Possible risk management issue
Posted By: piglet on 2007-10-20
In Reply to: that F word........ - nn
Subject: Possible risk management issue
I think the proper form would be to type it verbatim and then flag the report for possible risk management.
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This is not a BOS issue ...
Subject: This is not a BOS issue ...
... where there are mistakes, but an English grammar issue. Since most companies use the BOS as a guide, though, if QA says to do it with "was" unless you want to get points off, use "was."
In English, if you have a plural (5 mL) expressing measurement, quantity, etc., that plural subject is considered a single unit, not 5 separate mL.
The grammar link you provided was a different thing entirely. It was talking about "each" I believe. I really didn't get how that applied, but maybe I missed something.
Just trying to help out.
It's a "preference" issue (sm)
Subject: It's a "preference" issue (sm)
In Dorland's, "venostasis" gives you "venous stasis" as a definition. It refers you to another term, rather than just giving you the definition right there, which is an indication that Dorland's finds venous stasis preferable to venostasis, although it allows that they mean the same thing.
Stedman's entry for venostasis simply gives you a synonym, which is "phlebostasis." Upon looking that up, you find two definitions. First, slow motion of blood in veins, as you were using it. Second, treatment of CHF by compressing proximal veins of the extremities with tourniquets. And, it says that venostasis is a synonym for phlebostasis.
Checking phlebostasis in Dorland's, we find those same two definitions, but no mention of venostasis as a synonym.
What does this mean? You and your QA person are both correct, but probably, she just thinks venostasis looks odd, because it kind of does look odd. Usually, you see it written as venous stasis and most people say it as venous stasis.
Venostasis isn't wrong, by far, but the fact that Dorland's tells you it's venous stasis communicates that venous stasis is the more expected form.
If you show her the dictionary entries, she'll kind of have to accept that you're correct, but that still won't make "venostasis" look any better. My concern would be that clients will think it is incorrect, causing them to focus on it unnecessarily. It's often best to go with a neutral choice that won't cause excitement.
My preference would be to use venous stasis for the abnormally slow movement of blood in veins.
current not an issue?
Subject: current not an issue?
ahh, it is a personal issue - then take it private!
Subject: ahh, it is a personal issue - then take it private!
XX
agree with you, but for a different reason on the ST issue
Subject: agree with you, but for a different reason on the ST issue
crashing. On the other hand, BOS says non is a word that in most cases does not need a hypen, so it does vary in many instances. Non can be combined with the word being used. Noncommental is an example, but there is no hyphenated statement following it.
aaah, meant currently not an issue
Subject: aaah, meant currently not an issue
AAMT follows AMA's style guide on this issue
Subject: AAMT follows AMA's style guide on this issue
x
It's a 'per the facility' issue as both are acceptable. Just use what QA says to keep them
Subject: It's a 'per the facility' issue as both are acceptable. Just use what QA says to keep them happy. nm
s
using mg for "Zofran 4 mg" isn't an issue, I just question it's dictated as
Subject: using mg for "Zofran 4 mg" isn't an issue, I just question it's dictated as
"4 mg of Zofran"
is this a shoulder issue? Could be "ends" as in tendon ends..sm
Subject: is this a shoulder issue? Could be "ends" as in tendon ends..sm
for example, as in a labral tear of the shoulder.
She has lost some weight, but she has been reading up on s/l “pekos”, and understands the issue with
Subject: She has lost some weight, but she has been reading up on s/l “pekos”, and understands the issue with
.........insulin resistance and problems with obesity and hyperlipidemia, as well as her elevated blood pressure and so she would like to go over issues with her diet today.
The patient has a diagnosis of polycystic ovarian syndrome with glucose intolerance. Under the plan the doc again says, reviewed "pekos" in detail......
TIA!!!
Please help with pain management
Subject: Please help with pain management
mild L3-4 disc degeneration with annular s/l reversal
Thanks for any and all help here!
Pain management -
Subject: Pain management -
Patient has 5 Hertz resting tremor of the upper extremities.
How would you write that? Thanks.
Pain management s/l
Subject: Pain management s/l
Dorsal column stimulator s/l TAT 10 or PAT 10. I'm guessing this is a model but can't find anywhere.
It's pain management, the sentence is below, Thanks!
Subject: It's pain management, the sentence is below, Thanks!
she states, about 70% improved since going to our physical medicine and rehabilitation program with the trigger point injections, regenerative injection therapy, as well as Clasper laser therapy. I found the other word. Thanks again.
pain management specialist
Subject: pain management specialist
Under physical examiantion,
s/l * fay-ling's (sign) is negative, Tinel's is negative, Spurling's is negative. There is no Hoffmann's sign
Any help appreciated, thank you
There is a Byetta, management of diabetes...
Subject: There is a Byetta, management of diabetes...
Found in drug book.
I type for pain management
Subject: I type for pain management
and always type pain as 5/10. Nothing has ever been said, so I don't know if it's right or wrong.
Pain management question -
Subject: Pain management question -
Discogram indicated pain at L4-L5 level which was concordant, but no pain at the L5-S1 level, which seems to be the worst level by MRI.
Injection of local anesthetic at the L5-S1 disc would help to s/l clarify the patient.
MRI ortho/pain management s/l please sm
Subject: MRI ortho/pain management s/l please sm
An MRI scan of the lumbar spine was performed in an open unit. The quality of the scan is poor.
There is a retrolisthesis on the scan at L5-S1 with a s/l shelf of disc material and possible impingement of the right L5 and S1 nerve roots with a left lateral disc osteophyte complex as well.
Has anyone ever heard the term shelf of disc material?
pain management or ortho help
Subject: pain management or ortho help
A post myelography CT showed s/l promenus disk and end plate degeneration at L4-L5.
pain management or ortho help
Subject: pain management or ortho help
Docs says patient had MRI scans done at s/l biv ska pig stone gap???? 
word help - pain management
Subject: word help - pain management
The patient will undergo diagnostic s/l putivly therapeutic costotransverse costovertebral joint blockade.
"medical management versus empiric gas CD" nm
Subject: "medical management versus empiric gas CD" nm
Pain management/ortho question - s/l
Subject: Pain management/ortho question - s/l
Patient continues to have foot and ankle s/l COPS or CRPS.
Glad to help. SM for some pain management refs. sm
Subject: Glad to help. SM for some pain management refs. sm
http://www.oregon.gov/DHS/pain/glossaryterms.shtml
==
http://jax.shands.org/hs/pain/services.asp
===
chronic pain management which s/l Zentene ???
Subject: chronic pain management which s/l Zentene ???
Patient was on ?? s/l Zentene management and informed she needed to taper off her OxyContin in order to decrease her narcotic demand postoperatively.
Risk
Subject: Risk
The risk of surgery, olecranon bursectomy, could be a pulmonary embolism.
Maybe low risk?
Subject: Maybe low risk?
Cardiac cath, s/l *ReadyWire pressure management* placement? TIA
Subject: Cardiac cath, s/l *ReadyWire pressure management* placement? TIA
There are hits on Google for Operational Performance Management. Would that fit into the dictation?
Subject: There are hits on Google for Operational Performance Management. Would that fit into the dictation?
Oh got it, yes there is a Compass sheet used for therapeutic notes in medical management.
Subject: Oh got it, yes there is a Compass sheet used for therapeutic notes in medical management.
risk stratisfy?
Subject: risk stratisfy?
It has been 3 years since his last stent. The pt has coronary artery disease. He is not very active. Doctor is recommending an exercise MIBI to s/l ris-trat-is-fy him.
risk stratisfy? 
CVA as a risk of low platelets?
Subject: CVA as a risk of low platelets?
Could doc have repeated the word "of" ?
sorry risk stratify....
Subject: sorry risk stratify....
risk/benefit or risk-benefit
Subject: risk/benefit or risk-benefit
No numbers, just those words.
risk-benefit ration or risk/benefit ratio?
At the risk of contradiction.. ;-)
Subject: At the risk of contradiction.. ;-)
Curette just a variant of curet.
Cardiac Hospitalization Atherosclerosis Management Program (CHAMP) see link
Subject: Cardiac Hospitalization Atherosclerosis Management Program (CHAMP) see link
http://circ.ahajournals.org/cgi/content/full/112/20/3184
possibly E&M? =(HCFA) documentation guidelines for Evaluation and Management (E and M) Services
Subject: possibly E&M? =(HCFA) documentation guidelines for Evaluation and Management (E and M) Services
Seems to be an organization for at-risk youth. sm
Subject: Seems to be an organization for at-risk youth. sm
See link. Bet this is it. Never heard of it either!
http://www.anasazi.org/
can you hear risk stratisfy?
Subject: can you hear risk stratisfy?
Found it - Gail risk
Subject: Found it - Gail risk
Pt at risk for cva with factors including sm
Subject: Pt at risk for cva with factors including sm
age, s/l atria of hypertension. TIA
you could use risk:benefit ratio
Subject: you could use risk:benefit ratio
a ratio is usually used with a colon to separate, like 1:40 or risk:benefit ratio....though a hyphen would also work there, risk-benefit ratio
Risk Complication Sheet?
Subject: Risk Complication Sheet?
Is it the ASP or ASPR Risk Complication Sheet?
okay, at the risk of sounding like an idiot, I have to
Subject: okay, at the risk of sounding like an idiot, I have to
ask - what's "IMO" ??
TIMI risk score probably. NM
Subject: TIMI risk score probably. NM
xx
ortho, risk of surgery question
Subject: ortho, risk of surgery question
Doctor is discussing the risks and benefits of of an ACL reconstruction. The last risk is either "patellar tenderness" issues or "patellar tendinous" issues. Which would you think he is saying?
says risk factors are G2,P2 s/l parative? state with
Subject: says risk factors are G2,P2 s/l parative? state with
a large 10 pound baby. Then she has a THBASO??? 2 years ago
There is a risk stratification that is done with D-dimer testing, so maybe they are doing it again (
Subject: There is a risk stratification that is done with D-dimer testing, so maybe they are doing it again (restratify)?
Lifetime risk of breast cancer.
Subject: Lifetime risk of breast cancer.
Patient inquiring if insurance will cover bilateral prophylactic mastectomies. Her ____ lifetime risk is 24 percent. S/L Gale or Bale or something like that. I have tried to google it but I'm not finding it.
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