A community of 30,000 US Transcriptionist serving Medical Transcription Industry
I think that all/most of the good, experienced MTs - at this godforsaken place
Posted: Mar 01, 2015
are going to end up quitting as soon as they possibly can, leaving behind a ton of newbies that will be super EASY to catch errors on (sorry newbies but you know it's true---it was true of myself when I was new). And the newbies won't complain about getting 7 cpl EVERY week. How's THAT for patient safety for ya?
If the errors are being caught - sm
[ In Reply To ..]If the errors are being caught, they are being corrected, so there isn't a problem. In any event, it isn't as much of a "patient safety" issue as you think. In spite of what MTs believe about their role in patient safety, the truth is that their typed reports are assumed to be unreliable sources of information. Patient safety, in fact, is what requires that those typed reports NOT be relied upon.
Before you counter with the Famous Lawsuit, the underlying problem was not that the discharge summary contained a dosage error, but that the discharging hospital and the receiving facility made errors in their own processes. The hospital failed to provide the accurate medication reconciliation form and the receiving facility failed to ask for it, with the nurse violating protocol in using the discharge summary instead.
Far from impressing the medical community with the benefits of MTs in patient safety, that lawsuit served to show just how unreliable and uncontrollable their work can be. It painted a poor picture of MTSO behavior and ethics. That only increased interest in front-end SR systems, where the physician does the writing and controls the output. The overall effect has been to decrease respect for MTs and hasten the speed at which MT jobs will be lost.
Is this an opinion or can you back this up? - nm
[ In Reply To ..]xx
Nuance are the ones who put the responsibility - of patient safety upon the MTs...
[ In Reply To ..]but ONLY as a way to reduce pay and increase their own profits.
That's what I meant...their "patient safety plan" is a bunch of BS.
Nuance attorneys must be retarded. I would never ask a software company - that only got into the MT business
[ In Reply To ..]To train its voice wreck software to assume any MEDICAL liability for anything. Doctor says it, doctor pays, period. Can't understand what's being said? Back to the facility with a note saying that. MD screws up or mumbles 10 times, ten blanks back to the facility, done.
I realize this company wants a competitive edge by claiming it can produce higher accuracy rates, but the attorneys are absolutely NUTS for permitting it.
P.S. Changing anything spoken only confuses voice wreck and defeats the whole purpose; the very reason we were hired in the first place is to train it to perfection with what the MD is saying!
After a certain point, not EVERY single newbie report is being audited - and you know this
[ In Reply To ..]I get that what you're doing now is SOOOO much more important to patient care and safety than your MT'ing ever was. But one dead patient due to MT error (and, once again, if there hadn't been that original MT error, that person would NOT be dead from that overdose) is one too many.
And if it happened once, it's probably happened more than that and just not been caught, and definitely there have been other MT-based errors that were not fatal but were also harmful. The same way that errors are made in reports, errors are also made in the continuum of care, including relying upon that which shouldn't be relied upon. Each and any link in the chain *can* be an issue.
Done now, not feeding you anymore. I do wish those who are so disdainful of the usefulness and importance of quality MT would just stop commenting on the MT boards here.
Where do we go?? - Fed up MT
[ In Reply To ..]I've been doing this work since 1997 and the last 10 years have been hell!! Just when the new company buyout goes through everything changes, you get used to it and then another company buys them out. Now with the new pay plan I am probably going to have to file bankruptcy. How many people can afford to have their pay cut by over $300 in 1 week for 1 mistake!!! I am so over it.
Where are we to go? I believe it's the same everywhere. I have no idea what to do and am pretty outraged that I will have to file bankruptcy over this!! Total BS~!
I am so sorry, really, not being snarky at all. Many of us are on - food stamps, close to being evicted,
[ In Reply To ..]Or in foreclosure. Some MTs at Nuance really did lose their homes. They don't care about a thing except shareholder profits.
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