Agree. Accuracy is most important, and
Posted By: sm on 2009-03-17
In Reply to: As a QA - me
you can't let pride interfere when it comes to patient safety. This job is a learning process & we will always have new terms to learn & get marked for errors -- it's just part of the job, and you have to learn to look at it as a learning opportunity, not an insult, in order to thrive at this job.
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Although MT accuracy is very important,
I think the source of dosing medication comes mostly from the physician's order sheet. I agree with the other poster that a cascading effect is very possible when later dictation and charting is based on the previous records. Also, there are other safeguards and checks made in terms of operations, and they would not be based simply on the H&P. If a doctor bases any operation on just an H&P I would consider him incompetent. This does not excuse the MT who is not careful in documentation.
I agree - his dreams are more important than mine; however, sm
I just see him throwing opportunities away and he doesn't even realize it. So sad for me to sit back and watch.
I guess that is what being a parent is - having to let go, let them make decisions on their own, and hopefully grow up to be a good responsible adult giving back to the world.
This is very difficult!!!!!
98% accuracy - sm
Please help an old horse understand -- to have 98% accuracy what does that exactly mean? If I do an account that has an average of 10,000 to 12,000 lines per month -- what do I need to know to see if I have 98% accuracy? Sounds stupid I know but just wondering. Also do minor errors such as leaving an "e" off HERE versus misspelling a drug or procedure count more? I have an account that suddenly tells me that my accuracy is going down but they won't send me back any errors, and said that they just "cross them out" -- so I have asked them to at least let me know what days/patients have "errors" so I can go back and look and try to find them. But I am just curious as to how to figure up this accuracy rate that everyone is talking about -- Thanks to all of you.
Accuracy
To my understanding, standards may vary by company. My company has a weighted system. There are minor, major, and critical errors. When we receive our evaluations, we are shown exactly which reports where checked and exactly what errors were marked and exactly what weight those errors were given, so we have no question as to how our score was arrived at. It's too bad your company won't do the same for you.
Accuracy of the BOS 2nd (sm)
Has anyone else on the board had problems with the revised edition of the BOS? I recently tested for a high level client and they had their "own way" of doing things. Since they were in the business of teaching academic subjects at a very high level, the argument about the new BOS went over like a lead balloon. They had their own rules. I was ashamed of what I turned in, although I did follow our own MLS new rules. Anyone else getting demerits for changing over?
Not sure of accuracy, but here's the
Straight Dope scoop: The truth about the boy with "two spiders living in his ear."
24-May-2007
--------------------------------------------------------------------------------
Dear Straight Dope:
Today I was reading an article on CNN's website (www.cnn.com/2007/US/05/07/spiderboy.ap/index.html) about a boy who apparently had two spiders living in his ear – quite unnerving really. What intrigued me, though, is that the article stated that the spiders were feeding off the boy's earwax. I wasn't aware that earwax could sustain life, other than some microorganisms of course. Is this article merely speculating or is there some truth to this "earwax for food" claim? —Cameron Williams
SDSTAFF Doug replies:
You demonstrate a useful trait which fewer people in the U.S. seem to have now than ever before in our history: healthy skepticism. While U.S. medical professionals are among the finest and best-trained in the world, one thing they do not teach you in med school is the life history of spiders. As for the U.S. media, especially the numerous bloggers who chimed in on this story, expectations are even lower, and journalists fully lived up (or down) to them, presumably because the story had such a magically bizarre ring to it that the capacity for critical thinking was suspended. Combine these elements and you have the makings of an urban legend.
Now for the facts. First, all spiders are predatory in the strictest sense – without exception, they only eat what they can kill. There aren't even spiders that suck blood from a living host as a mosquito does, let alone any that can feed on earwax. Second, anyone who knows about spiders would have realized instantly what the doctor found in that boy's ear: a single spider that had crawled in seeking a secure spot in which to shed its skin. Look at the photos: There's one spider, plus the old skin it shed. Anyone can recognize this once it's been pointed out. So the story was wrong on three counts: (1) there weren't spiderS, just one spider; (2) it wasn't "living in" his ear, it was hiding there temporarily while its exoskeleton hardened after molting; and (3) it wasn't feeding on anything. A spider before and after molting doesn't feed, and never eats earwax when it does feed.
So the doctor got it wrong, and reporters passed along the misinformation without doing any fact-checking. To confirm this, I called Dr. David J. Irvine, the doctor in Oregon who removed the spider from the boy's ear. He admits that yes, he initially believed there were two spiders, but now recognizes that there was in fact a single spider and its shed skin, and he doesn't object to going on the record as recanting his original testimony, as it were. Dr. Irvine also says (and I have no reason to dispute this) that when he talked to reporters and was asked whether the spiders had been feeding on earwax, he did in fact say that as far as he knew, all spiders were predatory. In other words, the doctor isn't the person who started that part of the rumor – that's entirely the fault of the reporters.
Sadly, none of the journalists involved ever thought to ask the simple question you did, or this story would never have gotten the attention it did. I'm sure we'll all be hearing about this incident, and the urban legends it will inspire, for decades to come. But at least the readers of the Straight Dope will know the truth.
—SDSTAFF Doug
Straight Dope Science Advisory Board
Just 98% accuracy?????
What happened to 100% when typing. The company I work for strives for 100%. We do not leave any blanks on our reports or they are sent through QA and it will go through each Editor to see if they can complete this report at 100%. This is what makes a successful company and sets some companies apart from the others.
Not everyone hears the same thing 100% of the time. No one is perfect and there is no one who knows everything.
You are pathetic!!!!!
% of accuracy
I have only been doing medical transcription since August, 2007. Can someone please tell me how to determine your level of accuracy? I have seen before where companies require 98% accuracy. Is this the norm? I feel that I am above 98% but how do I know for sure?
yea, accuracy is best
I correct as I go. The error is fresh in my head, so it is easy to correct it right away rather than forget it and the context so it might get missed by the checker. Also, it would probably take more time using the spell checker to fix them. I try to type every sentence correct as I go so I don't have to correct later. The only things I skip and go back to are names and names of places, stuff I have to look up on the internet, that I do at the end all at once. Wow this was a long message lacking decent grammar, oh such is life...plus I just woke up and tend to ramble when I do so.
VR accuracy.
Dictated: Mucous membranes were dry.
VR translation: Mucous membranes were red wine.
What???? Last week I had a dictator say that the patient had a rash. VR translated that the patient had cancer. There's a bit of a difference between a rash and cancer, I would think.
Accuracy in counting
<Disclaimer: We are the publishers of MPCount / MPTools>
No cook can please everyone with just one soup recipe, and no software will suit each and every user. I'm glad you found a program you really like. 
We're proud of the accuracy of the counting in our software, and even have a page discussing it.
Best wishes,
Vann Joe
I wonder how their accuracy is given this article
Speech recognition technology shows double-digit error rate11/30/2006
By: Jonathan S. BatchelorCHICAGO -
A study of radiology reports generated by speech recognition software at a prestigious U.S. academic medical center found that even with fully trained system users the technology was introducing significant errors in almost one out of five signed, final reports. We structured a study where we could look at the types of errors and frequency of errors in attending dictated reports using Voice recognition software, said Dr. Ronald Dolin, who is from the department of radiology at Thomas Jefferson University Hospital in Philadelphia. Dolin and his team retrospectively reviewed radiology reports dictated and signed by attending radiologists from February to March 2006 at Thomas Jefferson.
According to Dolin, all radiology reports at the institution were generated using PowerScribe 4.7 from Dictaphone/Nuance Communications of Burlington, MA, which had been implemented for 16 months prior to the start of the study. A total of 395 reports, consisting of five to 10 consecutive reports from each of the 41 attending radiologists, were reviewed, according to the researchers. They categorized the dictation errors into 10 subtypes, such as missing word errors, wrong word errors, extra word errors, nonsense phrase, unclear meaning phrase, or abnormal phrase with meaning intact. Errors were classified as significant if they altered or obscured the meaning of the sentence in which they appeared, Dolan said.
A total of 239 errors were identified in 146 of 395 reviewed reports for an overall error rate in final reports of 37%, he reported. In addition, he noted that at least one error was identified in reports from 40 of the 41 attending radiologists at Thomas Jefferson. The researchers found that missing or extra words that did not alter the meaning of a sentence constituted 113 of the 239 errors, or 47% of the total. This type of error was found in the reports of 33, or 81%, of the attending radiologists, Dolan said. Other common errors reported by the scientists included the wrong word, which accounted for 21% of the total errors; typographical or grammatical errors accounted for 8.8% of the total; a nonsense phrase with unknown meaning showed up in 11% of the total errors; and an error in the dictation date presented in 2.9% of the erroneous reports. Most of the speech recognition technology errors, 83%, did not alter the meaning of the report, Dolin noted. However, the remaining 17% of the errors could have impacted patient care. Significant errors -- errors that could conceivably alter a patient outcome -- accounted for 40 of the 239 error total. He said that significant errors were found in 54% of the attending radiologist reports and that five radiologists had two or more significant errors. Dolin acknowledged that he set the criteria for classification of significant errors and determined what was and was not a significant error.
During a discussion of the research after the presentation, a few audience members vigorously expressed their belief that Dolin's standard for significance had not been inclusive enough. Rather than being a condemnation of the technology, Dolin believes that his study can provide a method for Quality Assurance and continuing education in the vagaries of speech recognition software. A periodic audit of a relatively small number of radiology reports, such as five to 10 reports per radiologist, can identify significant Voice recognition error patterns among the group and by individuals, and can assist in efforts to mitigate these problems, he said. By Jonathan S. BatchelorAuntMinnie.com staff writerNovember 30, 2006
98% accuracy configuration
I would also like to know how to calculate this. I received a 96% on a transcription test for Transcription Relief, but I needed a 98% to work for them.
What's with all this smugness about your accuracy, and
Hope you're not an MT supervisor - you'd be a real pill to work with.
98% is the norm for accuracy
and most companies have their own QA system of assigning point deductions per error divided by line count. If you have a way to review your reports after they go through QA you should be able to see what your percentage is. If not, ask QA.
Apparently? what was your accuracy, what did they tell you?
nm
That seems silly. Accuracy, yes, but speed, too.
Why would you want to hire someone with 99% accuracy who could only type 30 wpm? Telling a potential employer you can type quickly in a test situation doesn't mean you're automatically fast and sloppy. Besides that, typing tests take accuracy into consideration. How about 99%+ accuracy with a typing speed of 90 wpm? Speed is a huge part of this job, especially considering TAT and pay on production.
Yes there are people actually good enough to hit 98% accuracy. Happens every day!!!!! sm
QA has only become a real job in the last 10 years. Before that there was 1 QA person for every roughly 100 MTs!!!
If you aren't paying me to do 100% accuracy
x
The swiftness and accuracy of proofreading is mainly reflected by (sm)
length of experience, as well as your fund of medical terminology knowledge. I am fortunate in that years ago I took an Evelyn Wood Speed Reading course. I would suggest trying different methods, such as those you stated, until you feel what is most comfortable for you, in addition to producing error-free reports.
Most MT co's REQUIRE 98% accuracy in order to stay - sm
employed. I've had to do 98% accurate work for years - it's no big deal. There's not an MT alive who is always 100% accurate. There ain't no such animal. But what I'm talking about is QA's that take a report that IS 100% accurate, and 'create' an inaccurate report out of it. I don't know if they're just bored, or spiteful, or if they have a minimum work quota like all the rest of us do, but jacking up a perfectly good report and sending it back with 'errors', (and no initials, so you can't call your co. and COMPLAIN about them), is a royal pain. I think they get paid more money, the more reports they mark up, and as is so often the case, in that field too, it's 'quantity over quality'. The Almighty Dollar, again.
I've had problems with Abacus' accuracy in the past.
.
Never said that typos were acceptable, what I said was is 100% accuracy expected 100% of the time.
Yes, I used to work in a docs office doing this as well as other things and but never had this problem.That is why I am frustrated. My question was whether or not there was a curve for MT'ing or not. I guess I just was not clear on exactly what editors/QA were really meant for. I thought they were more of a saftey net for a TX company to ensure that everythign that goes out is what it should be. But I guess I was mistaken.
Anyway, I was thinking that maybe there was something else similar in this field that would be an option for me to do. Since I actually like this line of work, I don't see why I should give up so easily.
Lastly, its just me, but I actually think staying at home with my kids is a perfect reason to do this for a living. I mean seeing as though I actually do want to earn a honest living doing something that I have experience doing ...why not? It's better than relying the government for money to support my family isn't it?
oh, sorry, yes that is important sm
the pay is average for a national. I make $900/week. I think that's pretty darn good!
How important is it to you ...
How important is it to you that your US medical records are KEPT in the USA?
Does it matter to you? Why or why not?
It's VERY important to me. I don't want anyone in the US much less
outside of the US knowing my business, financial, medical, or otherwise. If I can't sue someone who has used my information for their personal gain then that is a problem for me. It would cost me a fortune to sue someone overseas who say sold my information or threatened to put it on the Internet.
How important is it
Very important. I am HIV and do not want that information going anywhere.
but TAT is what is important and OP...sm
stated that they were having a TAT problem prior - so? TAT is promised, not met, and so the OP didn't meet her/his end of the bargain. I promise 24-48 hour TAT and that's what they have been getting from me for nearly 10 years. 
A deal is a deal is a deal - whether on paper or not on paper - verbal contracts are also recognized - just ask Judge Judy *lol*
To the OP - I hope things go better for you truly - but remember this: A promise made is a debt unpaid....that also is in regards to TAT. Best of luck - things will turn around for you, I am hopeful.
And this is important. sm
It varies state to state, I am sure. You need to get the house out of your mother's name. Where I live, the house has to come out of their name 2 YEARS before they can get in a decent nursing home. There are a not of variables and when you are running to doctors, doing shopping for 2 people, cleaning, plus working full-time which no one realizes if you are an MT because you are "at home"; you really don't have time to keep all the plates spinning by yourself, with no help, and this issue about my mother's home should have been addressed a long, long time ago.
It's important to ask
questions of a potential employer but sounds like she overdid it.
Have to admit though she certainly doesn't lack confidence!
It is amazing to me how self-important US MTs are ...
You want to point your finger toward offshoring companies using HIPAA as your miserable crutch; however, when it comes to ensuring the legitimacy of who YOU are to handle this sensitive, private, protected information -- well just forget it.
After all, I mean, YOU work at home. And you are a citizen of the US. And no US citizen EVER scammed the public, EVER stole identities, EVER did anything wrong. Talk about self-righteous and self-important. Hahaha
What's wrong? What are you afraid of? Someone might really find out about your lack of control over your own life?
No one has ANY idea what YOU are doing with this information either and if your attitudes and behavior on here were shown to physicians and your own employers (and probably your family and friends), many of you would be out - out of a job, out of respect, out of friends and maybe family, out of most of everything and everyone who has no idea what you are like when you feel your anonymous status is hidden.
I'm entitled to how I feel the same as you are. You might want to get prepared though -- time and the conditions in this world are rooting for my opinion.
With the increasing security risks, insurance costs, etc., in this world -- you might want to get busy cleaning up whatever it is you're hiding because the likelihood of you submitting yourselves to any/all of these things for a job is going up and fast.
Hahaha
If bathing is so important to him
then he could wear some swim trunks in the tub with her. I stated that in my last post also. He would still have the bonding time with her but would be covered so she wouldn't be exposed to that. That was also an idea that was posted by another poster that her brother does I think.
One important point: SM
Spheris insurance is PPO, meaning the insurance is not expensive, however, it does not cover the cost of everything or most things, as does HMO insurance. This is a very important fact. Otherwise, agree with above.
I believe it is important for children too..
That does still does not mean that since you made a mistake in your life that you are not entitled to the same rights as everyone else. Could've, should've, would've. We can point fingers and tell people what they should have done, but the fact is, they have rights like everyone else. Of course you tend to do better financially when you do things in the right order. Life does not always work like you want it to though. I myself got pregnant while on BC with a man I had been with for 4 years. I had my son before I got married. We got married when he was less than a month old. He was our only witness. We have since had another child. I have never been on assistance, but I am lucky enough that we have been able to work out our problems and keep our marriage intact. If I could do it all over again, I would have waited, of course. We have struggled quite a bit by having kids so young. Life just doesn't always work out how you want it to though. I want my daughter to get married first and then have children, as do all mothers. Those are things I will teach her too.
Actually, what the account wants is more important than the BOS.
They sign my paycheck and I will do what they request. Don't care much for the BOS and you need to come off your high horse tell everyone they must be consistent with everything.
Yes, consistency is nice, but if the account wants the numbers spelled out from 1-10 that is what the account is going to get - one, two, three, four, etc. They are the ones putting food on my table.
Thanks for that important bit of advice!
I have been going to try them but I will now wait until my next teeth cleaning next month. I NEVER would have given that a thought before. That would be awful to end up with yellow outlines!
Do you know how it might affect crowns??? I assume it will leave them the same color they are. Mine are a little lighter than my natural teeth.
Get yourself a system...most important..
With Autocorrect, you have to remember everything! So I had to come up with a system that I would remember them. I use the letter *J* for anything that ends in *tion* or *sion,* the letter *Z* for endings with *ize* or *ization*, *x* for words that start with prefix of *ex*, for capitalizing abbreviations, such as HPI that you want to capitalize in a sentence, would be *xhpi.* I use *U* as in uhpi to bring up History of Physical Illness when needed in a sentence, as *HPI* will come up all caps for headings. I also have a system that I will use the first two letters of two words if I have already used the first letters of two words, such as *cp* for chest pain, *chpr* for chemistry profile. If those first two letters are used for something, I go to the first three letters of the first word and the first two letters of the second word. Also will use maybe the first four or five letters of a word. Also, have phrases, such as *sdnh* for she does not have, *shnos* for she has not seen, and just a lot of those types of things. Saves a lot of time. Also have, of course, what the docs constantly say, their little phrases they use all of the time. However, I do forget I have some of these things in there, and have to keep refreshing myself as with about 5000 abbreviations, it gets wicked!! But it really helps to have a system that helps you to remember what you have in there.
Important - see message
I too use Smartype with 2003 and have the same problem, but I wouldn't give up and found out why. What it is when you have a text box (when you jump around using the F11 key to fill in the box) you have to hit the delete key first before you type. If you type without deleting the box first, it will freeze or lock up.
The same thing happens if you hightlight text and want to type over the text. You have to hit delete first and then type. If you highlight and then type without deleting the text, it will lock up. I have trained myself to use the delete key at these times and rarely does it freeze up now. Every now and then I'll forget or accidently do something that will trigger it to lock, but it is not very often.
You can use it, but you have to train yourself. It is a Word problem I was told. If you have any questions, e-mail me and I will try to help
Important ? re. digital(sm)
I get the heebie jeebies worrying that dictation will be erased/lost in the transfer. Is there any backup which will prevent this happening? Where I live if anything is lost, things fly and tempers flare. Scared to death of this happening. How wonderful that you are sharing, kudos to all of you. We need more of this helping attitude.
The MOST important question is.....
Very important - thanks for your post.
Take care of your kids and be flexible while they are still young. Take the time because they grow so fast. If that means losing a buck here and there, so be it. I for one would not trade getting my son to his ballgame or being able to see my daughter receive an award at school for all of the money in the world. I will carry those memories with me forever. We can work on-site when our children are older and no longer need us so much. What a great feeling! Glad you are making the switch back/welcome once again! We missed you!!!!
Most important I think is spelling
Not the spelling police, but I thought your post was cute! Seasoned???? How about proofing your typing? Just kidding  . I'm joking!!!
That's why it is so important that there is uniformity regarding...SM
style and format which the BOS has tried to do. I don't always agree with the BOS, but at least it is trying to standardize things. Things like spelling and terminology misuse are pretty much black and white -- either you spell correctly or you don't.
Another practice that the MTSOs have gotten into is allowing the clients to dictate their preferences to the point where it is in direct opposition with the accepted norm and sometimes are just totally incorrect! Facilities hire MTSO for their expertise in medical transcription and, therefore, should let us do what we do best rather telling us how to do our job. I don't tell the doctor how to treat the patient and he shouldn't tell me how to do my job.
With the exception of formatting, the MTSOs should be giving the clients a copy of the rules and standards MTs follow. I understand that formatting will change from client to client and in my opinion, that is an acceptable variation.
I worked for an MTSOs who contracted with a client -- a hospital -- whose transcriptionists had "always" typed gravida and para values in Roman numerals, i.e. gravida III, para II. When the MTSO contracted with the hospital, the MTs typed it according to the BOS, but were quickly corrected by a file clerk in the HIM department stating we were doing it wrong. Did the MTSO stick up for its MTs and say we follow the BOS and that is the accepted norma? Nope. An email went to the MTs saying that on this particular account gravida and para should be expressed as Roman numerals!
This shouldn't be happening! We are professionals and should be treated as such. We are not show dogs jumping through hoops!
So see, I'm not some evil QA person who lives to find errors. I am a QA person who sees problems on both side of the issue!
IMPORTANT - Real VNC
Please ladies. If a company ever ever ever installs this on your computer, get rid of it! The program itself is for technical support but it also can enable a company to get into your system without your knowledge. This happened to me and I caught someone from that company remotely taking over my keyboard and mouse!
All they need to get in is your IP address and they can see your whole screen. I was told by an independent IT person that they can log your Keystrokes and get your financial info if you have it stored. I just had to change all of my banking and credit card accounts and run multiple scans on my computer. I am an IC with my own computer and they installed this to run in the background as soon as I boot up the computer even though for tech support we used an entirely different program.
Yes, I absolutely ended that contract, but I just wanted to let everyone know so the same does not happen to them.
It depends on what is really important...s/m
I worked in an ER for 6 years (clerical) and have a sister and a brother-in-law that are nurses. I also worked on the floor at the hospital and knew that I could never be a nurse. Yes, my sister and brother-in-law make great money, but my sister never sleeps (works nights) and both miss holidays all the time. this year, my brother-in-law works Christmas day (11a-11p) and new year's eve (11a-11p). To me, no amount of money is worth missing the holidays with my kids. if you don't have kids then maybe nursing is for you. however, if you have kids and want to be able to go to school functions, not work holidays, and have the flexibility (I'm IC so work my OWN schedule), then I would definitely look into MT. As far as the pay goes, I have only been doing MT for about 5 years and have made the same rate per line since starting. I don't have company benefits (again, IC) but my home benefits outweight the hospital benefits i had when I worked there (not as an MT). On some days (easy doctors), i can make as much as my sister (w/o her night shift) and other days I make average. Sorry, going on and on... but I would definitely consider experiencing each aspect of both fields before putting your money into schooling.
PS: Used to my computer fixing capitals at the beginning of sentences and fixing spelling errors (funny how we get so used to our autocorrect, huh).
This is mot important issue, IMO.
x
DG, critically important, not just SM
an aid. In future no one will be able to make a living at this work without extensively using one, including specifically editing.
You tell the Expander to record the Keystrokes you use to do a correction dozens of times a day and then give those functions one- or two-key abbreviations. That way, a tap of a single key, or maybe 2 taps, will change the case of a letter (delete old one, shift+new letter) or insert the word "The" at the beginning of a sentence and then lower-case the first letter of the next word. A function key can be instructed to open a new screen and send a standard message to QA. That sort of thing.
And you will need a professional-quality expander to do the job.
nope don't think I am important sm
at all, but telling the truth. That is the problem with too many folks, too unwilling to do the work over the years to learn what they need to learn and do what needs to be done. Sorry if I hit a nerve but I didn't say anything that wasn't true!
To me, this is the most important finding: - sm
"The average transcription price ranges from 11.9 cents to 13.2 cents per line, depending on whether the services provided are onshore, offshore or a mix of both."
There are some problems with the methodologies used to produce these KLAS studies, but setting those aside what's instructive here is that around 10 years ago a different study showed the average industry price to be 14 to 17 cents per line. Offshoring and cutthroat competition, and to a much lesser degree technology, have resulted in lower prices, and that can only do one thing - put downward pressure on the wages paid to transcriptionists.
Predictably, then, wages in our segment of the healthcare industry have stagnated or declined, while in most other segments prices and wages have risen - in some cases much more rapidly than the rate of inflation.
Experience is more important than
what school you went to. Experience helps you pass the tests. I'd hire someone with hands-on experience & able to pass the test any day before I'd hire a newbie graduate from CareerStep, Andrews, etc. You'll do fine.
RE: Very important read !!
For those who could not see the URL, I hope you can see it in this mail and EVERYONE sh
Just something to think about.
The link below will take you to a page explaining the House and Senate versions of the bill and a link to send an email to your representatives in Washington indicating that patients have the right to be made aware that their personal information and medical records are being sent overseas for transcription. The letter is already written for you! http://www.rallycongress.com/support-fo ... formation/ |
ould act on this !!
|
