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


email today - ceejay


Posted: Dec 08, 2014

did you all read the email today about the med error that killed the patient.  They email us and say while the article doesn't say it is a transcription error.......  Okay, this is a tragedy that a patient died from a med error.  However, seriously, Nuance.  have you ever worked on a hospital unit?  Cuz I have and a bet a lot of MTs have at one point or another.  They don't use our transcribed notes as  med orders. They use the actual med sheet or med order (MAR - medication administration record) in their EHR.  We do not transcribe physician orders or put them on the EHR.  we transcribe their notes.  Two different things.  This type of error lies with the person who either 1) entered the med order incorrectly, 2)didn't bother to verify that the med was correct as it seems to be a med that didn't fit the condition for which it was being administered, or 3)filled the order incorrectly in their pharmacy.  This is not to say we shouldn't be careful when transcribing meds, doses, etc., simply that we know better than to take blame where none is due.  

I think they have it wrong - sm

[ In Reply To ..]
regarding who has blood on whose hands.

link to lawsuit and med error - anonMT

[ In Reply To ..]
I didn't see the e-mail, and this is old news actually but there was a huge settlement and the jury was mad that the hospital tried to save money by sending the work to India. However, there were multiple errors involved here and not just the transcription...the discharge summary had not been checked or signed and on readmitting the patient they used this unverified summary to base their insulin dosage. Anyway, in case you didn't see it before and if this is what they are talking about, here is the link: http://blog.al.com/live/2012/12/fatal_outsourcing_thomas_hospi.html

Med error - sufferinginsilence

[ In Reply To ..]
That is very unfortunate, but the blame does NOT lie with us. The last eyes on any medical record should be the doctor!! On some of my reports the doctor says "I have reviewed and reconciled the meds inthe MAR".
Nuance is NOT going to guilt me in being responsible for any patient when the responsibility lies with the doctor, who is too lazy to review his reports!
The hospital I worked for released - Donna
[ In Reply To ..]
records to referring doctors in draft status. As soon as the MT finalized a report, it was sent to the dictating MD and the referring one, plus any other MDs involved in the patient's care. We joked that the referring doctors were the proofreaders. Docs at this hospital also took some heat for not signing reports in a timely manner.

We should know what the doc meant, - according to QC/QA.

[ In Reply To ..]
I got a lot of flack for that. I am not the doctor, or the nurse preparing meds, thank you. That is why they make the big bucks. We type/edit remember. We are useless MTs.

thank you, these notes are used for coding/billing and only that. sm - so so tired

[ In Reply To ..]
and there is nobody using these notes we type as orders for patient care.

The myth that we are responsible for life and death continues.

e-mail today - rock bottom

[ In Reply To ..]
Unfortunately, they do use our notes. I've had personal experience of incorrect meds attempted to be given to me. They were taken right from the doctor's office notes which were 3 years old.

There is what should happen and what does happen.

So sad that minimum wage unskilled labor (pun intended) has to cover multimillionaires who cannot or will not take the time to get the meds straight.

However, I'm totally flummoxed as to why a nurse would give a patient on the floor a med meant for the operating room. Nurses should know meds as well as we do.

I'm waiting for (as Paul Harvey said) "the rest of the story."

Then the people who gave care from them are incompetent sm - so so tired

[ In Reply To ..]
and however they try to pound it into you that you are the one responsible, the person who signs or doesn't sign the note has the legal responsibility along with the idiot who gave care from the note.

We have no legal responsibility here. They can file lawsuits until the cows come home but not only don't we have responsibility, our pockets aren't deep and we aren't who they gun for.


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