In the first blog regarding dictation practices, we talked about how important the accuracy and perfection of your medical record is when viewed by your colleagues and other medical professionals. Part 2 of this series will concentrate on perfecting your dictation skills so that the transcriptionist can accurately transcribe your spoken word and create a pristine document. As a medical transcription service provider for many years, we have encountered many of the following poor dictation methods.
Are you guilty of the following?
- Dictating while chewing on food
- Dictating while flipping x-rays in front of your recorder
- Dictating at the speed of lightening to the point of losing your breath
- Mumbling into the recorder
- Dictating in a hallway or room with multiple people talking in the background
- Dictating at home with background noise from animals and family
- Dictating in a car
- Dictating in a bathroom with water running
- Dictating on a poor telephone line if calling in your dictation
- Dictating with a soft-spoken voice, such that the recorder will barely pick up your voice
If you are guilty of any of the above dictation methods, please remember the transcriptionist can only transcribe what she hears and can’t transcribe what she doesn’t hear! Background noise cancels out your voice. This sometimes creates a scenario of a guessing game at what is being heard and possibly wrong medical terms or medications can be transcribed. Worst of all, the transcriptionist must leave multiple blanks in your dictated report leaving questions unanswered regarding a patient’s medical history, medications, examination, lab results or your impression and plan. If you were reading a report a physician dictated on you or a family member, what would be your impression of that report?
Part 3 Dictation 101 coming soon…