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A dictation error that bugs me - - but not really an error

Posted: Jun 18, 2012

In dictating a progress note, the doc dictates, " - - - osteomyelitis of the heel, although a discharge summary typo says osteo of the knee."

Yeah, you can make a typo of knee out of heel. I type what you say, doctor, and it's not unheard of that you could make a mistake in your dictation. If you'd said heel, I would have typed heel. Take some responsibility, and don't blame it on me!

Just call it mind reading - just me

[ In Reply To ..]
yeah I hear you. One of my TL got mad after she confronted me about an error on a report that I should have known what he was trying to say. My reply to her was "Sorry that I did not have my psychic cap on today." She wanted to know what was that supposed to mean. I told her I didn't know mind reading was part of my job description. She threatened to call me after my reply, but I never heard one word from her. Funny I thought. lol.

Minding Reading - Runamok

[ In Reply To ..]
Yeah, mind reading and apparently the responsibility of MD after our name as they don't want to read what they sign. Yet, no one seems to want to pay us for flagging the wrong side of the body (if the doctor keeps switching it), the wrong dose of a medication (knowing or looking up to make sure that a medication does not come in that dose), and it goes on ad nauseum!
Let me guess that a 1-2 year person with training and/or experience is going to know this stuff?! I highly doubt it. I am friends with a lot of nurses and they tell me I have medicine and medical knowledge of a lot of nurses (and more in some cases). I foresee malpractice insurance and suits to go through the roof if they are going to rely on technology and little experience. I see many MT/MLS leaving because of the pay going backwards and the responsibility getting bigger. Don't get me wrong, I love technology but it does not replace the human mind or our skills at playing detective. : ) I'm not bitter. I'm not angry. I'm just kind of blah regarding this field. After loving the challenge and dealing with tempermental doctors, etc. I definitely feel I am worth more. I'm not going to sit and whine about it or begrudge those who are doing really well - I am keeping my eyes open for my options and don't feel it will be in this field, at least in this manner. It's been good to me and I've had a great reputation - until a few months ago when I got written up for the doctor's misinformation that I felt was HIS fault and I had no way of knowing other than having access to the patient's file. Kind of left a bad taste in my mouth but it isn't going to ruin my 30+ run of a pretty great career.

Runamok - right on! - (see message)

[ In Reply To ..]
Runamok: I could have written your post, word for word (except for never having been written up, and my experience being only a 17-plus-year-run, LOL). I agree with everything you wrote in your post. Well said.

If I had a dime for every time someone dictated 150 mg of synthroid - - nm

[ In Reply To ..]
x

how about when they mix risperidone and Risperdal "risperidal" nm - MT55

[ In Reply To ..]
x

It has always bugged me - Old Pro

[ In Reply To ..]
I'm sorry, but what you say is what you get. My crystal ball is completely out of order! Shame on them.

That bugs me, too. It's the one time I intentionally - omit something: the "typist error" part.

[ In Reply To ..]
I used to type for a doctor that was constantly making dictation errors: wrong amounts, wrong side, wrong patient. Then on his re-dictation he would say, "Due to transcription error...etc etc." I would omit "transcription", and instead type "dictation". Or else I omitted the "reason" for the error altogether, and just typed the part of the sentence that belonged in the report.

a "typo" would be heal instead of heel - slave wages

[ In Reply To ..]
"knee" would be called a "mistake."

Just my opinion, but.... - (see message)

[ In Reply To ..]
I know this is splitting hairs, but I think typing "heal" instead of "heel" would be more of a brain hiccup since they're both real words...like an MT was just on auto-pilot. Heaven knows we've probably all done that before...even the best of us. I would consider a typo to be something like typing "heek" or "HEel" instead of "heel." :-)

Typing "knee" instead of "heel" (or vice versa) sounds like dictator said the wrong word, and the MT either didn't notice (again--easy to do, especially with VR) or noticed and thought, "This is a verbatim account, and if I change what he's saying, I'll be the one docked for it!"

I'm not saying that's what THIS person did....I guess I'm just saying I hate how this profession has become one where we aren't allowed to use our heads in so many cases.

you're right - slave wages

[ In Reply To ..]
a better example would be if I meant to put heel and put, say for instance, hell. That's a typo. It always drives me nuts when people call a mistake a typo.

wish all would do that - frustrating

[ In Reply To ..]
we are lucky, when the doctor blames the MT, he gets to listen to his dictation himself. If he refuses, he is reported to our medical board at the hospital. Now that is how to handle it.

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