Transcript Document
MR250 Week 8
Editing
MT Client
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Acceptable Brief Forms
bands banded neutrophils
prepped prepared
basos basophils
pro time prothrombin time
eos eosinophils
segs segmented neutrophils
exam examination
lab laboratory
lymphs lymphocytes
monos monocytes
Pap Papanicolaou
polys polymorphonuclear
leukocytes
Unacceptable Medical Slang
appy appendectomy
D/C, D/C’d
bili bilirubin
CA, ca carcinoma
cabbage CABG (coronary
artery bypass graft)
cath, cath’d catheter,
catheterized
coags coagulation studies
crit hematocrit
cysto cystoscopy
discontinue(d)
diff differential
dig (“dij”) digitalis
echo echocardiogram
fib fibula, fibrillation
fluoro fluoroscopy
H. flu H. (Haemophilus)
influenzae
Unacceptable Medical Slang
H&H hemoglobin and
hematocrit
lap laparotomy
lytes electrolytes
meds medications
mets metastases
Metz Metzenbaum scissors
multip multipara
nitro nitroglycerin
peds pediatrics
primip primipara
procto proctoscopy
pro time prothrombin time
segs segmented neutrophils
retic reticulocyte
romied a verb form of
ROMI
(rule out myocardial
infarction)
Unacceptable Medical Slang
Rx prescription
script prescription
tabby therapeutic abortion
temp temperature
tib tibia
tib-fib tibia-fibula
tic diverticulum
trach(e) tracheostomy
V fib ventricular fibrillation
V tach ventricular tachycardia
Website
Editing: Rediscovering the Dialogue
By: Ellen Drake, CMT
http://www.hpisum.com/EditingRediscovered.pdf
Practice editing
The patient play sports every day.
The patient is to begins a low sodium diet.
I tolds the patient to call if his symptoms return.
The patient no like his current medication regimen.
The patient is to return to sees us in four weeks.
Practice editing
The patient was advise to stop smoking.
The patient’s colonoscopy be scheduled for next week.
His mother brang him to the emergency department.
It be four hours since the patient has eaten.
The patient will go to therapy yesterday.
I have explains the severity of the situation to the patient
family.
Book of Style Chapter 2
When to Edit:
Grammar/Punctuation
Syntax
Spelling
Slang, Jargon and Brief Forms
Incorrect Terms
Contextual Inconsistencies
Transposition of Terms and Values
Demographics
Book of Style Chapter 2
How to Edit:
Critical Thinking versus Guessing
Clarifying Content
Dictator Style
Access to Ancillary Records
Book of Style Chapter 2
When not to Edit:
Missing/Inaudible Dictation
Irreconcilable Words and Phrases
Contradictory Information
Direct Quotes
Negative Findings
Book of Style Chapter 2
Notification and Flagging:
Blanks
Audio Indexing
Flagging the Report
Book of Style Chapter 28
Speech Recognition Technology (SRT)
Front-End SRT
Back-End SRT
SR Editing
Transition from MT to Editor
Tips for Editing
Remember if you don’t know the word leave it blank – no
guessing
Search the Internet - try googleMT
Refer to previous reports
Refer to similar reports
Have someone else take a listen
Talk to the doctor
Practice makes perfect!
Final Thoughts
Remember no discussion board this week – more time to do
assignments
Please go over the corrections and try to use the audio
Take breaks
Have a great week!
One more seminar to go!