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

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 ...

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 ...

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 ...

Nearly 8 in 10 acute care nurses say they lose time each week to unproductive charting, and those facing the heaviest documentation burdens are significantly more likely to experience burnout and ...

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 ...

The intensive care unit at Alder Hey Childrenâ s Hospital decided to use a speech-to-text software program to release nurses from the increasing burden of complex, free-text documentation. Nurses were ...

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 ...

"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 ...