Thousands of people are injured, make sick or even die from prescription errors every year. Abbreviation Potential Problem Preferred Term U for unit Mistaken as zero, four, or cc. X mg Decimal point is missed Never write a zero by itself after a decimal point X mg , and always use a zero before a decimal point 0. It may be sharp and stabbing or aching and dull and may become worse when you breathe deeply pleurisy , cough, eat, bend or stoop. Consider this: Orders that contain confusing abbreviations take longer to process and can impact patient safety, length of stay, and clinical outcomes if they are misinterpreted.
I know because I've transcribed from physicians dictating just this way. Any possibility of patient harm should be avoided and prohibition of abbreviations is definitely a step towards saving lives. Medications are manufactured by any of numerous pharmaceutical companies, and are dispensed by tens or hundreds of thousands of health care professionals. If the intervention was successful, the hospital kept it in place. I have stored over 2,000 my own abbreviations for a total of over 60,000 characters and would really regret all that work if something happened.
The first line of defense these companies have well, really just one anymore as they are becoming the of pharmacies , is to scan the prescription. When handwriting is used, legibility can be a dangerous problem. Pharmacy is going down the same path as work. Don't take this as an indication that you're getting old--the confusion surrounding those darned abbreviations can be aggravating. Fixing the problem is much more difficult than identifying it. A patient on hemodialysis, 62 years of age, was ordered acyclovir as treatment for a viral infection. Personally, I think that is a good thing - people need to take more responsibility for themselves and stop expecting the doctor to solve all their problems.
I've been in this business for 18+ years and still many of the abbreviations are unfamiliar to me. Eliminating abbreviations will definitely lead to fewer errors, and to understand this one need only consider examples of the harm this menace has led to. The guidelines specify not using them in any of their forms-upper or lower case; with or without periods. When the patient received thrice the suitable dosage, it caused mental decline, delirium and consequent death. The sites are: 1 www. I can't imagine they would want you to type these abbreviations just because the doctor says it.
The actual paragraph reads: Invalid Latin abbreviations such as q. As transcriptionists though we should be aware of these dangerous abbreviations since it can affect a patient's medical record and how it is interpreted. It is intended to mean twice weekly but it could be mistaken for twice daily, resulting in a dosage frequency seven times that intended. The instead refer to a multitude of problems. It is a long list of stuff fer sure! They should be chastized by their hospitals and not allowed to dictate like that! Getting them to stop using abbreviations they've been jotting down since medical school is even harder.
Good luck and welcome back! I once wrote a physician a sticky note to please not dictate his diagnoses in abbreviations as they may be misinterpreted. I'll give it a try. I would check with your supervisor but surely when they say verbatim they mean not changing the sentence structure around or what have you. I use Bayscribe for my work. I do this for all my abbreviations. Latin abbreviation for once daily and every other day Mistaken for each other.
Using that website prevents me from having to stop and look it up in the book. The first line of defense these companies have well, really just one anymore as they are becoming the of pharmacies , is to scan the prescription. Abbreviation Potential Problem Preferred Term U for unit Mistaken as zero, four, or cc. The document on The Joint Commission website was broken, so this link is to another website, but it is the same thing. You should be alert during the next few days. But employers want it practiced just in case for some of the more confusing abbreviations. I have been doing since the 1970s and I have seen huge changes in health care.
The pain will get worse with exertion but won't go away when you rest. As you, I proof as I go. To the organization's surprise, the hospitals had a successful first quarter, followed by other quarters that showed backslides. The error chain did not stop here: the nurse then interpreted the labeled medication inaccurately and administered to the patient dosage which with a 1,000-fold disparity than what was needed. I know that there have been occasions when I've had a run of one of my more familiar docs -- one for whom I have a lot of canned text and who tends to dictate with a great deal of regularity, and quickly -- and I've been able to break the 500 lph barrier, but only briefly.
We are talking about acute care here--not some family practice clinic. If the intervention wasn't successful, the hospital considered ways to adjust it. Written policies are definitely needed to restrict the usage of abbreviations. Are you producing some blood when coughing? Her vocabulary is in the vcb format that goes into Smartype, ready to use. A really cool site for searching medical abbrevitions I think it helps to broaden your knowledge of certain standards if you're job hunting, even if you've never used them.
I once wrote a physician a sticky note to please not dictate his diagnoses in abbreviations as they may be misinterpreted. All can result in a dosing error. I also go to www. Patient has been in drug recovery - that's R-E-C-O-V-E-R-Y Really? I don't have contact info for her now though, and I don't know if she still offers her vocabulary. Depending on which division within the mail order pharmacy you work, a tech may fill more than 100 prescriptions an hour. I am open to other ideas or suggestions! But, abbreviations, dashed onto a medical record, saves time, even though the impression of time-saving, is far more than the second or so actually saved.