Whose Chart Is It, Anyway? "The purpose of an EHR should be helping the end users (us) to be more efficient in charting and free up time for direct patient care," observed a Medscape reader. However, ...

Keeping accurate documentation and nursing charts of your patients' information is sound business practice for your health care facility, doctor's office or clinic. All health care personnel should be ...

Maintaining high quality clinical documentation is essential for a number of reasons, including improved patient safety and better adherence to accreditation standards. Marie Boyd, administrator at ...

Nursing documentation is a cornerstone of contemporary healthcare, integrating systematic recording of patient observations, interventions, and outcomes with the aim of enhancing effective care ...

Nursing documentation is often cited as a factor for nursing burnout, and many organizations are rethinking the approach to the old philosophy of "If it's not documented, it didn't happen." Banner ...

Nurses spend up to 41% of their workdays in electronic health records, according to a 2022 report from the Office of the U.S. Surgeon General. As hospitals test the capabilities of ambient listening, ...

Let’s face it. Nursing documentation can get you in trouble with your supervisor, make a surveyor faint, make a lawyer rich or make blog readers laugh. I’m going for the last here. So doing a search, ...

Imagine that you want to progress in your profession, but you’re unable to do so because of hard work, obligations to your family, or maybe the distance to the closest institution is too great. Many ...

What's going on with the patient? The ability to read a patient's "story" is highly valued in healthcare, not only by nurses but also by clinicians in many other disciplines. [10] Following the advent ...