Maintaining proper records and documents of the patient’s medical history with hundred percent accuracy is very important in the health care industry. This acts as a reference for nursing staff and doctors from other disciplines, who may also be a part of the team providing treatment to a patient. With the increase in the number of patients, producing precise and accurate reports is very challenging for health care professionals and this is where companies providing online medical transcription services can help. A medical transcriptionist converts voice files recorded by doctors and health care professionals into medical documents. All a doctor has to do is dictate his/her observations into a digital recording device and then send the dictations to a transcriptionist. For more information, visit their website at medical converting.
Steps Involved in Medical Transcription Process
- Dictating the Patient Related Information
The first step of the medical transcription process is recording of the information regarding patients into a digital recording device by doctors. After examining the patient, the doctors dictate their observations and the line of treatment for a patient. The voice quality of the recording device used by doctors has a direct impact on the accuracy of the transcribed documents. So, it is imperative to use a digital recording device with the superior voice quality.
- Transmitting the Recorded Voice Files
The doctor uploads the recorded voice files to FTP server used by medical transcriptionists, who then download the files for transcribing them into required medical documents. Many companies offering online medical transcription services also provide toll free phone-in-dictation option. So instead of recording the dictations, doctors can directly dial the number and start dictating.
- Transcribing the Voice Files into Text
The transcriptionists use headphones to listen to the dictations and convert the voice files into word processing documents. If any voice file is not clear or complete, the transcriptionist requests the doctor to provide more clarity on the same. The transcription is done by typing the voice files verbatim without any modifications. This ensures minimum editing work – the correction of only grammatical and usage errors. For any terminology or medication names which the transcriptionists are not very familiar with, they refer to printed and online medical dictionaries.
- Editing and Reviewing the Transcribed Files
Once the voice files are transcribed into the required medical document, a team of editors proofread the document to identify any errors and check the accuracy of the data. The editors check the documents for conformance with the prescribed format and other applicable standards of the medical industry. The edited files are then sent to the doctor for review. If the doctor suggests any corrections, they are done by the transcriptionist.
- Sending the Completed Transcribed Documents
After incorporating the suggested changes, the final document is sent to the doctor via email or fax or as a web application.