A community of 30,000 US Transcriptionist serving Medical Transcription Industry
Just typed a letter to a peer review committee regarding a discrepancy in an operative report and a discharge summary. The doctor gave the explanation that it was simply a typographical error either from his mumbling or unclear dictation, and that the dx listed in the discharge summary did not make sense and he would not dictate that. Yes, he actually admitted it could have been from his mumbling. But, why didn't he catch that incorrect diagnosis when he signed the discharge summary?? Probably because he didn't review it before he signed it is my thought. Thankfully, I don't type his discharge summaries so I know it wasn't my mistake.