Really? You don't see the dictation error? - Bobbi

I left a report pending with a note to the department supervisor to have the doctor review and advise.  QA monitors pendings to make sure they're not forgotten.   Our QA system is very different from that of other MTSOs.  This is the dictation that I questioned: "The right external iliac artery could not be visualized.  In addition, the bilateral external iliac arteries could not be visualized." 

The examination was done on the upper extremity arterial system.

QA sent me an email stating they saw nothing wrong with the report and finalized it, making it sound like she did me a favor.  Doctor comes back today and can't find the report/images (because it is no longer in his queue because it has been finalized), but still has my forwarded email from his dept super, who is off today.  He contacts someone else, who contacts QA (who doesn't remember the case in question), who contacts the coordinator, who contacts me.   The coordinator has to bring up the case in PACS, ask for my correspondence, contact the doctor, un-draft the report, put it back in pending status, lock the erroneous report in PACS so it cannot be viewed again, re-send the case with demographics, and then wait for the doctor to make the correction. 

The doctor meant to say: "The right axillary vein could not be visualized.  In addition, the bilateral cephalic veins were poorly visualized."

All because of this know-it-all QA person.  She does this kind of thing about four times a week.