A community of 30,000 US Transcriptionist serving Medical Transcription Industry
Since Septemer 2014, every visit with every provider has gone like this.
1) The medical assistant types into my record.
2) The provider types into my record.
At the end of my visit, they hand me the summary of my visit that day. It goes like this
1) The medications are mostly right although some are wrong and way wrong.
2) My age is off by 10 years at one facility and they 'cannot correct it.'
3) My height and weight are off a whole lot at another facility and they 'cannot correct it.' (I'm 4 feet 10-3/4 inches, 114 pounds, BMI 23; they put 5 feet 10-3/4 inches, weight 114 pounds, BMI 16 which is anorexic).
4) One provider put I have paralytic ileus (I have gastroparesis, and they are NOT the same disease).
What is happening is that only so many drugs and diseases are coded into the template, the rest need to be manually entered. I think they're just clicking something 'close enough' and hitting enter.
I didn't put up too much of a fuss, I'm still competent enough to argue the point. But, when enough clinics/hospitals get sued for CPSEs that actually do kill the patient, we'll be back in demand.
Never ever thought it was a good idea to have providers doing their own reports. Drafting my letter to you know who now.
Best wishes,