You are clinically and legally responsible for every note that enters the medical record. Always treat Quiver’s output as a summary requiring thorough review.
When summaries are available
Summaries typically take 30-60 seconds after you end a transcription session. Access summaries from:- The session completion screen (immediately after ending a sessiion)
- Your History tab (for past sessions)
Fast review workflow
Follow this systematic approach to review summaries efficiently:1. Read the entire note
Read from top to bottom without editing. Get a sense of completeness and flow before making changes.2. Fix transcription errors
Correct obvious mistakes:- Misspelled words
- Incorrect medical terminology
- Garbled phrases or incomplete sentences
3. Verify clinical safety items
Check high-risk elements that commonly cause adverse events or administrative rework:| Item | What to verify |
|---|---|
| Medications | Names, doses, routes, frequencies, durations |
| Measurements | Laterality (left/right), sizes, quantities, vital signs |
| Allergies | Documented allergies and adverse reactions |
| Red flags | Safety netting, warning signs, escalation criteria |
| Follow-up | Timing, responsible party, specific instructions |
| Key negatives | ”No”, “denies”, “absent” qualifiers and their context |
| Time course | Onset, duration, progression of symptoms |
4. Edit for completeness
Add missing information that was discussed but not captured:- Examination findings stated briefly
- Results reviewed during the encounter
- Clinical reasoning or differential considerations
- Patient questions or concerns addressed
5. Edit for style and clarity
Refine the note to match your documentation standards:- Use short, specific sentences
- Make the assessment and plan explicit
- State uncertainty clearly rather than implying certainty
- Remove conversational filler or off-topic content
6. Finalize
Save the edited note and transfer it to your medical record system using your usual workflow.Critical safety checks
Always verify these elements before finalizing:Medications and prescriptions
Medications and prescriptions
- Generic and brand names spelled correctly
- Doses with proper units (mg, mcg, mL, etc.)
- Routes specified (PO, IV, IM, topical, etc.)
- Frequencies clear (daily, BID, PRN, etc.)
- Durations stated when applicable
- Interactions or contraindications noted
Laterality and measurements
Laterality and measurements
- Left vs. right specified for paired structures
- Sizes include units (cm, mm, inches)
- Vital signs with proper units and context
- Lab values with reference ranges when relevant
Safety netting and follow-up
Safety netting and follow-up
- Red flag symptoms explained to patient
- Return precautions documented
- Follow-up timing specified (days, weeks, months)
- Responsible party identified (patient, clinic, specialist)
- Escalation criteria clear
Allergies and adverse reactions
Allergies and adverse reactions
- Known allergies documented
- Reaction types specified (rash, anaphylaxis, intolerance)
- Severity noted when relevant
- Cross-reactivity considered for new prescriptions
Editing best practices
Be specific
Vague: “Patient has pain.”Specific: “Patient reports sharp, intermittent right lower quadrant pain for 6 hours, worsening with movement.”
State uncertainty
Avoid: “Patient has appendicitis.”Better: “Clinical presentation concerning for appendicitis. Surgical consult requested.”
Remove non-clinical content
Delete anything that doesn’t belong in the medical record:- Small talk or social conversation
- Interruptions or side conversations
- Administrative discussions unrelated to care
- Personal information not relevant to treatment
Keep it concise
Wordy: “The patient stated that they have been experiencing symptoms of nausea and vomiting that have been ongoing for approximately three days.”Concise: “Patient reports nausea and vomiting for 3 days.”
Common issues and fixes
| Issue | How to fix |
|---|---|
| Missing section | Add content manually if it was discussed but not captured |
| Wrong section | Move content to the appropriate heading |
| Duplicate information | Remove redundancy, keep the most complete version |
| Unclear speaker attribution | Clarify who said what (patient vs. clinician) |
| Incomplete differential | Add considerations you stated verbally |
Optimizing for future sessions
If the summary is significantly incomplete or inaccurate, consider whether:- Audio quality was poor (background noise, distance from device)
- Multiple overlapping speakers made transcription difficult
- Technical issues interrupted the session
- The consultation was unusually complex or non-linear
Next steps
After finalizing your note:- Save it to your electronic medical record
- Complete any required attestations or signatures
- File or archive the session in Quiver Transcribe