Years back when I was in India, I knew a pharmacist who was the only one who could decipher everything our hospital's only physician scribbled /prescribed on his pad. (Many rural Indian hospitals still follow the system). Believe it or not, whenever the pharmacist took a day off or was on leave, the pharmacy would give out wrong medications that turned up to be tragic. We later solved the problem by getting a mobile phone for our pharmacist friend whom we called up even on his "off days" and clarified what the physician prescribed. Surprisingly he could solve the problem even over the telephone.
Today it is not bad handwriting but bad dictation. It indeed makes the medical transcriptionist's job more difficult and highly prone to mistakes. Further it causes waste of valuable time. So what can be the solution to this problem? Is it possible to have an exclusive transcription professional for each doctor so that he gets know the physician like the back of his hand?
Well here is a guide with tips to proper dictation that will be very useful for the physician to give good dictations and get error free transcripts. I recently came across a group of medical transcription from different specialty groups who all had similar types of requests/appeal for the dictating physicians /doctors.
- While dictating a difficult medical term it would be greatly appreciated if care is taken to see that the term gets well recorded via the microphone.
- Please start the dictation mentioning about the type/title of document that is been dictated instead of keeping the transcriptionist guessing about it till the end.
- Please avoid the tendency to summarize every thing/procedure and include everything in few long sentences. It would be ideal to present the facts in shorter and more communicative sentences if possible.
- Would appreciate if uncommon abbreviations are expanded and dictated when possible.
- Please move your face away for a moment from the microphone to sneeze/cough.
- Please finish your snack before beginning the dictation or keep it for afterwards.
- Never forget to mention the basic information like date/name/ summary etc
- Try and avoid talking fast/ yawns /hiccups while dictating.
Outsource Strategies International(OSI) is a US based medical transcription company that offers outsourcing solutions in medical billing, medical coding and medical transcription service for clients globally.
1 comment:
It is most common problem while dictating the medical terminologies.It can be avoided by clarifying the physician or by referring the guide for medical dictation.Transcription service by the medical coders is very complex and the terminology is very hard to dictate.
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