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21. Which of the following is true about automated speech recognition (ASR)? A. Its use eliminates human error caused by transcriptionists. B. With front-end ASR, incidence of critical patient safety errors is reduced. C. Spelling and grammar mistakes are common in ASR. D. Editing ASR requires intense concentration on the part of the HDS so that no words are missed. 22.  Which of the following is an example of documentation style that is specific to speech recognition editing? A. Because the computer system cannot be trained to expand abbreviations on first reference only, HDSs must use abbreviations without expansion unless they are dictated in full. B. Dates dictated as numerals (2/14) cannot be edited to month and day format (February 14) because the computer will transcribe every subsequent instance of “214” as February 14, even if the numeral is in reference to a laboratory value. C. Dictation errors that make dictation confusing, such as omissions like “with the patient in dorsal supine,” should be edited for clarity. D. All of these are examples of documentation style that is specific to speech recognition editing. 23. You and your coworkers in healthcare documentation department are called to a staff meeting by your supervisor, the director of health information management, who wants to formalize HDSs’ roles as risk managers. Some traditional risk management functions of the HDS include which of these? A. Providing accurate punctuation placement. B. Acting as first line of review for organization’s risk management department. C. Researching the correct spelling of eponyms. D. Ensuring that word endings are properly transcribed. 24. Which of the following is NOT a potentially damaging incident that should be reported to the risk management department? A. Inadequate patient bowel prep causing a colonoscopy to be prematurely terminated. B. Patient prescribed 0.5 mg of alprazolam p.r.n. for anxiety but administered 5 mg by mistake. C. Chest x-ray performed at patient’s request, without order by admitting physician. D. Dictator reporting in a clinical resume that final results of a culture and sensitivity were not available by the time of discharge. 25. Which of the following is an inconsistency in dictation that should be flagged for the dictator’s review and correction? A. Description in the first paragraph of a lesion on the patient’s upper lip, with description in the last paragraph of a lower lip lesion. B. Discussion of a ventrally hooded foreskin in the first paragraph, with the same abnormality described as a dorsally hooded structure in the last paragraph. C. All of these are examples of inconsistencies that should be flagged for dictator correction. D. Physical exam reporting a 2 x 1 x 1 mass of the thyroid. 26. As a student in a healthcare documentation specialist program, you believe it is taking you too long to complete your assigned work. Which of these is an appropriate means of increasing your speed? A. Stop looking up words you don’t know; just transcribe what you hear and correct it with the transcript key later. B. Develop a disciplined method of researching terms, where you listen to the problem term two or three times, analyze why you can’t understand it, and limit the amount of time you spend researching before leaving a blank and moving on. C. Increase your keyboarding speed by copying and pasting redundant phrases such as “the patient” into your reports. Â

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