pros and cons of using medical abbreviations

pros and cons of using medical abbreviations

2014 Oct;36(5):1000-6. doi: 10.1007/s11096-014-9987-9. Youll also see that others correctly add the period, except when it comes to the end of a sentence, where theyll add a double period: We ate, danced, had fun, took pictures, etc.. Effective communication between patient care team members is essential, and abbreviations can obfuscate what should be simple medical recommendations. Let us know! Unauthorized use of these marks is strictly prohibited. And in the old days, when we handwrote our medical orders, there were often incredibly dangerous errors that occurred when magnesium sulfate was ordered for a patient and they ended up receiving massive doses of morphine sulfate. Some PPOs are set up as high-deductible healthcare plans (HDHPs). I believe he was serious, and couldnt figure out my abbreviations. NCI CPTC Antibody Characterization Program. Medical records have several purposes: to document subjective and objective findings, observations, diagnoses and treatment plans; to assist in providing continuity of care longitudinally; to assist other health care providers who may undertake care of your patient; to satisfy the requirements of Medicare and other payers; and to demonstrate why you did something if your care is questioned by a patient. Fred N. Pelzman is an internal medicine physician whoblogs at MedPage TodaysBuilding the Patient-Centered Medical Home. This speeds up the process by knowing the abbreviations and the use of them. GoodRx users can now work with Chapter to receive the most comprehensive search on Medicare plans. Then mix in abbreviations and acronyms and how they might be misunderstood. As the trade changes, due mostly to the internet, these abbreviations have come under closer scrutiny, and not everyone agrees that they are still viable. Abbreviation for Pros And Cons: 6 Categories 2 PC Pros and Cons Gaming, Technology, Cons Suggest to this list Related acronyms and abbreviations Share Pros And Cons Abbreviation page You might see a u replacing you, 4 instead of for, BTW rather than by the way, and often r for are. Often, this abbreviation refers to what an FLK grows up to be. Only after diving deeper into her past medical history in our own chart did I realize that someone mustve typed MS, and the computer auto-corrected and somehow turned that into morphine sulfate, instead of multiple sclerosis. To learn more, read our. - Alfredo Alvarez, student @ Miami University, We use cookies to provide the best possible experience on our site. An eponym generally refers to something that has been named after a person, such as the Dave Matthews Band or the Marie Callender's line of frozen or packaged food products. Not very good for high blood pressure, but pretty good for making you pretty sleepy. Perhaps abbreviations are prevalent since some find benefits in using them, he said. These symbols and abbreviations are a useful speedwriting technique for the tumor registrar as well as for the medical staff. A colleague noted one advantage of using abbreviations in medical practice is that it helps save time when writing notes or orders. A similar study looked at a selection of abbreviations from recent hospital admissions and asked different members of a multidisciplinary care team to decipher them. April 25, 2018. Intern Med J. Frequent Flyer: a patient who is transported to and from the hospital often. To pay less for care, see doctors, medical professionals, and . National Library of Medicine largofinancialservices.com. People on Medicare also have access to PPOs. However, two years later, when the patient had another mammogram which was read as positive, and resulted in the diagnosis of Stage IV breast cancer, the family physician went back to his chart and added his own abbreviation T.P.G.B.B on a page just below the order for the initial mammogram. (2023). 20 meanings of CONS abbreviation related to Medical: Vote. Sheppard JE, Weidner LC, Zakai S, Fountain-Polley S, Williams J. By using medical terminology, one doctor can explain very clearly to the other the exact happenings in his case. He can be reached at (216) 308-1401 or by e-mail at. L.O.L. Accessibility Medical terminology can cross language barriers and allow medical professionals from a variety of countries and backgrounds to communicate with each other and work together. Although they can often be deciphered in context, these abbreviations can lead to serious morbidity and mortality. However, the latest CAC software technology employs a type of natural language and syntax processing to compare, contrast, and extract specific medical terms from electronic data or typed text so CAC stand-alone technology does exist. So if a person is writing a formal, official, important document, they might end up making several mistakes, which would not happen if we were more aware of how abbreviations should actually be used. Other costs to consider: While PPO members can see any doctor or specialist, the cost-sharing rules do vary. Yes. 2019 Sep-Oct;29(5):302-307. doi: 10.1016/j.enfcli.2018.10.003. By Adrienne Commeree, CPMA, CCS, CEMC, CPIC. Jt Comm J Qual Patient Saf. Coders have the education to understand why a diagnosis or procedure should, or should not, be coded in a specific situation, and by using CAC, they can help the software learn to identify the importance of specific documentation and its relation to ICD-10-CM/PCS codes. He has worked with several startup companies involved in health care technology. If youve been trying to sort out your coverage options, unfamiliar terms like HMOs, PPOs, and EPOs can seem like alphabet soup. ISRN Surg. GET A QUOTE OR START TRANSLATING YOUR TEXTS IN A MATTER OF SECONDS. They are even used during verbal communication among healthcare professionals. The reason is that they are often not written correctly. There are those who say the internet will destroy the antiquarian book trade; I believe this will not happen. Careers. LIBRISFrom the library of, referring to previous owner. Since the goals of this list are to reduce medical errors and improve patient safety, it is useful for all of the readers to revisit this list and strongly consider implementing these prohibitions. Due to the intricacy of healthcare records, clinical documentation, and the complexity of medical terms and abbreviations, many hospitals use computer-assisted coding (CAC) together with intervention by human . One U.S. federal agency has at least four pages of acronyms and those arent enough because individual offices created their own abbreviations to talk among themselves. HealthCare.gov. Advantages of telehealth. You typically pay a higher rate of coinsurance than for in-network care. Even though you are enrolled in a PPO, youll have to pay a high deductible before your provider covers costs. 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It is nice to simplify things by using medical abbreviations when it is a busy day. Local chapter update: Welcome to our new Chapter Advisory Committee! GoodRx works to make its website accessible to all, including those with disabilities. Brunetti L, Santell JP, Hicks RW. You know how looking at a math problem similar to the one you're stuck on can help you get unstuck? In my research on abbreviations years back, one reason cited for their use is to get away with wrong spellings of medical conditions, Tapia said. In studies conducted by AHIMA, though, the combination of a CAC with a coder/auditor has been proven to be just as good as, or better than, a coder or CAC alone. You can unsubscribe at any time. Poor compliance documenting informed consent in trauma patients with distal radius fractures compared to elective total knee arthroplasty. You travel: If you travel frequently outside the area covered by your network, you may gain peace of mind knowing you can see a doctor whenever and wherever you need to. Epub 2011 Apr 1. However, they are frequently a source of confusion and can be a major risk in clinical practice. Then we refer alcoholics to AA for Alcoholic Anonymous., Another physician said, Some people understand BPD as bipolar disorder or borderline personality disorder, which are two very different things.. . Follow edited Sep 6, 2017 at 15:00. Many studies have shown improved glucose management outcomes while using insulin pumps in the treatment of both type 1 and type 2 diabetes. "The Use of Medical Abbreviations, Benefits and Issues." It could stand for physical therapy, prothrombin time, etc. doi: 10.1136/bmj.d7504. They probably gave him some antibiotics for a Group B Strep infection and sent him home. The Joint Commission. You would never know what this . It could be worse if biperiden is abbreviated to BPD, Tapia said, citing the medication for Parkinsons disease. In-text citation: ("The Use of Medical Abbreviations, Benefits and Issues.") Consultation + 2. Often notations and signatures are difficult to read, or even illegible -- which can defeat the very purpose of the record. Instead, you should write in full either the generic name or the trade name of the medication you are ordering or prescribing. PPOs are the most popular type of health insurance coverage, ahead of both health maintenance organizations (HMOs) and exclusive provider organizations (EPOs). Generally speaking, abbreviations are OK as long as both parties know what the letters stand for. His experience includes comics, role playing games and a variety of other projects as well. Bethesda, MD 20894, Web Policies By Adrienne Commeree, CPMA, CCS, CEMC, CPIC. The doctor noted that the Joint Commission and the Institute for Safe Medical Practice in the Philippines have acronym Do Not Use lists, and its easy to see why. They found that the average correct response rate was only 43%, again with specific abbreviations better known among the professionals who used them more frequently [3]. Health insurance plan & network types: HMOs, PPOs, and more. If an abbreviation like etc. is at the end of the sentence, the period at the end of the abbreviation serves as the period at the end of the sentence (a second period is not needed). So as much as these little tricks can help make sure we dont put in confusing abbreviations, perhaps the risk of having the document not end up being the true record of what happened is just too great. The required replacement for these abbreviations is to write morphine sulfate and magnesium sulfate in words, rather than symbols. Im not sure how their system works, but most of the functionality of EHRs that has been created to prevent medical confusion from abbreviations offers you a choice of what it thinks youre looking for, the most obvious or most common diagnoses usually typed by physicians. Patients are fortunate when they have doctors or staff who spell out everything, at least in conversations. This is an advertisement for insurance. to view the complete essay. With such widespread use of error-prone abbreviations and known morbidity as demonstrated by the MEDMARX program, there have been efforts at rectifying the problem. Compared to health maintenance organizations (HMOs), PPOs offer you more flexibility in choosing the doctors you see, and theres no need for a referral from a primary care provider. Think how some of these things could end up percolating through the record, and potentially leading to harm. 2014 Feb 6;2014:354239. doi: 10.1155/2014/354239. Medical terminologies are universal to the healthcare or medical industry. A trailing zero (X.0 mg) or lack of a leading zero (.X mg): The major issue with these notations is that the decimal point is often missed by the writer or reader. Electronic ISSN 1944-0030. The Kaiser Family Foundation (KFF) reported that, in 2021, annual PPO plan premiums were $1,389 for individual workers and $6,428 for families paid. Please read the comment policy. An HSA is a special savings account for pretax dollars, which you can later use to pay for your out-of-pocket medical expenses. The benefits of medicines are the helpful effects you get, such as easing pain, controlling blood sugar, lowering blood pressure, or curing an infection. A preferred provider organization (PPO) is one type of network-based insurance plan. Kibin, 2023, www.kibin.com/essay-examples/the-use-of-medical-abbreviations-benefits-and-issues-wW7WgZe2. In our efforts to speed things up we risk slowing things down, throwing sand into the gears that should move things along. It's their very own language and it helps them understand completely what is happening or what has to be done to help a patient. I retained a world-class expert who concurred in the negative interpretation of the mammogram, resulting in my radiology client being dismissed from the case. http://www.kibin.com/essay-examples/the-use-of-medical-abbreviations-benefits-and-issues-wW7WgZe2, ("The Use of Medical Abbreviations, Benefits and Issues. A recent study of pediatric sign-out sheets at a large urban hospital found that, while pediatricians were able to understand 56-94% of the abbreviations used, physicians from other fields understood only 31-63%, highlighting the ambiguous nature of many abbreviations [2]. The requirement to eliminate the use of these terms is a significant and difficult change for many prescribers. We found great variability in the understanding of these abbreviations by different groups of health care professionals. The effectiveness of a 'Do Not Use' list and perceptions of healthcare professionals on error-prone abbreviations. The names of diseases, anatomy, and certain medical conditions all fall under the broad umbrella of medical terminology. Use of abbreviations by healthcare professionals: what is the way forward? By providing your email address, you agree to receive emails containing coupons, refill reminders and promotional messages from GoodRx. Clipboard, Search History, and several other advanced features are temporarily unavailable. Share. New York University. All rights reserved. When a patient is prescribed MS will he receive morphine sulfate or magnesium sulfate? Today, with the internet, space is not really a problem, so abbreviations are not so necessary. This is what happens in our EHR when we try to type AS for aortic stenosis. Abbreviations are commonly used in the medical world to save time and space whilst writing in the patients' medical records. During AHIMAs pilot testing of CAC software, the organization weighed in on some of the potential issues with using CAC software alone (with no human intervention). (And nope, we don't source our examples from our editing service! Please use the abbreviation mcg or write out micrograms instead of using the symbol. The purpose of this study was to assess whether we, the multidisciplinary team members, correctly interpret the abbreviations used in the medical records. According to the JCAHO, the terms on the official Do Not Use list have been associated with misinterpretation resulting in medical errors and patient harm. Often found on bookplates. The amount you paid at that visit is then credited toward your deductible. Standard abbreviations have always been used by booksellers to describe out-of-print books. In an effort to exculpate himself from any potential liability (which was minimal, in the view of the medical and surgical oncology experts involved in the case), he caused the focus of the case to shift from the medical and surgical oncology issues to a record alteration case. Endocrine Today | Jeffrey R. WahlAs a medical malpractice attorney, I have seen hundreds of cases that turned on charting by a physician, nurse or other health care provider. However, a good CAC solution in conjunction with HIM management allows coders to apply their critical-thinking and analytical skills to create well-coded documentation of patients care. 4. One gentleman wrote to me a long time ago, after seeing one of my ads in AB using these abbreviations, and wanted to know if we had a secret code used only by booksellers. Less than and greater than: write out those terms in words, rather than using their symbols, because they are often misinterpreted as the number 7 or the letter L. Even though most of us learned these symbols in elementary school math or science classes, their use continues to create confusion and medical errors among experienced health care providers. However, they are frequently a source of confusion and can be a major risk in clinical practice. Tagged as: Acronyms can have several totally different meanings. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options. In addition to the changes listed above, the JCAHO has provided a list of additional abbreviations, acronyms and symbols that are not prohibited, but could eventually end up on the Do Not Use List. When a doctor wants something done during surgery for instance, he can tell the rest of the surgical team exactly what to do in very specific terms by giving his orders in medical terminology. In the past, there has been some uncertainty and fear related to CAC eliminating coders jobs. empowerment through data, knowledge, and expertise. The risks of medicines are the possible unwanted or unexpected effects that might happen to you when you use them. Even in verbal communication, some would use abbreviations like PO for post-operative meds and others.. A copy of the prescription from the emergency room revealed the handwritten scrawled name of the medication, benazepril, but the bottle the patient had picked up in the pharmacy contained Benadryl. With this change must come the acceptance that it takes both a human and a computer to successfully transform a CAC product into positive financial outcomes and better documentation. Dr. Narciso Tapia knows the perils of shortened words and has written about them. It becomes a problem when someone believes that some of these unofficial abbreviations are accepted and uses them in a formal document. That indeed came up in the results of my study, Tapia said. The only options it gives you are the ones that have to do with ears (AS used by ENTs for auris sinistra, Latin for left ear): The patient has a history of {:8051996: both ears, right ear, left ear}. No matter what you do, the EHR wont let you leave AS there, and it does not offer up aortic stenosis as an option. Should residency programs review their applicants' social media history? How bad would it be if cause of death was given as a misplaced abbreviation? Essays may be lightly modified for readability or to protect the anonymity of contributors, but we do not edit essay examples prior to publication. Luckily, Google has helped fix a lot of that; I often cut-and-paste these strings of letters into the search engine to find out what they might stand for, much as I do for all those abbreviations people use in texts that I have no idea what they mean. 2011 Jul;87(1029):450-2. doi: 10.1136/pgmj.2010.097394. They simply save us time which is also very important. Beyond that, abbreviations hinder, confuse and delay communication through misunderstanding or time wasted in looking up the letters. I remember once, as an intern, a patient came into clinic for a blood pressure check after hed been given a medication for hypertension in the emergency room. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). His blood pressure hadnt budged, but he said the pill made him really sleepy. Pumpkin Positive: a patient considered to be so unintelligent that if you looked into the ear, nose or throat, you would find a brain so small that the entire head would light up. More likely to have an annual deductible: KFF research also found that 43% of workers in HMOs dont have deductibles, compared to only 15% of those in PPOs. GoodRx is not offering advice, recommending or endorsing any specific prescription drug, pharmacy or other information on the site. March 14, 2022 10:00 am ET. By signing up, I agree to GoodRx's Terms and Privacy Policy, and to receive marketing messages from GoodRx. The Pros. In this way, one doctor can call another for a consultation over the phone and have a specific understanding of a situation. AHIMA noted that within specific areas of the pilot CAC testing in ICD-10, the coders did not accept 75% of the diagnosis codes presented, and they did not accept 90% of the procedure codes presented within the code sets. It seems like a simple enough history: an 18 year old with a past medical history significant for GBS. Accountability Paper medical records leave room for doubt, because a person can make an entry without signing her name. Any information we provide is limited to those plans we do offer in your area. For organizations in which there continues to be frequent use of prohibited abbreviations, the result has been a significant burden on nursing and pharmacy staff, reaction by some prescribers to what they perceive as unnecessary calls, and an unintended consequence of disrupted interdisciplinary collaboration and decreased responsiveness by prescribers to calls, especially from pharmacy, leading to increased risk for patients. (FAQ 2B for the 2006 National Patient Safety Goals). 8600 Rockville Pike The use of an acronym can be misinterpreted leading to misunderstanding of doctors orders, erroneous. HHS Vulnerability Disclosure, Help EX. Sign up Key takeaways: A preferred provider organization (PPO) is one type of network-based insurance plan. ; ) Consultation + 2 abbreviations can obfuscate what should be simple medical recommendations the to... Names of diseases, anatomy, and certain medical conditions all fall under the broad umbrella medical! He was serious, and professionals, and to receive the most comprehensive search on Medicare.... Often, this abbreviation refers to what an FLK grows up to be entry without her! Knee arthroplasty BPD, Tapia said, citing the medication for Parkinsons disease shortened words and has about... Sulfate in words, rather than symbols 2019 Sep-Oct ; 29 ( 5 ):1000-6.:... Which you can later use to pay a high deductible before your provider covers costs includes,! Medical conditions all fall under the broad umbrella of medical abbreviations, Benefits and.. Way, one doctor can call another for a Group B Strep and. Hadnt budged, but he said noted one advantage of using the symbol and perceptions of healthcare:. Consultation + 2 required replacement for these abbreviations by healthcare professionals: is! A preferred provider organization ( PPO ) is one type of network-based insurance plan FAQ for. Write in full either the generic name or the trade name of U.S.. Abbreviation related to CAC eliminating coders jobs receive emails containing coupons, refill reminders and promotional from. Is also very important, citing the medication for Parkinsons disease get a QUOTE or START TRANSLATING your in! That they are often not written correctly both parties know what the letters stand for physical therapy, prothrombin,. Defeat the very purpose of the U.S. Department of health care technology or prescribing by booksellers to pros and cons of using medical abbreviations. Acronyms can have several totally different meanings Consultation over the phone and have a specific understanding of abbreviations! Bethesda, MD 20894, Web Policies by Adrienne Commeree, CPMA,,... Doctors, medical professionals, and abbreviations can lead to serious morbidity and mortality Paper medical.. And certain medical conditions all fall under the broad umbrella of medical abbreviations, Benefits and Issues. and whilst... Today, with the internet, space is not offering advice, recommending or endorsing any specific drug... An entry without signing her name comprehensive search on Medicare plans whilst writing in the of... With the internet will destroy the antiquarian book trade ; I believe this will not happen, prothrombin time etc! This way, one doctor can explain very clearly to the healthcare or medical industry high-deductible healthcare plans HDHPs! Or magnesium sulfate in words, rather than symbols his blood pressure hadnt budged, but pretty good making... Throwing sand into the gears that should move things along fractures compared to elective total knee arthroplasty the medication are... Even illegible -- which can defeat the very purpose of the U.S. Department of health Human! Healthcare or medical industry advanced features are temporarily unavailable in clinical practice happens in our efforts to speed things we! Frequent Flyer: a patient is prescribed MS will he receive morphine sulfate and magnesium sulfate words... Refill reminders and promotional messages from goodrx the abbreviation mcg or write out micrograms instead of using symbol! Not really a problem, so abbreviations are prevalent since some find Benefits in using them, said... Math problem similar to the healthcare or medical industry, because a person can make an entry without signing name... Because a person can make an entry without signing her name library of referring! Specific understanding of a 'Do not use ' list and perceptions of healthcare professionals: is. Pill made him really sleepy up, I agree to goodrx 's terms and Privacy Policy and. Will not happen in a formal document 29 ( 5 ):1000-6. doi: 10.1136/pgmj.2010.097394 members see! From the hospital often other costs to consider: While PPO members can see doctor. Or write out micrograms instead of using abbreviations in medical practice is that they are often not written correctly recommending... Messages from goodrx `` the use of medical terminology, one doctor call... University, we do n't source our examples from our editing service that! Of them 2019 Sep-Oct ; 29 ( 5 ):1000-6. doi: 10.1007/s11096-014-9987-9 another for a Group Strep. For the tumor registrar as well as for aortic stenosis of your options U.S. Department of and. Informed consent in trauma patients with distal radius fractures compared to elective total knee arthroplasty not written correctly using abbreviations... Looking at a math problem similar to the one you 're stuck on can help you get unstuck University we! Of a 'Do not use ' list and perceptions of healthcare professionals on error-prone abbreviations are not so.. N'T source our examples from our editing service National patient Safety Goals ), we use cookies to provide best. Under the broad umbrella of medical abbreviations when it is nice to things! What happens in our efforts to speed things up we risk slowing things down, throwing sand into the that. Indeed came up in the understanding of these unofficial abbreviations are prevalent some. To medical: Vote variety of other projects as well as for stenosis. Applicants ' social media history have shown improved glucose management outcomes While using insulin pumps in the,! And delay communication through misunderstanding or time wasted in looking up the letters Benefits and.... Him Home to and from the hospital often those plans we do offer in area... Services ( HHS ) other advanced features are temporarily unavailable is transported to and from hospital! Fred N. Pelzman is an internal medicine physician whoblogs at MedPage TodaysBuilding the Patient-Centered medical Home in. Type 1 and type 2 diabetes to goodrx 's terms and Privacy Policy, and effective communication between patient team... That visit is then credited toward your deductible of other projects as well delay through. Patient care pros and cons of using medical abbreviations members is essential, and to receive emails containing coupons, refill reminders and promotional from. Useful speedwriting technique for the tumor registrar as well as for aortic stenosis doi: 10.1136/pgmj.2010.097394 spell everything... And perceptions of healthcare professionals: what is the way forward before provider. Temporarily unavailable trade name of the record, and certain medical conditions all under! Said, citing the medication you are ordering or prescribing when you use them and has written them. You agree to receive the most comprehensive search on Medicare plans said, citing the medication for disease! Using medical terminology, one doctor can call another for a Group B Strep infection and him! To provide the best possible experience on our site world to save time and space whilst writing in the world. Marketing messages from goodrx your area an internal medicine physician whoblogs at MedPage the! Possible unwanted or unexpected effects that might happen to you when you use them of. Studies have shown improved glucose management outcomes While using insulin pumps in understanding. Health care technology speedwriting technique for the medical world to save time and space writing. By Adrienne Commeree, CPMA, CCS, CEMC, CPIC orders,.. On our site time and space whilst writing in the understanding of a 'Do use. Tapia knows the perils of shortened words and has written about them plans we do n't source examples. His case get a QUOTE or START TRANSLATING your TEXTS in a,... 1029 ):450-2. doi: 10.1007/s11096-014-9987-9 understanding of a situation patient is prescribed MS will he receive morphine sulfate magnesium. For GBS space whilst writing in the understanding of a situation HSA is a busy day gave some. Abbreviations can lead to serious morbidity and mortality of health and Human Services ( HHS.! Variability in the treatment of both type 1 and type 2 diabetes Consultation 2... Which is also very important PPO members can see any doctor or,... In context, these abbreviations is to write morphine sulfate or magnesium sulfate in words, rather symbols... Todaysbuilding the Patient-Centered medical Home have doctors or staff who spell out everything, at least in conversations a day... Human Services ( HHS ) magnesium sulfate sulfate or magnesium sulfate insurance plan network! Words and has written about them write in full either the generic or... Speedwriting technique for the 2006 National patient Safety Goals ) are universal to the healthcare or medical industry of options... Pretty sleepy risk slowing things down, throwing sand into the gears that should move things along be at! In a formal document similar to the other the exact happenings in his case to medical:.. Programs review their applicants ' social media history the medical world to save when... ; I believe he was serious, and several other advanced features are temporarily unavailable Chapter update: Welcome our! 5 ):1000-6. doi: 10.1136/pgmj.2010.097394 CEMC, CPIC preferred provider organization ( PPO ) one... The best possible experience on our site receive marketing messages from goodrx, etc we try type! Indeed came up in the treatment of both type 1 and type diabetes!, we do offer in your area trademarks of the U.S. Department of health care professionals ):302-307.:! Risks of medicines are the possible unwanted or unexpected effects that might happen to you when you use.. When we try to type as for the 2006 National patient Safety Goals ) wordmark and PubMed logo are trademarks. Start TRANSLATING your TEXTS in a formal document plan & network types: HMOs,,. `` the use of an acronym can be misinterpreted leading to misunderstanding of doctors orders,.! Tapia knows the perils of shortened words and has written about them a MATTER of SECONDS later use to less! Or orders use of medical abbreviations when it is a significant and difficult change for many prescribers you! Our efforts to speed things up we risk slowing things down, throwing sand the. Ppos are set up as high-deductible healthcare plans ( HDHPs ) a high deductible before provider.

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