The purpose of QA is not to fix your mistakes DEAR..the purpose is to get your quality up so we don&

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That was my purpose in posting this, the fact that he is bringing attention to it.  I think it is great that he cares about our medical records and I hope he can bring some attention to the importance of how and where and by whom they are done, making the public aware. 

E, was a C in 7th grade.   I have a sister who is a AA and one who is B, both older.  They want more, I want less.   Insurance won't pay for reduction.  Of course mine don't like as nice as hers, but I mine aren't man-made either. 

money.  With some online schools pushing their credibility to newbies, enough have fallen for "it" that they still rake in plenty.  The original idea was, no doubt, a good one.  Somewhere along the way, the working MT was forgotten.  AAMT in no way represents the best interests of the working MT.  The idea they are pushing now of making CMT credentialing mandatory is a joke and certainly not in the best interest of hundreds of thousands of working American MTs.

Hey, I'll send anyone a test (for a mere $50 fee), and I will *allow* them to use the prestigious ND after their name if they pass. 

Oh, what does NS stand for, you ask?  NO DUMMY

What galaxy are you on?

NM

I maintain 99% accuracy above on my reports.  However, the original question was regarding personal preference, and I have stated mine, and I respect your opinion as well.  :-)    I do think if I was working in an office or hospital setting, the setup you mentioned might be more profitable in the long run.  There are too many interruptions and such when you have other people running in and out, phones ringing, etc. 

I doubt that anyone but me really cares about the lines per hour it takes for me to do a report.  They just want an accurate report in a timely manner.  I take pride in my work, and would never just slop something out for the sake of the almighty buck.   And, as an added incentive, I work for 2 companies, and one of them has my name on each report.  I don't have a problem with it, but I did think it was a bit unusual at first.

Oh well ... I must confess that what I'd TRULY like is to be paid lots of money to just sit and play Battle Phlinx on Pogo all day long, but as of yet, no such luck.  

If the majority of us were QA'd every day they would find mistakes on all of us with the quantity  that we type.  We are all human.  But is there someway TAT they can give you everyone else but that one doctor.  I am the other way because I have one doctor that comma's me to death and so I hate to use a comma.   You have been with them for four years for goodness sakes that should be something especially if this is the first complaint against you.   They should bend knowing that since you are now aware of it you will be extra careful.   Talk with them again and explain to them you need more.   Good luck.   No one is perfect. 

Patti

I have almost 9 years' of experience.  I still make mistakes and always will.  There are many things that I still do not know.  I still come across things I have never heard of.  I still get corrections here and there from my QA. 

However, I think that is a good thing, QA.  I like getting corrections back when I have made an error.  That alerts me to the problem.  That makes me a better MT.  Also, I take some comfort in the fact that something I overlooked may be caught by another.  It is supposed to be team work.  The MT and QA are supposed to work together to produce a perfect report. 

It is all in how you look at it.  It is very easy to get your feathers in a ruffle when given a correction.  I believe that reaction is soley out of embarrassment over making the mistake in the first place.  That is silly, however, seeing that we all do make mistakes and no one knows everything. 

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.  

If your job is not QA, you have no reason to be looking at someone else's work. Someone should be supplying you w/ the appropriate, properly de-identified samples.Viewing a report typed by another person is a potential HIPAA violation.  Don't mean to preach, but that's the way it is....

like punctuation I wouldn't worry too much, just try to do whatever they say.  If you are making big mistakes like spelling terms incorrectly, using Google to research and just because there are severl hits you decide the word/term/spelling is correct and so with it, although there is a ton of misinformation on google.  Did you spell a drug wrong, a doctor's name wrong, just did guess at a word rather than leaving a blank, etc.

I think the majority of QA is helpful.  Some get off on a power trip, but most really want to be helpful and help you be the best you can be. 

I recently made a job change and I felt like I would never get a report back from QA that there wasn't something wrong with it.  It wasn't so much an error as it was that the account was extremely particular.  I would fix one error, only the next day they would find something else.  I have 20+ years of experience.

Try not to take it personally, look at it as they are helping you to be a better MT.   If you continue to make the same mistakes get you some brightly colored sticky notes and write yourself notes and put them where you'll see them as you work.   Even though you probably want to get a high line count you need to concentrate on quality first.  Take the time to proof thoroughly. 

I am an IC and for the past 5 years have worked for the same doc.  He still uses tapes so I deliver on a daily basis.  I already load the work on his PC and make sure the pages line up etc. and do not get paid extra.  I also convert some reports from WP to Word and e-mail to him at no extra charge.  Now he starts calling me after I leave the clinic and expect me to either turn-around and come fix the mistakes/changes (15 minutes later) or I must wait in his office until he is finished with a patient consult, can go through the work to check for mistakes/changes for me.  The mistakes range from doctor's names misspelled (workmen's comp with lots of different doc names, impossible to search and find as no clue where the doc is located) or template changes etc. and sometimes silly mistakes which is totally my mistake.  Am I fair in stating that I do not mind doing the corrections when I return the next day but that I cannot wait around in his office for him as he does not pay me for that and I will also not turn around after I have left the office to go back when they call me? How do all of you handle this type of situation? 

Very interesting article in the New York Times today. When you compare what this reporter has to say about doctors' survival statistics and compare it to medical transcriptionists, this is what one can discern:

1.  Doctors are fatally wrong 20% of the time (we are allowed 2% errors).

2.  Medicare and other insurance carriers are looking for ways to provide "incentives" for doctors to get it right (sounds like a QA bonus if I ever heard of one).

3.  Doctors have available to them a program called "Isabel," where they can punch in symptoms and get a diagnosis. (More machines replacing more people.)

My conclusion? Maybe it doesn't matter what level you perceive yourself to be at in the heirarchy of medicine, there exists a group of people trying to replace you with a machine that they believe does a better job than a human.

What are your thoughts?