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Serving Over 20,000 US Medical Transcriptionists

Not in defense of errors or anything, but - sm

Posted By: Flibertygibbit on 2007-10-26
In Reply to: Do u think a lawyer or accountant or doc has "QA" person - nope, if they screw up... they scr - hess

one reason the QA field has exploded is the low wages. Taking the time to proofread is costly for an MT racing through the day's work in order to make a line count that will even pay her electric bill for that day. We shouldn't have to work that way. It would be easier to take pride in one's work as an MT if we were afforded the luxury of a living wage, so we would slow down a little and produce an even higher-quality document.


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thank you for coming to my defense (sm)
Of course I know my financial situation, but we have missed a few payments, have tried to contact the lein holder, but to no avail. 
The best defense for a child...
As heart tugging as they are, accurate transcription is sooooo important for any person, there is a lot at stake and your best effort at triple checking what you have typed is our little helping hand at helping those seeking help. Flag ANYTHING you doubt, if you get lost in the "he said, she said," someone else will too and calling attention to those items WILL HELP to ensure the reports are easily read and understood. Keep up the good work, the job we do IS IMPORTANT! Any complaint or abuse is paperwork, paperwork, paperwork, just be sure those you do are the cream to help those who in need.
In defense of Dano....

Further down on this board, someone posted a very rude post that implied that people who didn't think a college degree was important were inferior.  Dano requested that the poster not put people down that way.  So it's very understandable why she would ask this question.


But you already know that, don't you?  You responded to that post by telling her she has issues.


Since you obviously have you own issues concerning your abilities to  understand how this board works, the most current posts are at the top, which means the less current posts are at the bottom, which means she posted her request to stop putting down posters BEFORE she asked the above question.


You're even more rude than the *superior feeling* poster who started all this.


In defense of kids
I only have a niece and a nephew, but they tell me the same thing.  I was stressed out at the time and probably bit their heads off.  On further reflection, they were doing their best to be caring and supportive.  They can see what the upheaval at the Q is doing to me, and they're smart enough to know it's not good.  As my niece said, You work all the time, you have no money and you're no fun!  She's got that right!  They both think their aunt could do better and deserves better, as I suspect your children do for you.  They still believe in us - that we're smart enough to learn and/or do something else.  They're trying to give us the kick in the butt to look beyond the obvious - there are other in-hospital jobs we could learn and do and there are other jobs besides K-Mart (at least where I live) - and to get out there and try for them, as scary a thought as that is.  They still have the optimism of the young, and maybe us old folks could use a bit of that right now.  At least we know they love us, and that's not a bad thing either. 
Ok, in my husband's defense, he apologized.
Then he made breakfast, lunch, and dinner yesterday for all of us, did the grocery shopping, mowed the lawn, put up a swingset for our little one, fixed our broken outdoor faucet, set up the pool for the kids, gave me a foot massage, cleaned the house, and washed my car.  I think I'll keep him....
In her defense, there are far too many men out there that really should come with warning labels. nm
nm
Conversely.... in defense of the MTSOs..
.....where would the MTs be if the MTSOs just quit?

I realize this commentary may raise the ire of some MTs out there, but I believe the long-time MTs and MTSOs will understand what I am saying.

It really isn't as easy at might seem to some managing multiple accounts, turnarounds, IC flexible schedules, covering for the ICs when they want to take off for the afternoon and go shopping or to the park with the kids, doing the QA on the blanks to find that medication or doctor's name that the IC did't feel like spending the time looking up in the resources available, and still meet our contracted turnaround with the client.

The sending of work offshore has drastically reduced the amount clients pay and I can tell you from personal experience that most MTSOs are rolling in the dough, living in fancy houses and driving fancy cars. We are making pennies, just the same as the ICs are. We are not the national corporations and we are not sending work off shore. We are the moderate to small MTSOs that respect the fact that experienced transcriptionists with good work ethics are hard to come by. Most of us pay our ICs based on the average national rate.

You can certainly do the math if you're interested. Average line rate (in our area) is 0.12 per line, 0.14 if we are REALLY lucky. Most want to pay 0.10 or 0.11. Telephone, internet and system costs (with maintenance) cost an average of 0.02 per line. Experienced MT average rate nationwide is 0.08 per line. So, we hire trainees right out of school rather than sending work offshore for 0.04 a line and may the trainees 0.06 a line to learn the accounts we are getting 0.10 for, paying 0.03 for QA on those if we can afford a QA person and giving them incremental increases as they improve, keeping the experienced MTs on the 0.11 accounts, and paying our non-QA-requring MTs 0.09 to 0.095 per line.

Even if a service bills out $2,000,000 (yep, two million dollars) per year, $40,000 isn't a whole bunch of money. Some of us could make that much managing an office for a national. But then who would hire the ICs that want a really flexible work schedule, do not want to do ESL work, will not be available for STATS and want their own primary account to work on when they want to, and have someone else cover when they're out for an afternoon with the kids.

Hmmmm.. seems like there's not much left for the cars and groceries of the MTSO either.

Transcription is a profession, not just a job. If you want 0.11 or 0.12 per line, feel free to go find and manage your own accounts. If you want a "job" with steady hours and steady pay.. I think they're hiring at our local fast food restaurant.

What works for me is I take a women's self defense class . .
twice a week. I get to beat up on a man for an hour. Great fun and stress reliever. Also a kick-boxing class. I just imagine I'm kicking the doctor in the you know what. LOL
Uh yeah, in a debate there's usually defense and an offense. Hence someone is always "on the
defensive."  I simply posted my opinion about non-compete clauses and my experience with an untrustworthy service and how I handled it and then I'm called unethical and unprofessional.  That kind of puts me on the defensive, dontcha think? Kind of begs me to defend my actions... 
Self Defense, pure and simple. I am leaving this board as of --sm
today because of you and your obnoxious attitude. I know you don't care, but you should, being a *fellow MT*, but everything revolves around you and you always being right. You remind me of KiKi. YOu like to take cheap shots at everybody who does not have the same opinion as you about anything, just as long as you can start an argument and keep it going. You are vicious, rude, crude, and a definite infant. I will pray for you. good bye.
Let the docs use their reports transcribed in India as a defense! LOL
The doc can sit there while the personal injury lawyer shows the jury a grieving family and the messed up report.
US MTs should not accept sweat shop wages or conditions. We are providing a service to them! We are their first defense!:) :) :)
If US MTs stoped working for low wages, the physicians who value patient safety and their livelihood would pay a descent wage. The other ones can try to explain the report being done in India to the personal injury lawyer tearing him apart.


Two errors per page is a LOT of errors! nm
x
Ya still got errors
Keep trying, you are almost there!
if you had that many errors

then something was wrong from the get go.

>>>It sounded good because I thought it would be less wear and tear on my hands. I type already all day on a FT regular job. I never had a report that didn't need massive changing and it just didn't take long to see that I was getting the proverbial screw.

Like I many times before:  [1] have the correct sound card; [2] have the correct microphone (the one that comes with the product is probably not good enough); [3] have VR analyze as many documents as you have available (I have more than 500 MB); [4] add words and phrases to the Word List (decreases errors in the long run); [5] do not dictate like you talk to someone ... you need to ar-ti-cu-late correctly; [6] take the time to correct errors when they occur or at the end of the day. But, if you see an error and change it manually, the program is not going to learn; [7] You cannot use VR for all dictators, but you can for all good dictators. I would not use it for the nightmares from hell, unless they are so repetitive you know what they are going to say as soon as they start to say it.

These are the most critical factors involved with using SR (speech recognition) software. If you eliminate or skip over any ONE of these items, you're going to reduce accuracy.

I've been averaging 99.5% (one to two errors per page) for a long time. It think it's obvious I'm doing something right.

There's nothing more I can say. 


Errors
Aunt Bea -- no question is a dumb question. I personally correct errors as soon as I see them. I always have the fear that my spellchecker will not pick them up -- for instance if the error was "too" instead of "to" your spellchecker would not catch it. I leave nothing to chance. Hope this helps.
errors
.25 for typos, commas that don't affect the sentence
2.0 for missed medical terms
2.0 for incorrect use of a medical or nonmedical term
0 for leaving out a significant part of a sentence or replacing anything in a sentence that is not said.
when in doubt - leave a blank
errors

Is it typical for a co. to deduct for errors?  I have had some, but nothing that is overly noticable.


Errors

Do you find that it irritates you probably more than it should to see errors in the newspaper, etc.?  I mean, something that will be read by so many people should be proofread to perfection, don't you think?  They seem to just jump out at me and I know I'm more critical since I am an MT.  How about you?


 


No, I don't think it is about errors....sm
work is sent to other countries because it is cheaper.
errors
I have a question.  Ok say I want to go in to my system tools and do a scan to check for errors and if any fix them.  Well I thought this should be in my system tools section.  It was with my old computer.  On this one which is Windows XP it has disk scan cleanup or something like that to get rid of unnecessary files.  Well what about scanning for errors.  I don't see that option.  Maybe I am missing something?
errors
See when I first started my first job the owner sent me a paper and it had certain things to do to my computer every so often and it said once a month "Scan Disk for errors" and I remember doing this on my Windows 98 but I don't see anything like that on this one. I do defragment once a month. The paper had that also on it. But in addition to defragmenting it said scan disk for errors. I thought that is what I was doing when I did a disk cleanup but I think the disk cleanup is just getting rid of unnecessary files. I can't ask the lady because she died right after I went to work for her. Like in a month. Poor lady. The company was taken over by another company then. I don't know I probably need to ask someone who also worked for Janelle too (previous owners name).
Errors!!
and on several occasions, found glaring errors in my and/or my husband's chart.
errors
Whichever company you work for, take it as a wake-up call that maybe you have gotten a little sloppy and try to pay closer attention. I mean no offense at all with that. I have been in the same position and it's hard to swallow your pride and have your errors pointed out to you when you are used to being trusted and not QA'd much. As long as the QA at the new company is not condescending I'd stick with it and take it as a challenge to sharpen up.
if you do not get less pay for errors, try to take it
with a grain of salt. grammar errors should not affect your QA score, overall, yes? I too sometimes get a little nauseated at people who go through my work always with something to prove where I swear they just refuse to let a report go by without finding something. Then there are the wonderful QA people who use it more as a training tool and really help and cut some slack.

in reality, these hospitals do not seem to care a pinch about patient care and I have seen that upfront. they send work overseas to save a buck and cut corners in EVERY single area of the hospitals leaving patients with sometimes nonexistent care at all. it is such a game. the stories I could tell when I first started transcription - there was no QA or any such entity whatsoever and it never seemed to matter much back then.

...and don't get me started with these companies who expect perfection, for a whopping 8 cents a line - ??????? say what?

I oftentimes feel like a slave literally as just some 12 plus years ago this was a great profession for someone like myself with no official college education. I used to be so proud of myself...

but for the most part constructive criticism is welcome.

wish I could offer some hope but from where I sit day in and day out things only seem they will get worse. they are really pushing for certification - this whole country is doing things wrong lately. can't even go any further just makes me depressed.
It could be the errors were in the
transciption of the dictation itself and therefore not available to her.
VR changes a lot of errors for you
and I am glad for that. I took ShortHand in high school back in the dinosaur years and it has helped me so much. I keep my foot on the pedal and as fast as I can go, hardly lift it off.
some examples of errors

You did not specify how many examples you wanted, so I included quite a few, hope it helps.  All of these are from one group of radiologists, all american.  In answer to your question, unfortunately most of these I believe to be the result of laziness.


THREE-VIEW RIGHT HAND


There is decreased relative small of the distal aspect of the 4th metacarpal. (There is diminished size of the distal aspect of the 4th metacarpal.) Otherwise, the hand is unremarkable in appearance for a patient of this young age. 


MRI LUMBAR SPINE


 


This is best visualized from L3-4 through L5-S1 where there are actual images in addition to the sagittal imaging through the entire lumbar spine.( This is best visualized from L3-4 through L5-S1 where there are axial images in addition to the sagittal imaging through the entire lumbar spine.)


 


 


ABDOMEN, THREE VIEWS


 


The colon has lost his Hounsfield markings in the transverse portion and splenic flexure. (The colon has lost its haustral markings in the transverse portion and splenic flexure. )


 


CT ABDOMEN W/WO CONTRAST


There is a small left inguinal hernia with fat within the hernia sac but no bile (no bowel).  No inguinal lymphadenopathy.


 


NAME OF EXAMINATION:  Sinuses.


FINDINGS:  Paranasal sinuses demonstrate generally some metric pneumatization.( Paranasal sinuses demonstrate generally symmetric pneumatization)  No bony abnormality is seen.


 


MRI OF THE LUMBAR SPINE


 


Compared to December 23, 2003, there has been no objective change in the L5-S1 left posterolateral disk herniation. It causes narrowing at the left lateral recess. It doe snot produce central stenosis. ( It does not produce central stenosis.)


 


OB ULTRASOUND COMPLETE


 


There is no polyhydramnios. However, the fetal kidneys are abnormally hyperechoic. This has been associated with polycystic kidney disease and so I recommend a postnasal follow-up study.( This has been associated with polycystic kidney disease and so I recommend a postnatal follow-up study.)


 


MRI OF THE HIPS WITHOUT IV CONTRAST


 


The muscles about the shoulder show normal signal on all sequences.( The muscles about the hips show normal signal on all sequences. ) There are no soft tissue masses.


 


RIGHT HIP TWO VIEWS


 


DISCUSSION: There has been destruction of the right femoral headache and femoral neck.( There has been destruction of the right femoral head and femoral neck. )


 


AP PORTABLE CHEST


 


EXAM DATE: January 22, 2005 at January 12, 2005 hours(January 22, 2005 )


 


 


MRI ANGIO ABDOMEN BEFORE AND AFTER IV CONTRAST


 


TECHNIQUE: 3-D time of flight MRA of the abdominal aorta and renal arteries was obtained following contrast administration. In addition, evidence of the kidneys was also obtained before and after IV contrast.( In addition, imaging of the kidneys was also obtained before and after IV contrast.)


 


TWO-VIEW CHEST


 


FINDINGS: Left apical pneumothorax measuring 1-2% is stable. Left lower lobe maxillary sinus is again demonstrated.( Left lower lobe mass is again demonstrated. )There are no other findings.


GALLBLADDER ULTRASOUND


 In the porta hepatis, there is a consistent with echogenic lesion measuring 1.1 cm.( In the porta hepatis, there is an echogenic lesion measuring 1.1 cm) This could represent a lymph node in the porta but also could represent an exophytic hepatic meningioma. (This could represent a lymph node in the porta but also could represent an exophytic hepatic hemangioma. )


OB ULTRASOUND COMPLETE


 


 


DISCUSSION: There is moderate dilatation of the left renal pelvis. There is mild dilatation on the right. However, neither uterus is abnormally dilated. (However, neither ureter is abnormally dilated. )


 


 ULTRASOUND OF RIGHT BREAST


There is heterogeneous echo texture in that region compatible with typical combination of breast parenchyma and fatty/femoral tissue, but a discrete mass lesion is not identified. (There is heterogeneous echo texture in that region compatible with typical combination of breast parenchyma and fatty/normal tissue, but a discrete mass lesion is not identified.)


AP PORTABLE CHEST


Underlying fusion is suggested, again worse on the left than the right.  (Underlying effusion is suggested, again worse on the left than the right.)


LEFT SECOND TOE


 


There is an old, healed fracture of the proximal phalanx of th cleft third toe.( There is an old, healed fracture of the proximal phalanx of the left third toe.)


 


TWO-VIEW CHEST


 


There are remote compression fractures involving the right 5th and 6th ribs.( There are remote fractures involving the right 5th and 6th ribs. ) The lungs are otherwise clear.


 


THYROID ULTRASOUND


 


DISCUSSION: In the left lobe of the thyroid, there is a moderately large maxillary sinus that measures 2.2 cm in greatest diameter and is mostly sold and have a cystic center. (In the left lobe of the thyroid, there is a moderately large complex mass that measures 2.2 cm in greatest diameter and is mostly solid and has a cystic center.) The remainder of the left lobe is normal.


 


There is a small 6 mm nodule in the inferior aspect of the right lobe. The gland itself is not overall enlargement. (The gland itself is not overall enlarged.) The gland is heterogeneous overall in echogenicity.


 


 


TWO-VIEW ABDOMEN


 


No convincing evidence of small bowel obstruction, although developing shortness of breath could theoretically give this appearance and follow-up is recommended. (No convincing evidence of small bowel obstruction, although developing small bowel obstruction could theoretically give this appearance and follow-up is recommended.)


 


 


OB ULTRASOUND


 


DISCUSSION: There is an intrauterine gestation with a large yolk sac. However, the crown-rump length measures 7 mm and this corresponds to an estimated gestational age of about 6 weeks 4 days. However, there is no detectable cardiac activity. The amniotic fluid volume is probably normal of ra fetus of this age.( The amniotic fluid volume is probably normal for a fetus of this age. )    The placenta is closed. (The cervix is closed.)


 


 


EXAM OF LEFT FOREARM


 


 


FINDINGS: No fracture. There is prominence of the anterior fat patient which suggests effusion. (There is prominence of the anterior fat pad which suggests effusion) No other findings.


 


MRI LUMBAR SPINE WITHOUT CONTRAST


 


Tip desiccation of L4-5. (Disk desiccation of L4-5.)


 


 


TWO-VIEW ABDOMEN


 


FINDINGS: Findings of right chest, cardiac size is normal, no infiltrates or effusion. (FINDINGS: Upright chest, cardiac size is normal, no infiltrates or effusion.


 


 


TWO-VIEW CHEST


 


Stable right breast opacity, likely represents


fibrosis.( Stable right basilar opacity, likely represents


fibrosis.)


 


AP CHEST


 


 


Picture of congestive heart failure/volume


overload not significantly changed from


exam 4-hours earlier.( Features of congestive heart failure/volume


overload not significantly changed from


exam 4-hours earlier.)


 


 


RIGHT SHOULDER


 


FINDINGS: The patient has history of a right humeral fracture, plus surgical fixation noted.( The patient has history of a right humeral fracture, postsurgical fixation noted. ) Alignment is intact.


 


IMPRESSION


1. Postsurgical change involving the right


proximal femur.( Postsurgical change involving the right


proximal humeral.)  Alignment is anatomic.


 


 


 


OB SONOGRAM


 


FINDINGS: Transabdominal and transvaginal evaluation of the pelvis was performed. An intrauterine collection and yoke sac is identified. (An intrauterine collection and yolk sac is identified. )


 


 LEFT HIP


 


 


FINDINGS/IMPRESSION: Two-view left hip demonstrate a fracture of the neck of the left humerus in varus angulation.(  Two-view left hip demonstrate a fracture of the neck of the left femur with varus angulation.) No additional fractures identified.


 


 


THREE-VIEW ABDOMEN


 


In this since, bowel gas pattern slightly improved since the 14th, but otherwise there has been no significant change. (In this sense, bowel gas pattern slightly improved since the 14th, but otherwise there has been no significant change. )


 


NUCLEAR MEDICINE CHOLESCINTIGRAM WITH GALLBLADDER EJECTION FRACTION


 


.After initial accumulation of tracer within the gallbladder, the patient was given solid bolus intravenous injection of CCK and additional anterior sequential imaging was obtained.( After initial accumulation of tracer within the gallbladder, the patient was given slow bolus intravenous injection of CCK and additional anterior sequential imaging was obtained. )


 


MRI BRAIN BEFORE AND AFTER IV CONTRAST -


 


 


There is confluent periventricular signal abnormality in the lungs bilaterally consistent with chronic small-vessel ischemic change.( There is confluent periventricular signal abnormality in the pons bilaterally consistent with chronic small-vessel ischemic change.) Probable remote lacunar infarcts noted in the left posterior frontal subcortical white matter.


 


THREE-VIEW ABDOMEN -


There is gas within the large and small-bowel. No distension. There is a round calcification in the pelvis which probably represents calcification in the wall of a cyst. There are no suspicious calcifications. No pathologic skin or nipple alterations(this sentence does not belong in this report). Mild hypertrophic change in the lumbar spine.


 


 


TWO-VIEW CHEST


 


 


REPORT: Bones free of consolidative infiltrate.( Lungs free of consolidative infiltrate.) No pneumothorax or pleural effusion identified.


 


LUMBAR SPINE SERIES


 


 


REPORT: There is very mild levocurvature of the cervicalium spine. (There is very mild levocurvature of the thoracolumbar spine.)


 


THREE-VIEW ABDOMEN


 


No evidence of bowel destruction. (No evidence of bowel obstruction.)


 


 


CERVICAL SPINE SERIES


 


FINDINGS: There is a fracture of the CT vertebral body inferior to the junction of the dens with the body.( There is a fracture of the C2 vertebral body inferior to the junction of the dens with the body.)There is retrolisthesis of the dens in relation to the CT vertebral body. (There is retrolisthesis of the dens in relation to the C2 vertebral body. )


 


How errors are counted
Unfortunately, there isn't a universal way of counting errors to quote a per cent accuracy. Basically, where I work, 98% accuracy would mean there were 2 noncritical word error in 100 lines (not characters).

When you hear quotes of alleged 95% accuracy in speech recognition, it probably means 5 errors in 100 characters, not lines.

Again, with offshore companies claiming 98% accuracy, who knows how they are counting?

But you are right, we all make errors, and I have seen stupid ones in my own reports that I would have felt bad if I hadn't caught them. I am sure doctors sometimes get laughs out of our bloopers the same way we get laughs out of theirs.

Mistakes/errors

I read below about the mistakes and I have to admit, I make mistakes, I am human.  My accounts know I am human.  I just re-read one of my physicals and I had somehow put "See expensive data base in chart" and it should have been "See extensive ..." it is not often but it does happen.  If we were perfect we surely would not be here on earth right now.  It is hard for us to see and find our own mistakes.   But for those who say that they have 98 or 99% error free, what does that actually mean -- for every 100 words you can have two errors, or what.  Never have been able to figure that out.   If I do 3000 lines per day, can I have 30 to 60  lines with errors?   All I know is that the majority of us do a darn good job and the best we can and those that make continuous errors, just like in any line of work, won't  be in it for long but mistakes and errors do happen to all of us.   For those that have no compassion for anyone that does make errors, be careful as it is a long way to fall off of the pedestal.    My two cents worth go ahead and flame me, I have broad shoulders. 


PS --my accounts have been with me for 5 to 15 years and I make over $50K a year but I do make mistakes.  


Yes, these are errors she would obviously correct.
These are errors the software makes while you are dictating.  Of course she would correct these.  I make a lot more errors than that while typing - and of course I backspace and correct.  If I only had to do that twice per page that would be very good!
spelling errors
I have spelled so many words wrong and each time I do I fix it with autocorrect.  I just figure that I spelled it wrong once, it will happen again.  Some words I have spelled wrong so many different ways you would not believe, but each time they are corrected for me---saves lots of time. 
spelling errors
My worst one is osteopenis instead of osteopenia.  I put that right in my autocorrect.   
deducting for errors
A great deal of companies deduct now, and every one I ever worked for did. Let me tell you why we have to do that. It costs a great deal of money to edit/proof reports. If you make 8 cpl and the company only gets 12 cpl gross, that leaves very little. As editors, we spend a lot of time taking the time to explain why something is wrong, give examples, explain what the words mean, send out countless emails asking MTs to be more careful, to spellcheck, to at least do a quick read of their documents before they send and it just doesn't work. The only way we can get their attention is to put something in place that will.
You have got to be kidding. I never saw so many errors with the IRS. A SE does not owe or
pay self employment tax. The employer does. Read the rules on SE and you will understand.
That is exactly why I pointed out her errors . . .
Otherwise I would never have done that.
I always point out the errors. When my son had
his appendix out, the chairs they provided in the room had the name Floirda Hospital printed on them. It was on every chair we saw. My son, who was 6 at the time, pointed it out to everyone that the hospital didn't know how to spell Florida.
Payday and errors

Why is it then when a paycheck is due, all of a sudden you get calls about missing commas, filenaming structure, and then you are told your check will be late. I understand if errors are made that change the tone of the document, but filenaming - especially when you get no instructions because it is a new account to the company.  I actually got samples with letterhead - I process the work, and then they call me to say deduct amount for letterhead because it should not have been used.


And if I hear one more time about commas I will scream.


Anyone hear about the legal report with one less comma costing millions because instead of it being - the brother Charles, sister Maria, and brother Maxwell sharng in a settlement - it was transcribed as -brother Charles, sister Maria and brother Maxwell  - keeping the meaning of a settlement divided two ways instead of three.


I thought when I left my inhouse job, I might get a paycheck on time. After waiting 5 weeks for the first one, I now wait 4 weeks on average for every one following.  yea I know I can stop and go to another place, but gosh darn it if it wouldn't be fair to pay us on time. God forbid we missed a TAT.


yes, but there are not just typo errors. sm
A wrong word, i.e., peroneal instead of perineal, and the list goes on ad infinitum, or a sentence ending in the wrong place.  There are any number of things a spellchecker will not catch. I proof totally when I transcribe. Having worked in QA for a long long time, even very very good MTs make some pretty bad mistakes from time to time. 
Shorthand errors
Perhaps you have your "Insert" key toggled on ... so the expansion is typing over text you already have on the screen?
Deduction in pay for errors....
I was just offered a job at a measly 8 cpl after I took this ridiculously long and time consuming test.  I get an email with FAQ and there is a whole section about how much they are going to deduct from your pay for errors.  Someone over there has a screw loose.  I wish I had not wasted my time.  I already have one account that I make about 12 cpl, but I just lost one due to outsourcing, where I started at 9 cpl.  I love my first account, but I always like to have 2 just for backup.  I so far have been offered 7-1/2 cpl, 7 cpl and 8 cpl.  I turned them all down.  These people are crazy!  If you want a good transcriptionist, PAY FOR IT!!!!
errors and omissions
No, they don't require, but older MT thought it might be a good idea. However, the majority here seems to think it's not necessary. AAMT membership and premiums are high price to pay. Will investigate further. Thanks to all.
errors and omissions - thanks
Thanks to all who responded.  I appreciate the help and advice.
How many errors are they making?
And is it in every report? And what is their attitude toward constructive criticism? I think you have to figure that in as well. If every report is a mess then yeah, don't waste your time and theirs.

We have a new hire here that I don't know what her transcription is like but her attitude and receptivity tells me at the end of her probationary period she will not be invited to stay. That kind of stuff is important too.
If there are legitimate errors (sm)
the best I can tell you is make note of them, ignore the petty stuff.  Many times people who have their own accounts have spelled things wrong for years and if never told about it, wouldn't know!  Use it as a learning tool and make the most of it.
Errors/Omissions

I am required to carry professional liability coverage through my contract with the healthcare facility 1/3 M.  The same coverage MDs are required to carry (in most states) in order to practice in a facility - except they pay ALOT more. 


In the past I had a disclaimer in my contracts stating I do not carry E/O insurance..However, today, if you want a contract with a facility  and they require this coverage, you can get it.  Things have really changed in the way we do business.  And, by the way...I do not believe the insurance provider gives a discount if you are a CMT.  For certified coders they do, but for CMTs...not.


If we are talking about errors ...
you should have used too instead of to in front of the word dangerous.

It should have read:

... way too dangerous of a dictator ...

See? We all make mistakes.

major errors
Only 2 major errors allowed? When learning a new account that seems a little strict. I understand they can't have major errors but give someone a chance to get things right and learn the way of doing things.
Do you mean errors on the computer itself?
nm
errors on computer
I purchased software called System Mechanic Profession 6 (now getting 7 this week), and this software tells me when my computer could be running better (with a pop up window that tells me when my computer is running slower than usual),  and what to do, with many options available.  I bought it at www.worldstart.com for 18.97/free shipping and it is the best thing I have ever bought, has antivirus, antihacker software included, disk cleanup and defrag and many other features too, and it also can get rid of duplicate files.  But, as in all software you have to be careful what you delete.  But, in my experience, this has made my computer faster, safer and gets rids of temporary internet files, cookies, etc.   I have just ordered the Professional 7 and getting it this week.  Hope this might help you, and it works very well on Windows XP Professional or Home.
correct errors and look for another job.
I will not send out sloppy work. So I would fix the reports appropriately. Your directions, i suspect, come from non MT management. I couldn't stay with such a company. Quit now, Quit later, but quit.
Errors in "normals"
As an MTSO, we've received "normals" from our clients with errors. We have also received "samples" from the clients, which supposed have their normal phrases in them. We send these samples to the transcriptionists with the caveat that they are for FORMAT only, not for content.

If the normals have errors, it should be brought to the attention of your supervisor, Editor or service owner so that corrections can be made. I certainly would not want something to go out under my company name with errors due to uncorrected "normals" any more than a Transcriptionist would want to put his/her initials on a document with known errors.

If your service says to leave them as is and you know they're wrong... definitely come talk to me. We have plenty of work for transcriptionists with integrity.