A community of 30,000 US Transcriptionist serving Medical Transcription Industry

Why is this not considered over-editing? Need opinions. - AnnieOakley

Posted: Aug 26, 2012

Dictator says subcu. ISR typed subcutaneous. Should we edit it to say subcu? Since it has the same meaning, why is this not considered over-editing? The more I think about this type of thing, the more confused I get.

Work someplace else as QA. IMHO, leave as it. Changing - it is over-editing. nm

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x

subcu - Nuance MT

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According to my account specs, we would change to subQ.

subcu - old

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Always follow acct specs! I have seveal accounts and they are usually all different when it comes to things like this. If in doubt and you cannot find it in specs, ask your team lead. They WILL contact the facility. Thanks

PS Also, try the BOS. It tells you what is not to be used.

subQ - new but old

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I had same question awhile back and was told to put subQ

wow talk about conflicting messages, I was told to change to subcu - anon

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No wonder nobody can meet their requirements for QA bonus...they change the rules constantly or the rules are inconsistent from QA to QA, and we are left holding the bag :((

I leave it subcutaneous - need the lines

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If ISR puts subQ, I change it to subcutaneously! BOS says either is acceptable, so I decided I need more lines.

it is over editing - but follow your account specs

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On my account, if the speaker says subQ and the VR puts in subcutaneous, I have to change it to subQ or get at least 0.25 error, at least. This depends on what QA/QC is pulling the work that day.

See on my account as well if the speaker gives a medical abbreviation for impression/assessment or Dx and the VR spells it all out, I have to change it back to the abbreviation, as per the account specifics. You see this was something that wasn't told to us, they just marked off points and then when you challenge it, then new specs come out that say you are to use what the speaker says, regardless of what VR puts in. What a waste of time. Isn't VR supposed to make us money. HAHA

Agree - MT

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Anybody who doesn't agree has not been trained or educated by the VR company reps themselves.

Of course, if client specs directly address this, then follow that. Because that would mean everyone on that account would do it the same way and VR should get it "right" every time. Though it should have been programmed/put in the VR specifics that way in the very beginning if the MTSO used it correctly.

For example, above are MTs who correct three different (yet accurate) ways. Not the MTs fault at all - it's conflicting QAs and MTSOs with no consistency. Thus, VR will always put in different ways, which will always mean more time in a document and less cpl for the MT. It's crazy when you think about it. MTSOs pay or lease to use an expensive VR platform but never actually learn, or train their employees, how to use it the way it was designed!

subcu and subQ or sub-Q is slang medical terminology - I spell it out...sm

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if they are talking about an injection I spell out subcutaneous or subcutaneously depending on the context of sentence.

In op notes if they say something like the subcu was reapproximated with ....

I type out subcutaneous tissue. I have shortcuts to print them out so that I am not literally typing out the whole word.

I dont know if thats considered over-editing or not, but sometimes when you leave it as subcu it makes no sense even though the reader knows what it means; however, its still considered slang terminology.

but all of that is why VR never learns - Been there, done that

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The VR engine learns based on consistency. If there is none, then it never learns.

It's what these big MTSOs don't understand about this fancy pants software that they spend millions on. The software is great, but if they don't ensure that the editing is being done the same way all the time, then it's just so much money being whizzed into the wind.

Exactly. How long ya think before they figure that out? If facility wants to - save money with VR, they need to SM

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do away with the picky specs. They need to decide their specifics around what VR can do. If they dont want to do that, we have what we have now. Just a gobble-de-goop of words on a page. They have to have users stay within the parameters of what VR can do.

typing it out - anon

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I used to do exactly what you did, and had it in my abbreviations to automatically expand as I considered it slang. I was marked off on 3 reports in a month for doing that and failed their QA based on that, so much as I hate it, I change it to what they told me to, "subcu" but now I see others being marked off for that and they are insisting on "subQ" You can't win here that is for sure!

subq - new but old

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When I questioned it through my TL and QA or QC person I was told that they preferred subQ but would accept it spelled out all the way but never subcu - i agree there is no consistency.

Agree with others - that is considered over-editing - MT

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That doesn't mean the nitpicky QA will agree, but according to how VR is suppposed to work, to keep changing it is wrong. If the VR puts it in (and it is medically accurate), and you change it one way, or the next person changes it a different way, or QA edits one way, it defeats the whole way VR is supposed to "learn".

Fortunately, at my last company, we had training sessions led by the VR reps. These MTSOs need to educate themselves and then lead their employees on how best to use VR. It would be win-win.

:But fact it is VR recognized terminology is more important - than it is slang terminology. nm

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x

Programming VR per account specs.. - MT

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VR is designed to be programmed in the initial training by the MTSO. They CAN put in if it hears "subcu" or "subQ" to recognize it as "subcutaneously", or any way they want to. For example, on my last account, if dates were dictated the short way, they were programmed to print in the document the long way, per client specs.

I think these corporate MTSOs are so huge that the people who were trained on it by the actual developers/company reps (and I doubt very much it's ever the MT anymore) are high up the ladder and far removed. No wonder by the time it's used by the MTs themselves, it has become a mess to correct at 4 cpl. UGH.

Subcu, subQ could be subcuticular as well, that is why - told to leave subcu.

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Yet another Is It, or Is It Not correct.

I've always been under the impression subcu could represent subcutaneous or subcuticular, so as not to

ASSUME PHYSICIAN'S THINKING,

leave as subcu.

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