Dictations Can Be Tricky

Mon, 06/25/2012 - 5:07am

A while back I wrote a blog about a resident’s operative dictation that was incoherent and the pitfalls of dictating. Here is another example.

The switch to electronic medical records has brought some unintended consequences. We now have rapid turnaround of dictations at my hospital. They appear in the electronic record within a couple of hours and require verification by electronic signature. As is true of many documents that appear on computers and the Internet, they sometimes are not read carefully.

It was electronically signed by the physician who dictated it. I’m guessing that he did not proofread it. At least I hope not.

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