Thursday, July 9, 2009

Medical Transcription Woes-1

There are reasons why I love Electronic medical records.
You don't need to move around to receive them or get them faxed.They are available all the time (unless the server crashes) and they are updated in an instant. And you get everything under their file tabs, including their lab results and their next scheduled appointments.

Plus it saves a lot of Paper. Live Green. Save Trees. Save the squirrels.


Now, you need to go through proper training and obtain permission to view these records (and for perfectly legal reasons). It's not accessible publicly, unless some retard hacker (who thinks it's fun to invade privacy) accesses this information and sells it or releases it.

I hope such Hackers get STDs. With plenty of sores and blisters.


Anyway, last year, part of my job was to go through electronic medical records (with permission of course).

And below are some of the actual notes I noticed in some of these records:

Record 1: Patient is a male, aged 27 , from so and so place. Patient has a sister and mother who live with him.
Patient also has a 24 year old son.


Record 2: Patient has had a hysterectomy in 2005.
HE also suffers from Type II Diabetes.


Note: A hysterectomy is an operation to remove a woman's uterus (womb)

2 comments:

  1. EMR my organize things, and save space and paper. It will not, however, prevent typos or careless errors.

    ReplyDelete
  2. I often doubt if people use logic when typing out this stuff, even if they are transcriptors.

    Do they even read what they write?

    ReplyDelete