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QA changed mL to cc on one of my reports! - Daisy

Posted: Apr 02, 2010

I didn't get points off but still - the client profile says NOT to use cc but to change it to mL

Go figure!

cc vs mL - anon

[ In Reply To ..]
Have gotten dinged both ways. Some profiles don't say specifically, but if it said adhere to the Do Not Use List, I changed cc to mL. Apparently you can't win. Same with putting in the patient's name. Some CPs don't say specfically and I get hammered for doing it either way.

DNU list - and CPs

[ In Reply To ..]
cc isn't on the DNU list, so it's okay unless the client profile says not to use it.

If the client profile doesn't mention whether you can use names in the report, then you have to refer to DQS guidelines.

You have to refer to DQS guidelines for anything that isn't mentioned in the specific CP.

In theory - anon

[ In Reply To ..]
But have been "corrected" no matter which way I did it. There are some things about QA I won't miss.

Everyone says this until they start paying - attention

[ In Reply To ..]
and reading over the DQS guidelines and the DNU list. If you don't know where QA is getting the information, then you would think you were being "dinged" no matter what you do.

I run across this all the time.

When they do it both ways on the same hospital, it does seem - anon

[ In Reply To ..]
like you are getting corrected both ways. Also had the same thing on names. Same facility, changed to "the patient" so I started doing that and then "the patient" was changed to "Mrs. Jones." Very tiresome. Feel sometimes like I am getting pecked to death by a bird. Would help if they just asked the clients and put it in black and white -- name y/n and cc or mL. Also seems petty if that is the only thing they can come up with to nit-pick about a report.

This also happens a - lot

[ In Reply To ..]
People can't remember which hospital does what and they don't look to make sure. Not saying QA is perfect, but correcting a report to conform to client specifics is required of them. It isn't nitpicking per se. It does feel that way though.

If you just follow the CPs for each client, then you'll be fine and there will be no "nitpicking." If there is, then there is a problem with a QA person which should be reported.

Just follow the CPs. QA gets tired of correcting things too.

CC is listed ... - Tired MT

[ In Reply To ..]
... in the BOS under Appendix B, Dangerous Abbreviations and Dose Designations.

That doesn't - apply

[ In Reply To ..]
Read your DQS guidelines.

Appreciate the Info. Thanks. - Tired MT

[ In Reply To ..]
Can't keep up with the changes. *Sigh*

So, is the BOS still to be used for other topics?

Yes for anything you cannot find in - the

[ In Reply To ..]
CP (first) DQS guidelines (second), then BOS comes third.

The DQS guidelines say that the JCAHO Do Not Use list is the MQ standard. There is a copy of it in the DQS guidelines and it even states that BOS list is not to be used.

The confusion over cc is simply that it is on the JCAHO list of "consider not using" which is reviewed yearly for possible addition to the actual DNU list. It is not currently on the official do not use list which is in the DQS guidelines. We are supposed to be referring to the DQS guidelines.

So, if the client profile for the facility has a list that includes cc (and/or any other abbreviations) as a dangerous abbreviation, then you would change to whatever the CP says is the acceptable substitute.

If there is no list in the client profile for the account, then you would refer to DQS user guidelines (official do not use list).

Since the DQS guidelines has the MQ standard for unacceptable abbreviations, you do not then refer to AHDI BOS, or any other list.

So, if the CP has a list, you go by that. If the CP does not have a list, then you go by the DQS guidelines.

You should ask your QC for a final word on this for your BoB.

DARN IF YOU DO AND DARN IF YOU DON'T. - I was told to put in

[ In Reply To ..]
2 cc, NOT 2 mL. Then last year, it was 2 mL, not 2 cc.

NOW AS OF LAST MONTH, I received feedback on my audit, it is 2 cc because the dictator stated 2 cc NOT 2 mL. Type what the doctor says, even though the account is not verbatim. CCL wants her butt covered so that way if the dictator comes back at her, she can say, "Well, you said 2 cc."

WHATEVER. So which is right?

The instructions are - right

[ In Reply To ..]
Follow the DNU list unless there is a list in the client profile for the account.

Somebody said cc was not on DNU list earlier - anon

[ In Reply To ..]
...

CC dangerous on Benchmark - planetspinz

[ In Reply To ..]
Benchmark lists CC as a dangerous abbreviation - and if that's what we are supposed to be using then that's what I'll be doing - and citing Benchmark if they question it - after all if CC was dangerous in 2009 why is not dangerous in 2010?

Bottom line is we need to follow our - instructions

[ In Reply To ..]
They're clear. We use the DNU list, not any other list of dangerous abbreviations unless there is a list in the specific client CP.

''ML dangerous on Benchmark - planetspinz'' - rona

[ In Reply To ..]
Excellent point: ''If cc was dangerous in 2009, why is it not dangerous in 2010'' !

You hit the common-sense nail right on the head. This is petty, childish nit-picking to the nth degree! Cc was not dangerous then, it is not dangerous now and, for that matter, neither is mL. This constant manufacturing of so-called arbitrary ''rules'' is ridiculous and counter-productive for the production MT. These petty ever-changing nonsensical rules should not be included in an audit as it does not change the meaning of a report one iota.

DNU list inconsistent qa corrections - BECAUSE MMEs get work from accounts they never hea

[ In Reply To ..]
I think this is because when you send something to QA, the MMEs who are doing it are often in "helper pools" who are unfamiliar with the client profiles. Nobody seems to have work in their own BOBs all the time anymore, and when you're on production, sometimes the details get overlooked due to time pressure.

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