It is JCAHO. The most misspelled acronym in medicine! nm
Posted By: Veronica on 2007-03-31
In Reply to: It is JAHCO and having worked for a gov't agency - sm
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It's not an acronym (sm)
Mensa is lots of things, including Spanish for stupid woman, but it's not an acronym for anything. I've attended delightful 3-day weekends at resorts with devilishly difficult treasure hunts, thought-provoking discussions, good food, and, plenty of silliness. I've also participated in local political action groups that actually accomplished something. Just nice to be with people whose synapses fire as quickly as mine.
(o)_(o)
Acronym
www.acronymfinder.com
Acronym help
This is a helpful, interesting site:
 Whonamedit.com is a biographical dictionary of medical eponyms. It is our ambition to present a complete survey of all medical phenomena named for a person, with a biography of that person. Eventually, this will include more than 15.000 eponyms and more than 6.000 persons.
I think you need to look up JCAHO SM
prohibited abbreviations and you will see why you cannot type this. We are talking about acute care here--not some family practice clinic. You must follow JCAHO's directive on abbreviations or the facility receives deficiencies if the organization happens to check that record.
JCAHO has prohibited q.d. and q.i.d. SM
so that is why these 2 are no longer used in any facility that is accredited by that organization.
acronym website
Yes, try acronymfinder.com. It's a great site.
FYI on the Do not use list per AAMT BOS and JCAHO
Hi everyone! I know this is not going to be easy but we all need to start abiding by the dangerous abbreviation list below and the JCAHO updated list attached. The biggest change will be the "q.d." Please start making these changes immediately. I would suggest putting some of them in your auto correct as it will probably be very helpful. You could put it in there as q.d. and change to daily so if you were to type q.d. by accident, it would change it automatically to daily.
We will give you a few months to get used to these changes and probably by February, we will take points off for QR if any of these errors are found.
Thank you and if you have any questions, please let the QA team know.
POLICY
Dangerous abbreviations listed below are NOT to be used.
Abbreviation
Potential Problem
Preferred Term
U (for unit)
Mistaken as zero, four, or cc.
Write “unit”
IU (for international unit)
Mistaken for IV (intravenous) or 10 (ten)
Write “international unit”
Q.D.
Q.O.D
Q.I.D.
Mistaken for each other. The period after the Q can be mistaken for an “I” and the “O” can be mistaken for “I”.
Write “daily” and “every other day” and “four times a day.
Trailing zero (X.0 mg)
Lack of leading zero (.X mg)
Decimal point is missed
Never write a zero by itself after a decimal point (X mg), and always use a zero before a decimal point (0.X mg)
MS
MSO4
MgSO4
Confused for one another. Can mean morphine sulfate or magnesium sulfate.
Write “morphine sulfate” or “magnesium sulfate”
TIW (Three times weekly)
Confused for twice weekly
Write “three times weekly”
mg
(for microgram)
Mistaken for mg (milligrams) resulting in one thousand-fold dosing overdose.
Write "mcg"
ZnSO4 Can be confused with IV electrolytes
Write “zinc sulfate”
Per os Can be mistaken for “left eye”
Use “PO”, “by mouth,” or “orally”
HERE IS WHAT I HAVE!!! ATTACHED IS FROM THE JCAHO SITE PER THEIR FAQ PAGE ALSO. MAYBE WE CAN ALL REACH A COMMON GROUND HERE AND BE ON THE EXACT PAGE WITHIN THE REGULATORY RULES TOGETHER.
A "minimum list" of dangerous abbreviations, acronyms and symbols
Beginning January 1, 2004, the following items must be included on
each accredited organization's "Do not use" list:
Set
Item
Abbreviation
Potential Problem
Preferred Term
1.
1.
U (for unit)
Mistaken as zero, four or cc.
Write "unit"
2.
2.
IU (for international unit)
Mistaken as IV (intravenous) or 10 (ten)
Write "international unit"
3.
3.
4.
Q.D.,
Q.O.D.
(Latin abbreviation for once daily and every other day)
Mistaken for each other. The period after the Q can be mistaken for an "I" and the "O" can be mistaken for "I"
Write "daily" and "every other day"
4.
5.
6.
Trailing zero
(X.0 mg),
Lack of leading zero (.X mg)
Decimal point is missed
Never write a zero by itself after a decimal point (X mg), and always use a zero before a decimal point (0.X mg)
5.
7.
8.
9.
MS
MSO4
MgSO4
Confused for one another
Can mean morphine sulfate or magnesium sulfate
Write "morphine sulfate" or "magnesium sulfate"
In addition to the "minimum required list"
The following items should also be considered when expanding the "Do not use" list to include the additional three or more items referenced in the JCAHOFAQ@jcaho.org
Abbreviation
Potential Problem
Preferred Term
µg
(for microgram)
Mistaken for mg (milligrams) resulting in one thousand-fold dosing overdose
Write "mcg"
H.S.
(for half-strength or Latin abbreviation for bedtime)
Mistaken for either half-strength or hour of sleep (at bedtime) q.H.S. mistaken for every hour. All can result in a dosing error.
Write out "half-strength" or "at bedtime"
T.I.W.
(for three times a week)
Mistaken for three times a day or twice weekly resulting in an overdose
Write "3 times weekly" or "three times weekly"
S.C. or S.Q.
(for subcutaneous)
Mistaken as SL for sublingual, or "5 every"
Write "Sub-Q", "subQ", or "subcutaneously"
D/C
(for discharge)
Interpreted as discontinue whatever medications follow (typically discharge meds).
Write "discharge"
c.c.
(for cubic centimeter)
Mistaken for U (units) when poorly written.
Write "ml" for milliliters
A.S., A.D., A.U.
(Latin abbreviation for left, right, or both ears)O.S., O.D., O.U.(Latin abbreviation for left, right, or both eyes)
Mistaken for each other
(e.g., AS for OS, AD for OD, AU for OU, etc.)
Write: "left ear," "right ear" or "both ears;" "left eye," "right eye," or "both eyes
JCAHO has created a set of Frequently Asked Questions (FAQs) that explain the new requirements in greater detail.
How do you pronounce the acronym HIPPA?-nm
.
JCAHO dangerous abbreviations
Do physician offices/clinic notes need to comply with this list? I thought JCAHO was joint commission for hospital compliance.
JCAHO Do Not Use Abbreviations List
This link will take you to the JCAHO site with the "Do Not Use" abbreviations list. Most of the questions you are asking here (i.e. q.d. now being "daily") will be answered on this site.
BOS just came out with a 3rd edition, but not many are using that yet. Try to get a copy of the 2nd edition - it will answer a LOT of questions that will come up for you.
Good luck and welcome back! :-)
Does anyone have a good medical acronym website? tia nm
nm
One is misspelled, one is not. (sm)
TISSEEL® KIT VH Baxter Fibrin Sealant.
The wrong spelling was published in some resources early on, and caused a lot of confusion. The above is correct.
I misspelled dinosaur...
x
Unless you have never misspelled a word, then
Everyone in entitled to misspell a word on a forum! Chill out and get some compassion! OCD much?
another misspelled word!
"Incidentally" (Sorry!, I guess I was all "riled up" while typing about this subject!)
I think when you do editing the misspelled
words stand out like a sore thumb. I see them everywhere, from ads to television news programs. I have seen then in ads for newspaper, a furrier in Alaska had misspelling in a book advertising their furs, found at cleaners, everywhere. Sorry but my eyes are drawn immediately to a word like this and besides, like I said, if you have again you would not want that in a typed report- QA might be watching. I read Craig's List here in my town and if you get this, make notice of all the words in there. I read 1 the other day and wondered if child had written, that is how bad it was.
Ack, misspelled HIPAA!
I really do know how to spell HIPAA correctly, except when I'm being an airhead, sheesh!
mindshit (oops, misspelled)
oh, that is so, so disgusting -- a dime a dozen -- then how come they have MTs quitting after a week when they realize what kind of crap they're going to have to do and the pathetic compensaion that they're going to get for it!!
uhmm...you misspelled it..."bologna" lol
!
Probably because I'm an MT and I don't like to see consistently misspelled words.
Perhaps they don't bother you. I pity your employers.
Misspelled words, punctuation
I would love to be an Editor some day, love reading the typos in the newspapers, etc. However, I nor anyone else is perfect and we all have our days. On the other hand it depends on what you are accustomed to. I have typed radiology periodically and on one account told to use punctuation where needed and another account that I worked clinic in-house radiology was told by the radiologists not to use punctuation unless they told us to because it could change the meaning of the sentence. So, I obliged and no longer use punctuation unless it is dictated to me. Unless I hear differently I will continue to do as I am told.
JCAHO and AAMT is a crock. Patient safety means not hiring DIMWITS
who can't read or retain what they have been taught. If you don't know what TYPED p.o. means or are confused, do not take care of patients. You are obviously too stupid. Go flip burgers somewhere where someone can instruct you every step of the way and you can do no harm. No brainer. Just a little wrist action and by all means DON'T TOUCH THE HOT GRILL. Think you can remember what that means. HEAT BAD!
MT and medicine in general
The greedy guts smelled the ability to MAKE A PROFIT in the field of medicine
and "there went the neighborhood."
It used to be a sign of respect to be a doctor - now they just work for the company store and are running out the door with the nurses at quitting time - throwing any patient they may be seeing to the winds. One even told me to hurry up and make up my mind because she had to go pick up her kids at daycare!
And so has medical transcription - some guy in a tie said QUANTITY OF LINES COULD = MUCHO PROFIT...
Of course those people don't care if a few people die along the way because of errors. - well not at least until it's their leg that's amputated by mistake.
Going into medicine. I have 2 MT friends
who are already in medical school. One MT I worked with at a large hospital is now an anesthesiologist making about $300K a year. Hahaha Should I hope to do so well. Hahaha
Know 1 who is a psychotherapist now. Know 1 who got her MBA and works in government contracting and 1 who got his MS and works for JCAHO.
Lots of things to do out there! It's much easier to decide what you want to do now that you're experienced in life and know what the real investments and rewards are. I'd go on to commercial flight school if I weren't going into medicine. I have a private license. Would LOVE to be Lear certified! Would love to fly a medical helicopter. You can get funding for those flight programs, too! Not a traditional classroom setup. If I don't get into med school, I may be doing that! Hahaha
Internal Medicine
 Are they hiring at all right now? Let me know. Am interested in part-time, evenings and weekends.
Unfortunately after paying $140.00 for the medicine (30 days) sm
after two weeks I broke out in hives and had to stop taking it.
"The Language of Medicine" sm
is a very good book and very thorough. I would recommend it highly.
Rehab medicine will include PT, OT, sm
speech therapy, etc.
MT is usually for medicine. Nursing is a different discipline.
X
Well, after all the doctors are only "Practicing" Medicine, right? nm
.
Perhaps, but there will also be no incentive to go into medicine for US docs, SM
when they get out of med school they have debt, will have to set up a practice, pay their staff, etc. What is the incentive if you can earn a limited income.
I say let the free market decide.
I don’t think he would just out of the blue suggest the medicine
Probably you made mention of having had the cervical cancer and that is where the dialogue started, right? As far as the x-ray, think that is being overplayed with that and fertility. Loads of children, females included, have x-rays when younger and do not lose their ability to have children. You sound like you are stressed out, mentioning this and that, xrays, miscarriages, sterility, etc., etc.
My wonderful MD is having to leave medicine sm
Because she can't afford to practice!!! The compensation for primary care docs SUX. The Blues owe her about $60K she can't collect on care she has already provided. The year I was her MT, her practice paid me $3000, it paid her $2500 FOR THE ENTIRE YEAR. She literally didn't take home a paycheck all year and took the $2500 at the end when she didn't have to pay it out. In the end, that money went to pay a lawyer to try to collect from the Blues.
I have a very complicated medical history and still have many significant problems. The idea of changing doctors right now makes me sick. I won't have any more choice about that than my doctor has about leaving the profession. She is a wonderful doctor and has cared for me for 20 years. I am sick over this.
Muscle relaxants could help also. I am on migraine medicine too but...
if it is caused by your muscles trapping the occipital nerve, injections would help, both diagnostically and therapeutically. They would then know how to proceed with your next step in treatment. The stimulator was a miracle until the lead wires moved. If the injections do not help, it rules out one type of headache and on to the next. I use Cafergot for my migraines with aura (a whole different headache altogether), but that has been discontinued now. I really wish you luck!
OT: Changing face of veterinary medicine (sm)
Is it only me or has veterinary medicine changed quite a bit over the years to resemble care of humans? I have cats and absolutely love them but I'm becoming torn between necessary care, preventive care, and just down-right UN-necessary care. I remember back when animals went to the vet for shots and only when they got sick. If they were sick, diagnosis and prognosis dictated the next level of care. And in most cases back then there were no options other than to let nature take its course if something serious/chronic was found.
I'm now noticing that every time I take one of the cats to the vet's, the doc wants to do "baseline" blood work at least once a year and now wants to see my ten-year-old cat on a twice-yearly basis. My kitty is healthy as a horse and has had no health problems for ten years. Why all of a sudden does he need expensive BASELINE lab work and xrays as well as needing to be seen twice a year and have his teeth cleaned twice a year (not cheap)? It sounds like I'm complaining about the money end versus taking care of my kitty, and I suppose in a sense I am, because this adds up to a whole lot over the course of time. The doc mentioned the reasons for the lab work (diabetes, thyroid problems, anemia, cancer, etc.) I'm torn between having the work done and what I would do if anything chronic showed up on the tests. I love my kitty but don't know if spending lots of money on chronic meds/therapy would be an option when I would have to weigh other expenses against them.
Food/medicine caught in throat
This very thing happened to me while eating pizza one day - I ended up in the ER because I could not get it out or to go down. The ER doc ordered a chest x-ray (do not know why) and then sent me home with some Prilosec saying that I had esophagitis. It was a rainy day - two dogs chased my car home and I was afraid to get out - plus I had my sister's four children that week, besides my own two. I took a Prilosec and then had to have my husband rush to the pharmacy for some Benadryl - I was allergic to the dye - then, and I don't recommend this, I got a long-handled teaspoon - bent it and stuck it down my throat - retrieving the pizza dough. I still had esophagitis because my throat was now inflamed from the pizza and the spoon handle - I put the chewed up dough in a ziploc and returned it to the ER for an explanation - of course they thought I was crazy - but you do what you have to do. I have found that many doctors are either incompetent or on drugs (cocaine, meth, and others that they either sniff or smoke). That is why there is such a high malpractice rate (but that's another story). In fact, I see a doctor now who is a drug-abuser - but he prescribes what me or my family needs when we go to see him and we get well - but boy is he high - nice, though. That's my take on the ibuprofen in your throat.
We come in contact daily with much more true medicine sm
medical problems, diagnoses, treatment, that nurses do. I question my nurse practitioner, constantly, about why she is prescribing certain medications for me. She seems to have a lot less knowledge of these medications than I do. (btw, she resents it).
Nope. Many years working at the School of Medicine. SM
An MS4 is a med student till June graduation. He's "Mister So-and-So" then in June when he graduates, he's "Doctor So-and-So."
A 4th year resident is something else entirely. He is an R4 (or that's what they call them here). HE is an MD. The MS4 is not an MD.
Normal x-rays, CT scans, nuclear medicine
scans, nuclear medicine procedures and tests, etc. Anything procedure associated with radiology, which can include op reports dictated by the radiology interventionists.
Kids certainly not the reason for me, I loved the field of medicine
I had started working in hospital settings about 10 years before I ever knew about transcribing. Working at a hospital in another section my boss told me since I typed fast she had a friend who worked in MTing at the hospital, they had an opening and you could make extra money the more you typed, the more you could make. Being as my speed was 130-140, thought perfect job for me. I think loving the actual work rather than just doing to stay home is the main reason I have done as long as I have, no burn out for this person.
Oh good grief! No way. The only Dixie I know of is a forensic medicine person...
not a former bank manager. Maybe there are 2 of them.
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