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What percentage of dictators can achieve 99% accuracy using VR? - Rose

Posted: Nov 24, 2013

On the account I work I'd say only about one dictator in 20 can achieve 99% accuracy with VR without editing. This doesn't surprise me in the least. We could have told the developers this 20 years ago, but money talks.

For the doctors forced to use VR, will the errors be acceptable to them? To the big wigs at the hospitals?

I think it is according to what platform you use - using mine is almost 100%

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accurate. There are no doctors as far as I know who cannot use the system from the hospital and it does just as well with the ESLs as with your American doctors. Except for the newest ones coming on, I am very pleased with the platform I use, like lots better than straight typing.

Just curious - what platform is it? - anon

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and how many accounts do you have as primaries?

Ediscript and only 1 primary and that is because - only wanted one

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did not want to learn these rules for 5 different places, too much for me. This is a hospital account, have probably 200, 300 or more doctors who can and do dictate, acute care is what I work on. I have ran out of work before but mostly have plenty to keep me busy and where I work seems like always asking us to work extra, again something I very seldom do.

Thanks for the details. - anon

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I once had a great VR account too with minimal editing. Same thing - one account with 500 physicians. It was so nice. We had open communication with the doctors and able to give MT feedback on training the system. I averaged 450-500 lph on it. No nitpicky QA, no BOS 'rules' - just typed what the dictator said - and had standardized formatting. I miss those days. Now I work for a major national and have 20+ accounts all over the country with pages and pages of rules and client specs.

Now I have a question for you - Retyping?

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Where you work, if the VR puts out a bad report, lots of editing, are you allowed to delete and just retype that report over?

I've never asked but I don't think it would be a problem (sm) - Rose

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I don't do that because I have severe carpal tunnel. Still on most editing my hands are constantly moving, just slower than transcribing since we can only edit as fast as they talk, so it's a relief for the carpal tunnel.

If depends on how it is set up - sm

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When the system tries to learn a bunch of doctors and MTs change things differently, the accuracy stays low.

Also, with the type of system you have, the dictation is not transcribed for the doctor in real time. It goes out of the facility, goes through an MTSO, gets returned, and the doctor does not get any feedback on the problems the system has with him. He just gets a report to sign. Nothing gets better because the underlying problem never gets corrected.

However, front-end systems DO NOT leave the doctor's sight. They produce the report right in front of him. The doctor can see and correct himself. They train the system, but they also train themselves.

Since the report does not go an MT, no confusing changes untrain the system. It learns him and him alone.

There are also advantages for the doctor. He has a report immediately, not the next day. He does not need to go back into the record to sign it.

Believe it or not, doctors are not stupid. They CAN write. They just couldn't type. They can see and correct errors in their VR. A lot of them really like it.

A lot of them are very computer oriented now, too. The young ones grew up using a keyboard. That is how they have been writing since kindergarten. They do not have a problem typing notes. They also create templates quite naturally.

MTs have an inflated view of the seriousness of typos and grammar errors. The reports you transcribe are not the only thing in the record. No one makes major decisions based on them. (Please don't cite that death due to the nurse using a discharge summary, because she was not supposed to use it.)

It is NOT the MT that... - anon

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has an "inflated view of the seriousness of typos and grammar errors." It's these MTSOs who think the BOS is a bible and QA who grade like robots with no common sense.

It make no sense for MTSOs and QA to tear apart documents looking for inconsequential errors that the actual dictator would laugh at. Since when is their "grade" more important than what the doctor would consider an error? It's come to the point where we are solely responsible to catch every single error the dictator makes and every error VR makes (yet heaven forbid WE make an error). Meanwhile, the client specs we have to memorize are more complicated, we are told to type faster and produce more, yet at the same time make no errors in such a stressful environment, and are expected to keep this level of concentration up for hours at a time being monitored by "productivity software". All for pay that decreases every year. Insane.

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x ...

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