Physician sued for bad documentation stemming from bad handwriting

Physician Sued for Bad Documentation Stemming from Bad Handwriting A physician’s bad handwriting can lead to poor medical documentation, which can be avoided with the help of reliable medical transcription services.

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Many doctors are notorious for their poor handwriting but many people are unaware of the fact that a physician’s bad handwriting can lead to poor medical documentation.

Illegible and poorly written notes can compromise patient care and lead to adverse events. Such events occur when others in the care team cannot clearly follow the doctor’s notes or misunderstand the content.

Doctor Sued for Poor Handwriting in Las Vegas Recently in Las Vegas, The Nevada State Board threatened to revoke the license of Dr. James Gabroy, a 69-year-old Henderson internist who has never had malpractice, patient abandonment, fraudulent billing or any misconduct throughout his career. He is a well-behaved doctor whom many people approach for primary care. But the board is taking action against him with punishment ranging from a fine of US $ 5000 to licence revocation due to his poor handwriting. However, the patients have never faced any unpleasant events due to his handwriting. The executive director of the board, Ed Cousineau, said that three unnamed patient medical records were illegible, inaccurate and incomplete. The complaint was made by the insurance companies against the physician.

The Dictation – Medical Transcription Model Could Help The problems created by poor physician handwriting can be resolved with the help of reliable medical transcription services. When partnering with a medical transcription service company, physicians can easily dictate using a digital recorder or toll free phone.

Medical transcriptionists are skilled, keen listeners who listen to the recording and prepare the medical record. Once the medical records are ready, with the help of HL7 interface they are uploaded. HL7 provides the framework for the exchange, integration, sharing and retrieval of electronic health information. It also provides an encrypted and secure means of transferring files. This prevents physicians from compromising medical records with poor handwriting and also eases the process of medical documentation.

Now, with increasing implementation of EHR and the introduction of speech recognition technology, medical transcriptionists play a more significant role as editors and interpreters. Since speech recognition technology is not fully evolved, the transcripts prepared by the machine require human intervention to ensure accuracy. This has led to more hospitals and other healthcare settings choosing to outsource their medical transcription requirements to an external provider.

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