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 ...

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 ...

As the Cardiovascular (CV) Clinical Nurse Specialist (CNS) at The Miriam Hospital (TMH), it is my responsibility to provide for our heart failure patients. In this capacity I have been a resource to ...

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 ...

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 ...

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, ...