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#94182 - 03/26/08 09:36 PM
How do you fight a QC report?
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emtfingers
New Member
Registered: 09/13/07
Posts: 8
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I got a QC score of 97% which makes me subject to termination. Absolutely no medical errors. All were punctuation, ie, hyphens, etc and bodyaches is 2 words, insofar is 1 word ...
T: ... in no distress on exam. HEENT: ..
C: ... in no distress. HEENT: (redundant)
T: Lungs: Sounds are clear.
C: Lung sounds are clear.
T: G2, P2, 2 NVDs, TAH, BSO at age 28 for endometriosis
C: G2, P2, 2 NVDs. TAH-BSO at age 28 for endometriosis.
T: on 2 liters when seen in the ER
C: on 2 L when seen in the ER
these are the kind of errors I was graded on.... how do I handle this? I am ready to hang up doing this.
Thanks for feedback.
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#94187 - 03/26/08 10:44 PM
Re: How do you fight a QC report?
[Re: emtfingers]
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tropsicleAfter
Member
Registered: 10/30/06
Posts: 2053
Loc: MS Gulf Coast
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There are several ways to handle this kind of feedback. Fighting it is probably the second least likely way to enhance your MT work, bested only by hanging it up. These are AKA the Tilting at Windmills method and the Cutting Off Your Nose To Spite Your Own Face method, respectively.
You could learn from the feedback and follow the style and account specifics provided by your employer (by which your QC corrected your transcription). AKA the Get A Thicker Skin method.
You could search for and find a different company and hope that their style and account specifics are closer fits to your way of doing things. AKA the Russian Roulette method.
I dont want you to take my semi-sarcastic answer completely wrong. While you see nothing wrong with the examples you give, your present company, as enforced by their QC, wants you to do things differently. They have the paycheck, they make the rules. Even if they want you to deliberately misspell the name of the hospital your account is from, you will either need to suck it up and misspell it, every time, or look for a different company.
_________________________
tropsicle
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#94190 - 03/26/08 10:54 PM
Re: How do you fight a QC report?
[Re: emtfingers]
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Asugar515
Member
Registered: 11/28/06
Posts: 176
Loc: NYC - where English is the for...
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I'm going to be diplomatic and say keep an open mind and learn from your mistakes. You do have many across the board errors in there, ranging from common/uncommon English words, punctuation, terminology, style. These I can see and I'm not QA, but just an MT.
I'd suggest you keep an open mind and not look to raise a fuss over it, those are valid corrections that were made, and you basically have no leg to stand on.
Why not check out the open source style guide that was posted by Julie, if you do not own a Book of Style, start utilizing medlexicon (found at the bottom of this page) for abbreviations and acronyms and also use dictionary.com to double check those English words you just aren't sure about.
I'll defer further comment to the many QA folks that frequent this board, as they could better explain the reasons for all the changes.
Good luck to you.
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#94213 - 03/27/08 06:01 AM
Re: How do you fight a QC report?
[Re: Asugar515]
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14tonks
Member
Registered: 10/25/01
Posts: 5931
Loc: Only 3rd world country in US
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<Sigh>
No one will argue that errors of medical fact are not more serious than errors of spelling and punctuation.
HOWEVER--the client actually expects to get work that is spelled and punctuated correctly and consistently follows their preferred style rules. Someone has to fix work that doesn't meet those requirements, and all that checking and fixing costs money. That means that employing someone who can't follow or doesn't know the rules of spelling, punctuation, and style is a losing proposition in a business with a slender profit margin at best.
There are a lot of people these days who came out of one of the modern school systems that no longer grade off for spelling and punctuation errors and who seem to think these are totally unimportant and shouldn't impact their ability to remain employed as an MT. Unfortunately, that isn't reality. No one is going to terminate someone over the occasional error in using hyphens or commas. However, when the work is littered with errors and the attitude is that they are unimportant errors that shouldn't count, what is management supposed to do?
How do you handle this? You load your expander with the correct form for compound modifiers--open, closed, or hyphenated--so you get it right every time. You brush up on your grammar and punctuation. Perhaps you do a bit of remedial work with SUM tapes or other resources. ("Lungs: sounds are clear" versus "lung sounds are clear" is not a mistake even a newbie should be making if she has had decent training, and TAH-BSO is the standard form of a very common medical abbreviation. If you didn't get good schooling before you started work, then you need to work on your own at getting a more solid foundation for yourself.)
You can dispute a QA call that is debatable or appears to you to be erroneous. You can't dispute the fact that you have not met the required QA score if the errors you were marked off for were actually errors.
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#94242 - 03/27/08 12:51 PM
Re: How do you fight a QC report?
[Re: 14tonks]
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Endiqua
Member
Registered: 04/28/05
Posts: 3399
Loc: At the computer - where else?
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You can dispute a QA call that is debatable or appears to you to be erroneous. You can't dispute the fact that you have not met the required QA score if the errors you were marked off for were actually errors.
Quoted for emphasis.
I have had MTs fail a QC review simply because of a large number of grammatical or otherwise so-called "minor" errors. They may not have made a BIG goof, but they still failed. If an MT fails enough times, they are subject to termination because they simply cannot meet the level of quality expected, and it doesn't matter whether they screwed up a medication or simply couldn't manage to follow account specific guidelines.
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#95041 - 04/08/08 02:40 PM
Re: How do you fight a QC report?
[Re: Endiqua]
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WhitherMT
New Member
Registered: 04/03/08
Posts: 10
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I was surprised that QA wanted "on exam" removed as redundant. Is this common? I've always been a "literalist," meaning I do not change the doctor's words unless there is a grammatical error and I know that in fixing it I am not changing the meaning. I will flag an item or flag and leave a space if I think the doctor misspoke, but I consider it a firing offense for the MT to change words (outside of fixing grammar) without flagging and just decide that(s)he knows what the doctor meant.
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#95742 - 04/16/08 04:32 PM
Re: How do you fight a QC report?
[Re: WhitherMT]
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MTchris08
New Member
Registered: 01/25/08
Posts: 12
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Most companies upon hiring will give you do's and don'ts so to say for the hospital or clinic you will be transcribing for. Ultimately it is up to the hospital and what is an acceptable report and the company is the enforcer of this rule. I take pride in my work as I feel I am a professional and my reports are a reflection of that. If I make common errors over and over or whether it is a major medical error that reflects that I am either in a hurry to get the work done or I just don't care. These are real people and real reports, no matter how small the error may seem to you. One wrong punctuation can make the report viewed wrong. Punctuation is just as important as drug doses. Maybe looking over the files you were sent over (such as not saying the word exam in the physical examination portion and what not). Not trying to be mean, but every error counts. I sure wouldn't want my report filled with errors for the next doc to accidentally interpret wrong.
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#96045 - 04/19/08 03:05 PM
Re: How do you fight a QC report?
[Re: emtfingers]
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imainfp
New Member
Registered: 08/13/06
Posts: 10
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I won't comment on your QC score, but I will say that many QA/QC people seem to think they know more than anybody else and comb through each report just looking for something to call an error. It's difficult to transcribe your reports according to your company's transcription standards and also adhere to a client's transcription standards when they don't agree on every aspect of what is acceptable. I try to adhere to the client's desires, but many times get marked down because something didn't adhere to my company standards. I'm sure it's because the QC person isn't aware of the discrepancy between the two. I don't lose sleep over this any more and just ignore it. I do my best to satisfy my company and the client I'm assigned to, but the client comes first as far as I'm concerned. By the way, I have transcribed TAH, BSO because that was the way it was dictated. I've also typed TAH/BSO, and also TAH-BSO as dictated. The copy of online Stedmans I have that is provided by my company has it as TAHBSO. Don't feel bad about your QC score.
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