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, ...

Hand-in-hand with real-time charting is point-of-care documentation, representing another change in nurses' workflow ushered in by EHRs. The idea is that computer workstations would be located in ...

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 ...

Documentation and assessments are crucial to following patients’ progress. One action research project radically changed processes to improve patient care Abstract Lees L (2010) An action research ...

Across healthcare, efforts to advance documentation are often focused on enhancing physicians’ workflow. But at Baltimore-based Johns Hopkins Hospital, leaders are equally focused on improving ...

Nurses report increased stress levels, and they have said a major contributor to burnout is unproductive charting – a burden that the KLAS Arch Collaborative says hospitals and health systems are able ...

"We must remember that the EHR is a tool; it should not dictate how we practice," wrote a Medscape reader. Perhaps it should not, but does it? The fact is, EHRs are far more than a method of entering ...