experience –
Fun with charting.Rating: (votes: 0) agreeing discontinues artery toe would keep her on discontinuing New auto-transcription system:Pain is significant at times. Rest modifies his symptoms. She squatted her bed at work felt a pop in his knee and since that time as had significant symptoms. ************************************************** *********XX is a 48 y.o. male resents to the office with a piece of right shoulder. Pain 5/10 on a constant basis. Patient had a history of one half months ago, showing in the yard hit a rock felt a snapping sensation. Comment:
Today:patient complaining shortness of debt
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gosh, I wish I had shortness of debt! I think...?
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Too funny...shortness of debt! This is a diagnosis I wish I had.
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I've seen quite a few humorous charting done by voice to text programs. Some of them are obviously issues with the voice recognition, some are probably influenced by accents, and some are obvious English as a second language issues. Some of my favorite with the voice recognition software is the last names that might be common words or similar to common words. For example, a certain chocolate company would be two words (female pronouns) instead of a single name.
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My sister is a transcriptionist, and she once called me to ask if it is possible for a client with double BKA to have pedal pulses. I told her that we may be surprised...
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I almost make this one error on a daily basis. In our computerized charting for care plans, I have to type what happened on my shift. Sometimes SHIFT gets typo-ed to SH*T . Hopefully I have caught and corrected the errors I have made.
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I saw one with what looked like it was supposed to be in regard to a CT of the pelvis, except the note said Elvis. The Dragon capitalized Elvis!
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I saw one once where it was said the pt had c/o 'shuttering'; the pt had actually said 'shuddering' by which I took it to mean he had been shivering.
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Under BM: Patient had a large brown stethoscope.
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Quote from Big BlondieUnder BM: Patient had a large brown stethoscope.
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I had a kid who was admitted for "accidental indigestion"
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