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Dangerous dictators! - southernbelle
Posted: Apr 28, 2014
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 opinions.
Dangerous dictators - Dazed and Confused
[ In Reply To ..]Where I used to work in a hospital system they had someone just to do that. They would call the doctor and talk with them regarding their dictation. But of course, the doc had to be very bad all the time for her to do that. These doctors chew gum, put the phone out and in all the time, talk loud for 5 min then seem to whisper. Then I notice Escription seems to be messing up a lot, leaving out sentences all the time and adding "and" to almost everything when it wasn't even dictated. It is a lot better than it used to be, but it seems to be regressing. It leaves out sentences and words that were clearly dictated. I guess that is job security lol
Easy answer is because it is not your job - It is tempting, but no
[ In Reply To ..]I know it's tempting, but it's not your job and will certainly get you fired because there's no way to do this completely anonymously.
Your job is to complete a medical record to the best of your ability. If the information that you are given to complete that record is incomplete, then you do the best with what you have.
If the doctor is dangerous and is dictating errors that you know are errors, then you put a blank for either the facility or QA, which ever method that particular account uses. When you leave notes, leave them as professionally worded as possible.
Most hospitals, quite frankly, don't care about documentation unless it gets them sued. It's a necessary evil and they want it done as cheaply as possible. Depending on the internal system the hospital uses, the dictated record might not even be the "go to" for information about the patient.
The powers that be both at the MTSO and at the hospital know this guy can't dictate a coherent note. They don't care.
To Easy answer is because it is not your job - Foolfighter
[ In Reply To ..]If you "happen" to be in management, it is your responsibility as a manager to see to it that the MLS is NOT punished on that account for having to send so many reports to QA or to the customer for blanks. That particular "dangerous" dictator should be completely removed from any post QA monitoring and the MLS should NOT be discredited on their weekly post audit score or their alloted send to QA percent for a dictator that simply cannot speak clearly and has no desire to do so. There should be no way around this outside of removing the dictator from anything that impacts the MLS making incentive or their bonus. If you are in managment do your job and do the right thing here.
Dangerous dictators - crackpot
[ In Reply To ..]Of course there are ways to do it completely anonymously. Pay phones, burn phones. There just needs to be more than one of us doing it. You sound like management. Most of the time this particular doc, if he is the one I think he is, doesn't even sound like he is using words so it is hard to tell if they are errors, words, or just sounds he is making. I don't care if they care or not. Would you want him taking care of your mom or sister or dad or grandma and jabbering like that!
Not management - Just sensible
[ In Reply To ..]Okay, so say you and Susy Q call the hospital and say oh, by the way Dr. MushMouth can't dictate a note to save his life and his reports are coming out so much swiss cheese because of the garbage way he dictates and we're afraid that his reports are going to harm patient care.
Hospital management then goes to the MTSO and says, "hey, we got this call and the only people who would have this kind of information are the people who work on your account." MTSO then looks back at the last people who had reports from Dr. Mushmouth. Guess what? You're no longer anonymous.
To the poster above this one, I completely agree that th MTSO should not penalize the MT for sending in blanks, etc., with garbage dictators. That's a whole other issue, though. The MTSO knows this guy is a garbage dictator. They may have even brought ito the facility's attention. No one has done anything about it, ergo, no one cares.
I reiterate my original point. You do the best with the information that you are given. If the information that you are given is swiss cheese, then you give them swiss cheese.
Easy answer - Dazed and Confused
[ In Reply To ..]I know for a fact no one looks at what we type. When I worked at hospitals they would receive the reports and file them away in the chart. Now, the doc looking through the chart might rad the reports, but they don't count on them for major decisions. If the chart wasn't around because the pt was discharge, we would just put them in the medical record tray for medical records to pick up and file in the chart. No one ever read them. Now, code status I think is very important, because I have seen many times at this hospital I worked for people being coded when they were DNR because the nurse frantically looking through chart for code status, which I think should be listed everywhere on the chart. Not that I think that med transcriptionists are worthless. They are very valuable to the medical field and are providing a necessary service, but it isn't counted on as much as they make you think it is. But still a great service and it is the first job I ever had where I learn something new every day either med terms, grammar, how they do surgeries, etc.
I think it varies by hospital - justme
[ In Reply To ..]I think it varies by hospital as to whether they read the charts or not. I worked for our local hospital for 10 years before working at home, and the docs there faithfully grabbed information from our reports. They relied on them when making rounds and were quick to let us know if we needed to add/subtract/change anything at all. We had a different set-up and relationship there with the doctors; we could call them if problems with their reports and let them know with issues we had with their dictations, and not only did they appreciate it, but they worked on issues we had with them to make it easier for us.
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