The Joint Commission's Dangerous Abbreviation List... SM
Posted By: RockinMT on 2008-10-03
In Reply to: Dangerous Abbreviations - Redpen
applies to written entries on a patient's chart, i.e. nurses' notes, doctor's orders, etc. For some insane reason, someone somewhere decided to apply it to transcription as well which is just silly. I work for a facility that has decided not to force transcription to strictly adhere to the dangerous abbreviation list and Joint Commission has not counted it against them in the last three audits.
I will say most MTs where I work do not use qhs, qac or qd. We expand those out because WE (the transcription department) decided that we should for clarification purposes.
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Thanks! I have the dangerous abbreviation list
I was just afraid I was missing something buried in the book somewhere. I just didn't want to be making a mistake. Thanks again.
cc is on the dangerous abbreviation list and should be converted to ml.
x
Here's a link to that dangerous abbreviation list
This is the site the BOS recommends visiting, so I did. It is a long list of stuff fer sure! Here's the link...just copy and paste it into browser.
http://www.ismp.org/Tools/errorproneabbreviations.pdf
Hope it helps!
My dangerous abbreviation sheet doesn't list...sm
q. as a dangerous abbreviation. It lists q.d. and q.o.d. and q.n. but not just q. by itself. ?
I sent an email to Joint Commission
I don't know why they don't crack down on these docs-- especially these horrible foreigners. I am an MT, not an interpreter for the UN. If I wanted that job, I would move to New York. What it is going to take is some horrendous lawsuit and I hope it happens soon. If these people can't speak English clearly enough to be understood, then they need to have someone dictate for them who can-- plain and simple.
Joint Commission is the entity that provides
accrediation to hospitals. Without them they do not get Medicare payments, Medicaid payments, etc.
Actually, the BOS follows the Joint Commission not vice versa. The BOS...
adopted the Joint Commissions recommendations for dangerous abbreviations. As for the rest of the BOS, I've worked for a number of hospitals in the office over the years and not one manager that I have encountered don't give a hoot about the BOS.
That is interesting. The hospital I work goes by the joint commission
and not so much the AAMT BOS but the commission that gives the governs the hospital. The doctors are not allowed to write q. as an abbreviation when writing orders and must write out word "every" or they are called on it. The transcriptionists have to follow that rule also. This is a major teaching hospital. I think the AAMT follows the joint commission also when they makes their rules. But I also understand that you do what the client wants first and if they do not answer to the Joint Commission rules then the other form would be the correct way to go.
Joint commission is the accrediting body for hospitals to receive reimbursement. They want it to be
x
If Joint Commission audits and finds "patient care" errors it can result in very...
...serious fines and repercussions.
PO is not a dangerous abbreviation (see msg)
Go to this website:
http://www.ismp.org/tools/errorproneabbreviations.pdf
IV is not a dangerous abbreviation.
For Pitocin it is WAS given.
q is a dangerous abbreviation.
x
Is p.o. considered dangerous abbreviation?
nm
would you like a copy of the DAL(dangerous abbrv. list).
Just so happen my supervisor sent it to me today thinking that a report was mine with a dangerous abbr. listed in it. Let me know if you would like for me to email you a copy.
medical abbreviation list and medical drug list
Hi,
Anyone there who could help me out finding the latest abbreviations list.
I even want the latest drug list because my current program does not have many drugs.
So if anyone could suggest anything which is available online for informationd quick look purposes.
any help for medical abbreviation list and medical drug list would be very helpful.
joint/join
Ummmm - that was join, not joint.
File complaints with the Federal Trade Commission, your state attorney general, and the SM
state attorney general for the state The VLC is located in. I happened to check it out and they have offices in Niagara Falls, NY and in Ontario. Be sure to forward copies of every thing your file to them. You can fill online complaint forms at the FTC website and the NY Attorney General's website. Print out copies of these forms and mail copies of them after you fill them out to the school with a letter basically stating that you have reported them to these agencies and they will be intervening for you on this matter.
I also like the idea of putting cc's on your correspondence to a local news reporter. And call them every single day until they are tired of hearing from you!
Good Luck!
HUMAN RIGHTS COMMISSION RULES IN FAVOR OF PAST EMPLOYEE OF DEVENTURE
NOT GOOD!!!
Joint tenderness is another possibility.
dd
Does NE1 have severe joint pain while working?
I have been working as an MT for only 4 years, and I am only 23 years old, but lately I have had severe finger, wrist, elbow, shoulder, and neck joint pains, especially when working. I am just wondering if this is normal.
Thanks for the help.
Joint Pain in Arms/Hands/Shoulders
I am just going to relate this story for what it is worth to someone else.
In 2001 I began having problems with my left hand, arm and shoulder. Orthopedist thought it may be the beginnings of carpal tunnel but EMG was neg. It was bad enuf that at times I couldn't pick stuff up and it hurt to type. It waned and waxed. A few years later I began having problems with my hands and the joints in my fingers hurting, along with left shoulder pain. My hands were so bad I could not open a jar at times. Eventually I went to a rheumatologist who told me that I had no visible signs of severe arthritis. All MDs, incl. orthopedist and rheumatologist recommended trying Celebrex, aspirin, etc. The regular stuff. I was resigned to early arthritis like my mother.
Well, one day in late 2004/early 2005 I decide to see a chiropractor for my shoulder because I'd had electro therapy for an injury years ago and thought maybe this would help. I had some adjustments and electro therapy on my shoulder.
I want to tell you -- ALL and EVERY pain in my fingers left and never came back. ALL and EVERY pain running from shoulder to hand stopped. It had to have been some sort of pinched nerve.
Not a single MD had even suggested seeing a chiropractor. And had it not been for my shoulder and my past experience, I never would have thought of it and would still be suffering, possibly with even further damage to the nerve by now.
Yes it is, and we do file a joint return BUT you can offset your income - sm
on the schedule C with your expenses (mine are ~$2K) and lower the amount you pay taxes on. This is in addition to your Sch. A/B or the standard deduction.
isn't the forbidden words from joint commision of hospitals, not BOS? nm
x
Joint Commision and AAMT. Who made them gods? Do they
x
Hunter Hayes and Hank Williams, Jr. rocked the joint!
Love music....every form....I've sung just about all of them including Mozart! Music is an international language. It's always been such a great release from life's daily stressors.  Cat
need help- OB abbreviation
ITP?
abbreviation help
What might WPW stand for? All he says is 35-year-old female with a history of WPW.
TIA!
What is the abbreviation for...
square centimeters, or does it just get typed out?
TIA
abbreviation q
Yes, but I believe the abbreviation "q" must be changed to "every". The use of q can be confused for a U or a 0.
RE: Abbreviation
I got into this with someone the other day. I was told Joint Commission has a Do Not Use List and this is on it. You put by mouth.
MT is abbreviation for Montana
x
Help on abbreviation board, please
Thanks!
What is the best abbreviation expander??
I normally use autocorrect, but it is very slow lately, and I think I have about reached my capacity. I am looking for a good Expander that I will be able to convert my autocorrect to. Thanks in advance for your opinions!!
medical abbreviation.
no doubt acronymfinder.com is a good site but it is more general.
to be specific about medical abbreviations try this.
http://www.pharma-lexicon.com/
Abbreviation programs
Hi - What type of abbreviation program is good? I used to have Abbreviate, but no longer have it. Is Foxfire a good program? Does anyone just use their Word autocorrect strictly? If you use Word autocorrect - do you know how to copy it and put it on another computer?
Thanks for any help!!
Dangerous as far as what? NM
x
Not sure. I just know enough to be dangerous.
x
Is it dangerous to buy used?
Used may be cheaper . . . but is it safe? I hadn't really thought of getting used because I'd hate to get a "problem" computer. However, if it were just as good as new . . . maybe . . .
Portability of abbreviation lists
Your question raises the portability of abbreviation lists when you use different trascription platforms.
Each platform offers a utility where you can create your list of abbreviations, but you don't want to start over and over each time you change platforms.
The solution to this problem is that EITHER these platforms provide you with another utility that lets you convert your list to their format OR you invest in an Expander software like ShortHand or Instant Text that let you use your list practically on all platforms.
With Instant Text you can import your AutoCorrect with a few clicks and then you can use it with EMDAT or any other platform.
Your time is worth money. You may want to evaluate how much it is worth by calculating how much time it takes to redo your list.
Use a semicolon prefix before your yo abbreviation, then you can
type 34;yo to get 34-year-old. There are lots of prefixes you can use--see SH's help file. BTW, this also works in autocorrect.
dangerous abbreviations
It really depends on the account. Some facilities/doctors really don't care for the new set of guidelines and want their work verbatim precisely. But employers want it practiced just in case for some of the more confusing abbreviations.
dangerous abbrevs
Pharmacies make plenty of mistakes on prescriptions and I have never heard of one being shut down. They aren't any better or more careful at their job than anyone else in health care these days - which is to say, the consumer/patient needs to be on their toes at all times because you simply cannot trust anyone to do their job properly.
Yes, sloppy writing is responsible for some of these mistakes, which is one of the reasons why many elements of the AMA, the pharmacist associations, and the pharmaceutical industry are pushing for all drugs to have an individual number assigned, so that medication errors can be eliminated or at least greatly reduced. Thousands of people are injured, make sick or even die from prescription errors every year.
I have been doing MT since the 1970s and I have seen huge changes in health care. Most obvious change is that it has become a BUSINESS rather than a human service. Most if not all involved in health care delivery care foremost about the bottom line and their own "bottoms." Like one of the posters below, I too have noted how long the disclaimers are at the bottom of the H&P and Consults, particularly by the surgeons and interventionalists.
When I started MT, almost no report was more than 1 page long. Now, I sometimes transcribe reports where the "disclaimer" section with risks, benefits, alternatives, possible outcomes explanation is half a page long. This information is already contained in the consent forms that are signed by the patient, so it is redundant to include it on the dictated report, but more and more MDs are doing it. I have also noticed, or perhaps it is just my perception, that all dictators are including more information about patient attitude, knowledge and compliance regarding their (the patient's) regarding their medical condition. Personally, I think that is a good thing - people need to take more responsibility for themselves and stop expecting the doctor to solve all their problems.
Dangerous Abbv. below
I want to know how come a hospital says they are compliant with the list and AAMT guidelines but tell you transcribe ver batim even if incorrect? Can't have it both ways seems to me. I got caught by QA between a rock and a hard place about this but stood my ground. I did ver batim because that was the hospital's wish even though I knew it was wrong dictation. At least I flagged it for QA but it caused a problem. No one seems to have the answer. Next time, I'm not flagging it.
Not just lazy...DANGEROUS
This is how patient care errors are made. I know they hate dictating, but it is very disrespectful to their patients when the doctors won't even attempt to dictate clearly so that their patient's lives are not in jeopardy. They should be chastized by their hospitals and not allowed to dictate like that!
Dangerous Abbreviations
Q.D., QD, q.d., qd (daily) = Mistaken for each other = Write "daily".
I woud say this should over ride anything BOS has to say, but we aim to please the client. As transcriptionists though we should be aware of these dangerous abbreviations since it can affect a patient's medical record and how it is interpreted.
cc is not correct, mL is. cc is a dangerous
x
Dangerous Abbreviations
"IV" isn't on the Joint Commission list of dangerous abbreviations. Don't take this as an indication that you're getting old--the confusion surrounding those darned abbreviations can be aggravating.
Here are some reasons for the aggravation. You might have seen it on a facility's list in the past or you might have encountered it as a recommendation from a consultant or in a journal article. Before The Joint Commission solidified its list of dangerous abbreviations, there was a lot of confusion about this--some groups banned any and all abbreviations.
There is an abbreviation that is banned because it can be CONFUSED WITH "IV." It's "IU," the abbreviation for "international unit." While it's OK to use IV, some facilities do not want you to use it, reasoning that if IU can be confused with IV, then IV can be confused with IU. And then some would want you to avoid using IV, until they discover that they have to pay extra for you to transcribe "intravenously."
Here is a link to the whole list. The document on The Joint Commission website was broken, so this link is to another website, but it is the same thing. http://www.aapmr.org/hpl/pracguide/jcahosymbols.htm
If you suspect something dangerous, then
for heaven's sake go and visit a doctor.
Why do you suspect a pulmonary embolism? I dounbt tht you wiklk be able to cough it up. Are you producing some blood when coughing?
It might just be some mucus or phlegm that you cannot lodged in you lungs.
Does your cough produce blood?
Here are the symptoms tht indicate a pulmonary embolism
(blood clot in the lungs):
Google:
'Pulmonary embolism symptoms can vary greatly, depending on how much of your lung is involved, the size of the clot and your overall health — especially the presence or absence of underlying lung disease or heart disease.
Common signs and symptoms include:
Sudden shortness of breath, either when you're active or at rest.
Chest pain that often mimics a heart attack. The pain can occur anywhere in your chest and may radiate to your shoulder, arm, neck or jaw. It may be sharp and stabbing or aching and dull and may become worse when you breathe deeply (pleurisy), cough, eat, bend or stoop. The pain will get worse with exertion but won't go away when you rest.
A cough that produces bloody or blood-streaked sputum.
Rapid heartbeat (tachycardia).
Other signs and symptoms that can occur with pulmonary embolism include:
Wheezing
Leg swelling
Clammy or bluish-colored skin
Excessive sweating
Anxiety
Weak pulse
Lightheadedness or fainting (syncope)
Fever'
If you do not have these symptoms, take an aspirin, drink hot tea with lemon juice and honey, you might just have a cold.
I would never begin a sentence with an abbreviation, for one thing. nm
x
SM for a really awesome abbreviation website I have in my favorites.
You can look up expansions for abbreviations. It also lists normal lab values, symbols and numbers definitions for the deciphering the ShortHand that nurses and other clinical personnel use on the chart. It even has the JCAHO dangerous abbreviations list. It just has a lot of little neat functions that I've found helpful. Here it is:
http://www.medabbrev.com/main.cfm
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