Saturday, December 11, 2010

What are you going to do next??

I noticed the following transcription error in a dictation I was reading the other day:

Mr. Smith started having symptoms of left sided weakness and dysarthria while vacationing in Disneystroke.

Honestly, I think if you take a trip to Disneystroke and you start having left sided weakness and dysarthria, you kind of got what you deserved.


OK, your turn: what's the funniest transcription error you've ever seen?

18 comments:

  1. This isn't a transcription error, but an excerpt from the doctor's orders for a patient in the ICU where I work:

    0.4mg sublingual nitroglycerin for chest pain, every 5 minutes x 3 doses PRN. If chest pain unrelieved after 3rd dose, call 911.

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  2. Funniest one I've ever seen (on a discharge summary):

    "The patient had developed a cellulitis on a leg ulcer from when he kicked the bucket. Not the proverbial bucket, mind you."

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  3. I have 2: "Surgical history includes vaginal hysterectomy with excision of wisdom teeth" and

    from a very arrogant Pediatric intensivist

    "After consultation with myself"

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  4. we had a psych consult ordered on a really sooper annoying pt, and the psych doc said the pt had/was, and i quote, 'narcissistic personality, low IQ, and annoying as hell.'

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  5. I wish I could remember the specifics, but I once saw an H&P about a man who was admitted for an injury he sustained after getting into a fight with his penis.

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  6. My two favorites -

    "Plan: STDs for DVT prophylaxis."

    "Patient was beaten by a black widow spider."

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  7. 'now, lying in bed, patient is suffering from every symptom she can think of'. Cardiac emergency care unit notes.

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  8. Pathology transcrition.
    Received is a bologna amputation. Measuring... blah blah blah.

    Instead of:
    Received is a below the knee amputation. Measuring... blah blah blah.

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  9. The transcription errors aren't as funny in my experience as the real one.
    My favourite last week "asked radiology registrar to comment as to whether ovaries were in situ. Advised by same to "look for your damn self".

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  10. "Patient, first name Mary...as in the Mother of our Lord..., last name..."

    or

    "Lumbar puncture produced a clear fluid. Clear like a pure Rocky Mountain spring."

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  11. Not transcription errors but a couple progress notes by my favorite Dr. Crotchety have included classics like "Pt. looks like hell, white as a sheet" and a brief notation to himself about a place with "great fried chicken" the patient had apparently told him about.

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  12. "...the patient underwent a rapid sequence seduction..."

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  13. One of my male patients apparently had an abnormality of his "medial ovary" on an CT scan

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  14. I work for the Army, and see all the time in our transcribed notes "Soldier was in a rack..", instead of "soldier was in Iraq". Slight difference. You'd think the transcription service would catch on by now.

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  15. "The patient was sent for fertile eggs testing" (This was my male patient, sent for Fragile X)

    "Las Vegas, Nausea/Vomiting" ( I guess NV came out that way, and it was rather apropos)

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  16. We use Dragon dictation software - after reading a fellow resident's dictation of a cardiac cath report in a cardiology progress note, I started looking all over for "Dragonomas" ... where he meant to say "80% stenosis of the LAD" Dragon heard, transcribed, and placed in the medical record "Yeast and trichomonas in the LAD"

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  17. I just saw a surgery transcript that said, "Mr. So and So was prepped and draped in the sterile fashion, and after toilet paper, a blah blah blah incision, blah blah blah."

    Toilet paper = team pause

    It was hilarious

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  18. Somehow I talked about giving a patient potassium chloride, and so I was in a rush as usual, and said, "The patient was given KCl for his hypokalemia"

    Turned into: "The patient was give Kay-Ciel for his hypovolemia"

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