When ever challenges in medical transcription are mentioned, stringent deadlines and high quality goals top the list. The reason deadlines or quality goals become difficult is because of the interdependency of these two things. Meeting deadlines with poor quality or delivering high quality after the deadline renders your work useless. In today’s post, we will discuss the expected quality standards in medical transcription.
The Association for Healthcare Documentation Integrity (AHDI) has divided the errors in medical transcription work in three categories to standardize quality in the profession. The three categories of errors are: critical errors, major errors, and minor errors.
As the terms suggest, the critical error is the most important or critical one, the major error is less critical but still important, and the minor error is an error but not too important.
The medical transcription profession has zero tolerance when it comes to critical errors. Why? Because critical errors are the ones that can impact the safety of a patient. The medical transcriptionist, therefore, is required to achieve 100 percent accuracy with respect to critical errors. Now, what is a critical error? A critical error occurs if you put incorrect patient information, incorrect names and doses of medicines, incorrect values in test results, or incorrect test names in a medical record. Missing a part of the recorded information also amounts to a critical error.
The quality goal with respect to major errors is 98 percent accuracy. This means that you are not allowed to have more than 2 percent major errors in your medical records. Major errors are the ones that impact the integrity of the medical document. Incorrect spelling of English words and medical terms, incorrect inferences owing to incorrect verbiage, failure to comply with protocols and policies, failure to flag any missing information, and intentional flagging of wrong information cause major errors.
Minor errors are not factual errors. They are marked by the areas of improvement in the medical document. The medical transcription profession requires that you achieve 98 percent accuracy with respect to minor errors. Errors in punctuation and grammar, inconsistency of format, and typing errors not amounting to any change in the meaning of content contribute to minor errors.
AHDI suggests that a medical transcriptionist get constant feedback on his/her work so that there is no repetition of errors in his/her future work. Sound advice. What do you think?