The patient is a what? Proof those dictated encounter notes carefully

by: Laura Evans, CPC Aug 1, 2017

Umm, or "This is a 43 year old man." Gotta love EHR voice recognition dictation! pic.twitter.com/LBzFPdW0MG
— Steven J. Stack (@StevenStackMD) July 31, 2017

When his electronic health record (EHR) system's dictation software noted a history of present illness of “a warty 3-year-old man,” ER physician and former AMA president Steven J. Stack, M.D. managed to keep his sense of humor and tweeted about it (h/t Politico eHealth).

EHRs may be featuring more sophisticated voice recognition technology in their dictation software, but the issue of dictation bloopers - and just plain gibberish - clearly hasn’t disappeared. Here are some of our favorites, from the Doctor’s Lounge site:

The lab test indicated abnormal lover function.
The baby was delivered, the cord clamped and cut, and handed to the pediatrician, who breathed and cried immediately.
She is numb from her toes down.
The patient was to have a bowel resection. However, he took a job as stockbroker instead.
She can't get pregnant with her husband, so I will work her up.
On the second day the knee was better and on the third day it had completely disappeared.
The patient will need disposition, and therefore we will get Dr. Blank to dispose of him.
Patient was becoming more demented with urinary frequency.
The patient refused an autopsy.

Do you have a favorite dictation blooper? Share them in the comments!

Blog Tags: electronic health records

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