Error rates in physician dictation: quality assurance and medical record production.

Purpose: The purpose of the paper is to determine the instance of errors made in physician dictation of medical records.

Design/methodology/approach: Purposive sampling method was employed to select medical transcriptionists (MTs) as "experts" to identify the frequency and types of medical errors in dictation files. Seventy-nine MTs examined 2,391 dictation files during one standard work day, and used a common template to record errors.

Understanding the work of medical transcriptionists in the production of medical records.

Efforts to improve healthcare by reducing medical errors often center on the accuracy of medical records. At the same time, the impact of new technologies such as speech recognition technology on the process of producing medical records has not been sufficiently examined. In this article we analyzed interview data from medical transcriptionists (MTs) describing how they do the work of transcription to produce accurate medical records from doctors' dictation.

Listening to what is said--transcribing what is heard: the impact of speech recognition technology (SRT) on the practice of medical transcription (MT).

Medical records have become central to nearly all aspects of healthcare. However, little research exists on their creation. Using data from an ongoing ethnographic study of healthcare documentation production, this paper examines the process of medical record creation through the use of speech recognition technology (SRT) and subsequent editing by medical transcriptionists (MTs).