Our clinic’s speech recognition was updated this morning, and it’s auto-inserting default phrasing in H&Ps and discharge summaries that changes abbreviations and laterality; I caught ‘ileum’ swapped to ‘ilium’ and ‘mg’ to ‘mcg’ in one op note. Are other teams adjusting their secretarial/transcription QA to account for these algorithmic auto-expansions without slowing TAT, and if so, what checkpoints are working?
Saw the same “ileum/ilium” and “mg→mcg” gremlins after our update. We added a pre-sign macro that pauses on a small watchlist (ileum/ilium, mg/mcg, left/right) for confirm/skip; it adds about 20 seconds per note and has already caught two near-misses. If your vendor allows it, dial back “ambiguous auto-expansions” per template instead of globally — autocorrect with a scalpel.
Quick idea: build banded one-pagers (K–2, 3–5, 6–8) that pair SRSD steps with Zones colors — e.g., “Plan–Do–Check” with a green/yellow/red self-check strip — keeping K–2 icon-heavy and 6–8 text-forward, like training wheels you can peel off. SMARTS EF has printable strategy sheets you can adapt across grades: https://smarts-ef.org — not strictly SRSD, but it maps well to planning and self-monitoring. Do you want editable Slides or just PDFs?
I once chased a 10% swing and it turned out to be inconsistent scoop dwell time — we set a quiet metronome to a 1.5-second dip and told everyone “level on the rim, release on the beep,” which flattened the spread more than any tool tweak, even with the “calipers out.” If your 12.6% spike shows up around 6:05 a.m., try that for one run and see if the tops stop creeping.
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Switched to SR ‘conservative expansions’ and added exceptions for laterality/anatomy; TAT held, punctuation got fussier.