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 homes could soon be measured on their ability to capture advance care planning documents for their patients.

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 ...

Audit activity is expanding in the nursing home sector, with improper payments rising and nursing homes continuing to lead 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 ...

Implementing speech-to-text systems for nursing documentation requires a cultural change in the way nurses view record keeping Abstract The intensive care unit at Alder Hey Children’s Hospital decided ...

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 ...

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 ...