Transcript Document

MR250 Week 8
Editing
MT Client
 Any questions on corrections?
 Any problems with MT Client?
 Any questions?
 If you run in to any problems with MTClient e-mail JJ and
CC me.
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
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 cabbage CABG (coronary
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artery bypass graft)
cath, cath’d catheter,
catheterized
coags coagulation studies
crit hematocrit
cysto cystoscopy
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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
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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
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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
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assignments
Please go over the corrections and try to use the audio
Take breaks
Have a great week!
One more seminar to go!