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corrected errors on draft - disappear?

Posted: Jan 29, 2013

Do any of you feel that errors you've corrected on the edit drafts disappear? Have you gotten marked off for errors that you are sure you corrected? Several reports over the past few weeks have came back with points marked off for errors that I'm 99.9% sure I caught and fixed before uploading.

This makes me feel like I'm losing my mind.

Yes, regularly. Scroll down page to the - FIESA thread - nm

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Something extremely wrong with QA/QC lately. - anon

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I am getting major errors for things that aren't even mistakes. What is going on in the QA/QC dept????

Major errors for blanks, major errors for following acct specs, major error for not using a "the," ect., and on and on.

I used to be able to find at least some rhyme and reason to the corrections but lately it is like they recruited a bunch of blind and deaf monkeys.

Nuance QA/Qc - SCREWED OVER

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Nuance would be great to work for if it weren't for their QA. I got a Major Error 3 point deduction for transcribing a medication dosage the dictator SAID. Do you check every single dose of every single medicine you transcribe? It was a dumb PA who said 0.05 instad of 0.005 but since that medication called for 0.005 I GOT 3 POINTS DEDUCTED. How is that fair?

I got an error for the same thing - anon

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I challenged it and WON. However, my TL no longer responds to my requests for reversals even when I have absolute proof it should be reversed.

I agree, Nuance would be tolerable if not for the unfair/inconsistent/insane QA.

Yes, I check every single dosage. That's our job! - no offense

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I don't mean this as a flame and I absolutely agree that Nuance's QA is insane (probably because some of it is done in India), but when it comes to medication dosages, it is our JOB to know when something is out of whack and needs to be flagged for medications. The longer you do this, you learn what normal medication dosages are and don't have to look them up anymore. But if it's new and I don't know the normal dosage scale, I absolutely every time look it up. Look at what happened with that wrong insulin dose killing a patient. If the PA was too dumb to get it right (and that happens ALL the time) and then we don't have the knowledge to catch it either, do you think you can trust 100% that the nurse will be smart enough to catch it. She should because that's her job, but it's also ours. I know that pay in this industry isn't good and it's tempting to put out work with quality reflective of that and to just not care, but medications are NOT something to brush off with a "but that's what he said." If you don't know the normal dose range, LOOK IT UP. Please.

med dosage - anon

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When I come across a new med, I enter it in my IT and there is the option to add a description that will show, and here I enter the generic/brand and dose range, as there are too many for me to remember but this helps, and I believe SH has this option also. On my account with residents, many use the generics and it really helps here.

I sure check - see msg

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I definitely check doses/dosaging when I'm not familiar with the med.

After a while, you get to just know the common ones and you'll automatically know.

I understand what you are saying but... - anon

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That "dumb" PA get's paid about 6-8 times more than I do and so does the nurse.

I think to put the onus of medication dosages on someone making minimum wage is ridiculous.

I have been doing this for a really long time so I know when a dose sounds wonky and I admit I will look it up, but I truly believe the expectation for a measly MT to catch a medication error is way above our pay grade.

Sorry, but excuses like that are what gives us crappy MTs who CAN be replaced by India. - sm

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And gives the companies ammo to outsource more and drive our salaries down more. When anyone complains to the government, the companies tell the government that they don't have enough quality MTs in the US and they NEED to outsource. It really is a chicken and egg thing, but no matter what we're paid, we need to do our jobs and do it correctly, or else don't act like you're getting screwed and there's something wrong with QA if they mark a critical error. It IS a critical error. If you want to take that risk, don't whine when they call you on it or when you get called to testify in court when your company is getting sued because someone does. I have a BIG problem with our work going overseas, but with this lazy attitude I can't blame companies for wanting to pay less for crappy quality. If you don't want to look up Dr. Smith from XYZ Cardiology's first name, fine. We don't get paid enough to search for THOSE things. But critical stuff like medications need to be taken seriously. I guess what hit me about the person griping that Nuance screwed them is that she was throwing a mini fit over getting a critical error when it WAS a critical error and SHOULD have been marked as such. That's not some stupid "left out a comma" kid of error. That is critical.

Hear, hear. - nm

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nm

I disagree with your logic - anon

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Our jobs have certainly not been sent overseas because of a lack of US MT "quality." If that were so, then why do Indian MTs have a lower quality standard? That argument in this particular discussion is illogical. Jobs went overseas due to greed and profit margins and NOTHING else.

We get paid minimum wage and we are supposed to know proper medication doses when a PA, nurse or doc does not?

Again, the responsibility for final reports and what they contain should fall on the shoulders of the person dictating who is REQUIRED to read and sign every dictation to ensure accuracy, as they are the TRAINED PROFESSIONAL.

I didn't say it was the only reason, and I said it gives them an excuse. We don't need - to give them any excuses.

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My point was not that quality was the reason jobs are sent overseas. I didn't say that. I said that is the reason companies give to the government whenever someone tries to enact laws about offshoring. We should not be giving them the fuel they need to use that half-truth. We ALL know it's about greed. I didn't say it wasn't. But if we give them crap work, they can use that as an excuse to cover up their greed and justify it to the government as they lobby to keep being able to do so.

That said, I think that anyone that won't take the time to verify a medication dosage is a terrible employee, terrible excuse for an MT, and should be fired immediately. That's my opinion and some agree and some disagree. I for one hate being lumped into the same category with the lazy slackers who won't do their job. And there's a LOT of them out there. Luckily for all of them, Nuance and M*Modal ARE greedy and will tolerate shoddy work since they pay too low to retain very many decent people.

Nuance QA - Pollyanna

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This company sux in every way! Pay cuts, bad software. They're doing all they can to keep you from earning a living. After a lifetime of doing this job, this is the icing on the cake.

Are you serious? - Medication dosages are YOUR responsibility to be a

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Your experience as an MLS dictates how well you know your medication dosages.You are obviously not an experienced MLS because if you were, you would have double-checked it.If I type a medication that I am not familiar with I check to make sure the dosage is correct. QA was right to take points off for it. You were dead wrong.

Just guess who's doing the QC/QA - flowerchild

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After about 10 months of practically error-free audits, all of a sudden I'm getting dinged right and left--major 3 pointers, 1 pointers, etc. There were several jobs that I would swear on my first-born were not mine. I begged my TSM or whatever they are now to let me know where I could go to check these reports both for sound and editing. I'm a QC (don't be hatin' on me--I haven't QC'd anything for weeks and weeks since they gave my main account to India) so the usual instructions for MLS in FIESA were useless because my log-in had a qc on it. No luck.

But I finally noticed that the person(s) doing these audits was from India and I quietly went ballistic. Give me a frickin' break! My very first job as a QC was for a company whose work ALL went to India. So I'm supposed to take the word of a worker who may have the technical medical terms nailed but hasn't a clue about idioms, etc.? Who marked me a big 3-pointer because "adrenal artery" was dictated and transcribed and he hadn't heard of anything except "renal artery"? And so on.

I made up my mind that I was gonna ignore all the emails concerning "major errors." I suggest y'all do the same. I know, I know: It's your good name that's getting dinged. but if it EVER comes up as far as pay, advancement, etc., you can blow it wide open. Or fight it now if you have access to the reports and let us know what happens.

No, you're not losing your mind. You've just been handed an extremely rude and ridiculous bunch of crap. Only at Nuance. . . .

This is where the fine art - of placing blanks

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comes in to play. Because, when you see a situation that you know what the person is saying (or meant to say) because of the context, but there could be ambiguity because of poor audio quality, poor or mispronounciation, or even an outright mistake on the part of the dictator, you also have to keep in mind how the QC person might interpret it. And, of course, QC is always right in these situations. So anywhere, especially regarding issues that might affect patient care, that I can envision a squabble with QC over the interpretation, I put a blank, either followed by what I know it should be, or just a plain blank, depending on my intuition about the situation. Yes, it means more pended reports, but since I have stopped trying to get the bonus, that does not matter to me.

Cant you go to escription website and access jobs/audio there? - Worked Escript diff. MTSO. That is what I did. nm

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x

No complaints about strict QC - many complaints about FRAUDULENT - QC

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They're within their rights, and in fact doing their jobs, to ding me for errors, even medication dosage errors the dictator made, IMO. But undoing/reversing corrections made by MTs just so they can make their own quotas is absolutely going to end in a class action someday.

I agree with you to a point. There is "TOO strict" QA, - as in ''inaccurate'' QA.

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That is, they are not following the actual NonError category definition, which means there should never be a deduction for a missing "the," especially, and other minor issues which are continually being deducted. I let one of those slide in the past when I should have challenged it, but I now know exactly what the NonError category is, and I will always, always submit for a Correction Reversal if I get a deduction that should have been a NonError.

I also *re-submit* if I don't get any answer from my TSM. I've done this multiple times, trying to be as polite as I can when I do it, saying something like I'm resending as I realize there are sometimes cyber-glitches, mountains of e-mail they have to deal with, etc. Or sometimes just "Resending," depending on my mood.

Please tell me others are DOCUMENTING their work? - All these gave-up-on-the-bonuses? Come on! nm

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x

Sorry, but you can't save files and I don't have to time to screen scrape each one - sm

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Even if I did, it doesn't sound like people who have tried this method of documenting their work have succeeded in obtaining reversals on QC-created "errors."

Would I spend the time if it might help me? Yes. And I'd definitely spend the time if I thought it would get the dishonest, sabotaging QCs who do this fired!

But if nothing changes and meanwhile my lines per hour take a dive, it's not worth it to me. Why would it be?

Yes, I used to have that very same experience - Before I quit caring about the bonus

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I even started making screen shots of the reports I sent off so I could prove that I had done the work correctly, and somehow my report had been changed back to before I corrected it. I used to fume and fret and spend multiple hours reviewing, challenging and re-challenging report audits (all on my own time, of course). And of course, for all situations with any ambiguity whatsoever, the QC/QA always got the nod, which infuriated me.

That was when I was working full time and harbored hopes of getting the bonus. But when I did get the bonus, it was so small that I realized that my suffering was not worth it.

Now I have seen the light and know that for me, although I might possibly sometimes qualify for a small bonus, it is just not worth the time, bother and frustration. I cut back to the minimum number of hours required to qualify for health care benefits, and I do not worry about Fiesa. I do go online to make my required "comment" ("Reviewed. Initials"), but I have learned that heaven help you if you dare to speak a word of truth in that box. The management circles the wagons around the QCs and with hands over ears and eyes, "sees no evil and hears no evil."

I am sure that gross injustices are still occurring with my report audits, but I don't know about it because two can play the game of "see no evil." I just don't subject myself to the punishment anymore.

I do not want ever to be disobedient to my employers, but it has come down to: Either I shield myself from Fiesa abuse as much as possible because it is just too much to bear, or I will have to find another job (which I probably should be doing, since it has come to that!)

Thanks so much for this - sm

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I was about to start screencapping my reports myself but having read what you went through with that, I see it's not worth it. I'll follow your lead on this and save myself the time and frustration.

I wonder if an earlier version of saved drafts is uploading, not your final? - bear with me here...

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I sometimes use the AutoSave doc from the EditScript Downloads folder* to make sample reports, to double-check what was originally there before I edited (using Save As shows in blue letters your editing versus original draft), etc. Sometimes when I go in there, Word hasn't saved my most recent corrections yet. So I'm wondering if there might be a technical glitch occasionally occurring where an earlier saved version of the document is uploading instead of your final? Have you happened to notice or can you remember if those errors tend to be edits that you made more towards just before uploading or were they from earlier on? (I'm thinking if they were all later edits, that would really point to an earlier saved version being uploaded.)

Also, to be on the safe side, it's time-consuming (but less time-consuming than trying to explain all this to Tech Support or somebody else), but it might be worth your while to uninstall and reinstall EditScript in case something has become corrupted (making sure that any folders from Documents and Settings/[name]/Application Data/eScription are deleted before reinstalling). I've felt like you too recently, but just with one error so far, and I wasn't 99.9% sure about it.

* C:/Documents and Settings/[name]/Application Data/Escription/Editscriptmtv9/Downloads (/ = backslash)

(You can also right-click on this folder when you get to it and make a shortcut to your Desktop for easier access later.)

I've wondered about this - will look into it - thank you

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But how sad is it that they can't or won't fix that glitch? Probably don't pay their tech support much better than they pay us.

You know, it's possible that no one has reported it yet. - sm

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If that's actually what's going on, of course. Or that others haven't even thought of this possibility.

We had one dictator whose PE was getting screwier and screwier by the day. He isn't that bad a dictator, just too fast, but something was obviously technically wrong with the way the voice recognizer was picking up or delivering info for mostly just his PE. I reported it once, and my TSM told me we just had to keep "training" the VR for him. After another month and a half of it actually getting worse, I couldn't stand it anymore and reported it again, and also sent a copy of the edited "blue letters" version of one of his reports so she could see what the heck I was really talking about. She finally put in a request to someone, and his PEs are just fine now. (I would love to know what the reason for all that was, but know it's not worth trying to find out from her.)

Anyway, that was a good 2-3 months of ridiculousness that apparently nobody but me said anything about. We may just be at the beginning of discovering a problem that we've all assumed to be QA-related. You never know.

I think this is - what was happening to me

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I REALLY appreciate the information you provided. I believe that this is what was happening to me. I do distinctly remember making the corrections that I got dinged for on my final pass just before uploading on several reports. I remember because when I catch major errors like that on my final overview, I say a prayer of thanks to my guardian angel for helping me avoid making that mistake. So I remember these corrections.

I did bring up to my supervisor that I was sure I had made the correct edits and I could not understand how the reports still had those errors, but of course, she probably hears that from lots of folks and she shrugged it off and had me take some remedial training.

Since that time, I have had Editscript reloaded several times due to computer crashes, etc., and I do not seem to be experiencing the problem anymore.

I do greatly appreciate learning of the possible explanation and that I am not actually losing my mind!

P.S. I also had situations where I had made entries into the CC field that did not appear on the uploaded report. These I made just before uploading as well, since they were dictated at the end of the report. One report I do remember that I had cancelled the upload because I realized I had not added the CC, added the CC and then uploaded.

For a while there, I was very rattled, because I thought I was losing my mind. Fortunately, at some point this all stopped happening (probably after an Editscript reinstall.)

Wow, now that sounds really convincing to me! - Glad to hear a reinstall cleared it up. nm

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nm

Thank you for mentioning this! - OP

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I had not even thought about this! Thank you! I will ask my TSM about this for sure!

Good luck. Your TSM will probably pooh-pooh you, but maybe worth trying. - As well as reinstalling ES.

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Like I said, when reinstalling ES, make sure you clear out those files under Documents and Settings/[name]/Application Data/etc. (I think it was 2 for me), because those will really hold onto any corruption issues you might have. You might pursue Tech Support help for this in case you have any trepidations about doing it so you get it done right.

corrected errors on draft - disappear? - mt

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YES!! This has happened to me more than once lately and I told my TSM about it but haven't heard whether they were reversed or not. I had one that was very poor quality so I put blanks where I was unsure. Well, when I got it back from QA,I was marked off in all those spots for "omission". WHAT??? I did not omit anything!! I left blanks in all the spots. Also had another one where QA sent it back to me saying that my report came to her blank and she had to type the whole thing! Something def funny going on here... Thought it was just me...

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