed to catch that anyway, the provider is supposed to read the documentation before signing off. People who are lazy and incompetent get fired. MTs test into positions and I believe that at least a high school diploma or GED is required, it's required to get into a college or trade school, your argument doesn't hold water. I've seen documents that go through "trained" speech systems and it is not the MTs fault, it's the crap technology that can't tell the difference between sound alike words.

Yeah, I noticed - gonesoon

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after we were forced to download Norton. It wasn't doing this before, and I've been working on the account for 2 years. It is so far off, especially on meds, whole chunks of dictation are missing. and it's not for new dictators to speech, I'm noticing it on dictators that have been on speech for the last 2 years. I blame Norton.

I had no problem with Norton 360 - Rachel

[ In Reply To ..]
I am not happy that I pay $80 a year to use Norton 360, and have had to delete it to use the MTSO's program, which doesn't even have basic settings of features. I've also lost all the diagnostic and maintenance features of 360. Now my PC runs like a slug.

Since voice recognition has to recognize speech, none of this conversation - makes sense to me, sm

[ In Reply To ..]
I'm not sure why the transcriptionist would be expected to train a system. It can only learn what the voice is saying by the particular person speaking to it. Sure, you can make the corrections but if they do not put the corrections through the speech recognition program after being corrected, it would never recognize the corrections. It always has to have the voice for the corrections. I have voice recognition on my computer and the speaker has to learn how to talk to it. Some words, it just never learns no matter how many times I correct it. So don't be so quick to blame it on some transcriptionist typing in the wrong words.


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