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BOS and dangerous abbreviations - mountaintyper
Posted: Jan 30, 2012
Do the BOS and dangerous abbreviation rules apply to office dictation that is outside the hospital setting (i.e. private practice offices). Thanks.
Dangerous abbrev yes, BOS maybe - Happy MT Robin
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The dangerous abbreviations come from the JCAHO is an organization that accredits and inspects health care organizations with a focus towards safety and patient care. I would always abide by their dangerous abbreviations list.
The BOS is a set of guidelines from the former AAMT, now AHDI that has more to do with style, consistency of style, grammer, etc.
Pretty much every medical facility out there will pay attention to JCAHO guidelines. It's a toss up as to how many actual doctor's offices even know about the BOS. I think that was more of an invention for the MTSOs when they started coming along.
If they are joint commission accredited. I personally - know of no private
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practice offices who are JCAHO accrediated. Maybe there are some out there, not sure. I thought they were pretty much hospital.
I work for a MTSO that mostly does clinic - transcription, and they
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do adhere to the BOS and JCAHO dangerous abbreviations. There are some accounts who will request to not have abbreviations expanded and to type meds, abbreviations as dictated. So, if you are taking on a private account, you will need to find out what the doctor expects.
Thanks all. - mountaintyper
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Thanks everyone for the input. I guess I'll just stick to the guidelines I use for hospital work just to be safe. I appreciate you taking the time to respond to my question.
Just wondering if anyone knows where I could get a list of the "dangerous abbreviations" in transcription. I was at a doctor's office one day and saw a sign on their wall that said something about dangerous abbreviations and something about things that transcriptionists should not type...but I left thinking that it would be something easy to find but have found no information on that at all.
Thanks so much for your help! ...
I don't use dangerous abbreviations and I never abbreviate in the diagnosis and QA has been changing my reports to abbreviations in the diagnosis and changing words and adding the dangerous abbreviations. Does any else do this, not abbreviate etc? ...
I've searched the JCAHO website. I used to have a copy but can't find it. Would someone please be kind enough to point me to the link for the JCAHO list of dangerous abbreviations? ...
It seems to me that ASR is making more mistakes instead of "learning" like it is rumored to supposedly do.
Today, my dictators are speaking clearly (for a change) and in one report, in the discharge meds he says "none" and ASR puts "Dilantin"??? That doesn't even SOUND the same! In another it clearly says follow up in 2 weeks and ASR puts "no follow up" in 2 weeks!
I've noticed a lot more things like this in the past week. What's up? Think we& ...
Very interesting article-- I just wish the MTSOs would read it. They expect the MTs to sit for 8 solid hours pounding away like robots and even track "inactivity time" on your computer if you stop for a minute or two. I am finally free from the MT rat race and found another job where I can actually move around and interact with real people instead of staring at a computer screen for 8 solid hours. I only hope the scar on my leg from the shackle I have had to wear for years will ...
Really, with this time of VR, who can actually be accountable for the errors in reports? My VR is HORRID. It will completely change the name of medications that the dictator dictates and on and on. So, when a medical error is made, based on a report where the MT didn't catch a mistake on VR, how can they hold the MT solely responsible? I mean, we didn't TYPE that error, we just missed a word while proofreading. I wonder why they would allow something with ...
I had an idea and would like some feedback on it. I was wondering why we don't just call up, anonymously of course, the hospitals repeatedly and complain about some of these dangerous dictators. This really is a patient safety issue first and foremost, although it would be awesome to do something about them for our sake. Anyone who works on account BC with the dictator Dr. RK knows this is a patient safety issue. He is dangerous! Thanks in advance for your opin ...
I informed them of an error regarding a medication output by ASR,something sometimes said, but was not dictated. I was told this was programmed into the software, and they could not (i.e. would not) correct that. I have accused the software (programmers) of putting in often-said output rather than what was actually dictated which they have previously denied. Guess someone slipped up by admitting that was done with this medication. ...
I am doing two reports of tissue examination and at the end of the Gross description, on one report he says RPE three blocks and on the other report he says ET two blocks.
I am trying to figure out what the RPE and the ET means.
Thanks for your help. ...
I know that we are to expand abbreviations within diagnoses sections. However, what about things like this: Pulmonary embolism. The patient was started on IV heparin. Do we expand the "IV" also? Thanks. ...
I'm having trouble with a few cardiology abbreviations that this dr. is throwing out. "Card (which I'm assuming she's abbreviating for cardiology) - AVR, conduction disorder - s/l RABBB or maybe just RBBB - followed by cardiology." ...
HELP PLEASE! In typing abbreviations on my account specs, it says following AAMT BOS, but the problem I am having is letters. They are using abbreviations that I should be expanded as it is a letter, (ex. MCP). I have read to expand these, but for the life of me I cannot find it in AAMT BOS... Any help appreciated. Thanks ...
The patient is in for preoperative evaluation for s/l SAD DDCE? I know that SAD means shoulder arthroscopic debridement but can't find what DDCE might mean. That is the only sentence, so I have no other context to refer to. Thx. ...
Haven't done enough of these complicated OB reports I guess. Doc says patient had what sounds like "COREO" (in which she lost the baby) and something that sounds like "TOCOS" in relation to some cervical irritability. Can't find anything to verify either. Any suggestions?
...
Should we put a hyphen in preop and/or postop? My spellchecker says it is OK without, but it is hard to read w/o one IMO.
BOS says to use a hyphen when joining a prefix to an abbreviation, so would this count as an abbreviation in this case? Or is it more like a shortened form of the word? ...
Hi there,
I am confused a little on abbreviations in assessment and plan. I am transcribing a H&P and there are a few abbrev. in the assess/plan. Should i expand or leave them? For instance: CPK, LDL, PSA screening, EKG, GXT....
HELP! ...
Good morning everyone. I'm a bit confused about headings:
If "GYN" is dictated in a heading, do you expand it to "GYNECOLOGIC"? I remember from my training that you do; however, I've seen reports that show it as not expanded.
D ...
About to pull my hair out with these abbreviations ths pathology doctor is giving for the medications. I have looked in my path book and abbreviation book and it does not list these. Can anyone please direct me to where I can find a list of abbreviations of the drug names. I would appreciate it more than I can say. ...
I know that according to AAMT we are not supposed to put abbreviations in the Impression/Diagnoses sections, but does that include ALL abbreviations? Or just ones pertaining to diseases? For instance, are we supposed to spell out MRI in the impression? Or just diseases, like PUD or COPD?
I'm a bit confused because I put "MRI" in the impression and QA left that as is, but I also put "PT" and they expanded it out to "physical therapy."
Does anyone know?
Thanks in a ...
Whenever I open the abbreviations, it seems to take a long time. Add an entry, close it, continue typing. Same thing every time I add a new entry, takes a while to open. It's going to take forever at this rate to build a list.
Any way to make this go faster? Cant really be my internet speed, would it? It's just a quirk of this particular program? ...