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QUALITY EVALUATION SHEET

Category Definition Error Point


Medical Errors Incorrect medical term 1.0
Omitted medical term 1.0
Incorrect medication 1.0
Incorrect dose (including frequency and/or unit) 1.0
Laboratory values, vital signs (BP, PR, R, temp) 1.0
Opposites:
a. Medical term 1.0
b. English word 1.0
Incorrect casing of drugs, using brand names instead of generic 0.5

Spelling Errors Failure to spell check (per word) 1.0


MD name, can be found on list or website, still misspelled 1.0
Medication incorrectly spelled by MD, accepted by MT 1.0
Incorrect patient name
a. With patient list provided, still incorrect 1.0
b. Spelled out but not flagged (2 or more incorrect letters) 1.0
c. Spelled out but not flagged (1 incorrect letter) 0.5
d. Spelled out but flagged (2 or more incorrect letters) 0.5
e. Spelled out but flagged (1 incorrect letter) 0.25

Usage Errors Incorrect English word that altered the meaning of the sentence 1.0
Missing/incorrect patient info (patient demographics) 1.0
Deficiencies of more than 3 words 1.0
Deficiencies of 3 words or less 0.5
Incorrect English word but with the same meaning 0.5
Improper plural/singular form 0.5
Formation of a valid word due to typo error 0.5

Grammar Omission/commission of part of speech/English word 0.5


Incorrect verb tense 0.5
Subject-verb agreement 0.5
Omitted/committed/incorrect articles/prepositions/conjunctions 0.25

Formatting Major:
a. Incorrect template or work type 1.0
b. Failure to comply with client specifics 1.0
c. Missing or wrong routing slip 1.0
d. Incorrect patient gender 1.0
e. Omitted or wrong doctor's signature line 1.0
f. Chart to wrong hospital 1.0
g. Mispelled doctor's name 1.0
h. Job information error 1.0
Minor:
a. Incorrect casing and/or position of patient last and first name 0.25
b. Not following client formal rules 0.5

Abbreviations Medical abbreviation 0.5


English abbreviation 0.5

Punctuation Misplaced comma/period that altered the meaning of the sentence 0.5
Improper use of punctuation marks 0.25
Missing comma/period 0.25

Numbers Incorrect height, weight, # of samples and/or refills 1.0


Incorrect date (drug expiration) 1.0
Incorrect patient age 1.0
Incorrect date (text) 0.5
Same sounding numbers (2/3, 5/6) 0.5

If you can’t decipher the word, put a blank and a time stamp.

One (1) blank = five (5) underscores, Time stamp = (mm:ss)

Example: _____(01:22)

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