F. QA person making difficulties

EXHIBIT F

And if the MLS doesn’t have enough difficulty brought to their job by poor dictation, some low consciousness QA people make transcription more unpleasant than necessary.  Consider the following QA reprimand this writer received from an officious supervisor:

Just something for you to think about with a doctor dictation “smoking 3/4 of a pack of cigarettes a day for over 20 years.”  The tense here “smoking” is present…not past…so this would imply the patient is smoking the same 3/4 pack of cigarettes for over 20 years…does not say “packs”…so that pack has lasted many, many years…which technically would be NO smoking history…legally speaking…  Personally, i would change this to “the patient has smoked 3/4 of a pack of cigarettes a day for over 20 years” and that would be past tense, thus meaning several packs of cigarettes…and a positive smoking history…  An 80-pack-year smoking history, by the way would be one pack day for 80 years.  A 40-pack-year-history for an 86 year old would be 1/2 pack of cigarettes for 80 years starting at the age of 6 – and yes, we have some patients who started that young.

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