10 Simple Tips to Ensure Accurate Medical Transcription

10 Simple Tips to Ensure Accurate Medical Transcription

A good medical transcription company can handle most challenges related to recordings and provide accurate transcripts. Providers must make sure that the quality of the recording is good.

Accurate medical transcription is an essential element for any healthcare organization.

Medical transcriptionists should be able to deliver error-free transcripts with a minimum of 98% accuracy. They should be able to handle challenges such as foreign accents and disturbing background noises in the recordings. A minor mistake in the medical transcript can have a huge impact on the patient’s treatment and health; it can also cause legal and financial problems. Accuracy is not the only factor; there are many other aspects that contribute to quality transcription. While a good medical transcription company can handle most challenges associated with recordings, and provide transcripts with maximum accuracy, providers themselves must make sure that the quality of the recording is good.

The following guidelines should help you ensure accurate medical transcripts from your dictations.  Speak clearly to the microphone Speak clearly in conversational tone at a normal rate. Adjust the level of the mic and be seated in the correct position. The recorder should be 3/4” way from the mic in an upright position so that sound does not go over the top of the mic. If you are using a smartphone, know where the mic is and ensure that it is not covered with your hand.  Avoid interruptions and other distractions It is advisable to choose a quiet location for recording as it will enhance the quality of the recording. Avoid areas where there are background noises and other distractions like voices talking, music, etc. Even a slight breeze can cause disruptions in your recordings. If there are any interruptions, hit the pause button, and then return to dictation to start from where you stopped.  Dictate difficult words promptly and do not read words together Clarify all difficult and unsure words like names of drugs, physicians’ names etc before recording. Do not read words together because a change in any of the words can cause big differences, which can lead to wrong clinical decisions and unnecessary litigation for physicians. In a reliable transcription firm, a senior medical transcriptionist will double check the context. For words that cannot be transcribed, a blank space will be left. This takes extra turnaround time and cost for completion of the document. www.medicaltranscriptionservicecompany.com

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 Be clear with numerical details and units of measurement Give special attention while dictating numerical figures and units of measurement.

A minor change in numerical values or units of measurements can harm the patient.  Learn how to use the device and the dictation system Understand the basic functioning of the recording device such as Pause, Stop, Record, Insert, and so on. Practise sufficiently on the device in order to get familiarized with it. Understand all the log-in or call-in procedures including your I.D credentials.  Note special instructions first If you have any special instructions, provide them at the beginning of the dictation.  Start the dictation with accurate demographics It is appropriate to start a dictation with demographics and the time of dictation.

Dictate the patient’s name, medical number, correct date and the report type first.

Two types of identification such as patient’s name and medical number are important, and must be dictated for each report. This is done in order to avoid confusion when two patients have the same name.  Use only qualified transcriptionists and ensure about quality assurance Make sure that the transcriptions are done by well-qualified and experienced transcriptionists. Hire skilled and trained medical transcriptionists who are knowledgeable in medical terminology and jargon so that they can deliver accurate transcripts. They should also have good typing speed, and should not have a problem with diverse accents of the clinicians.  Create a new file for each document and in the event of later amendments Create a single audio for each dictation. When a dictation is over, hit the stop button after each dictation and start a new audio file for a new dictation. Do not record all dictations in a single audio file, it will create confusion and lead to poor transcription. It also becomes difficult for the medical transcriptionist.  Files should be encrypted before sending All the audio files should be encrypted before sending it to the transcription vendor.

This will ensure security of patient data and avoid breaches.

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For better quality medical transcripts, good speech habit is essential. Other than that, workflow particulars such as complete and correct information, clear identification of any STAT or amended reports, secure transmission of files and informing medical transcriptionist about special instructions are also important factors if you are looking for high quality medical transcripts.

A reputable and professional medical transcription service provider will safeguard confidentiality and privacy while exchanging and storing files. Experienced and skilled medical transcriptionists deliver accurate medical records. Before sending the file, they double check the content and also have various levels of quality control to make sure that there are no typos, misspelled words or incorrect terms. You benefit from quality services at affordable rates. These services offer scalable options and can be customized for practices of any size. Reliable transcription services have set the standard for transforming unstructured notes into tidy medical records. They have advanced technology and equipment that enable easy handling of huge volume medical files.

www.medicaltranscriptionservicecompany.com

800 – 670 - 2809