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 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 ...

Rachel Moscicki is on the leading edge of a movement for nurses to use speech recognition and natural-language-processing technology to record their clinical documentation, saving time and optimizing ...

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, ...

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 ...

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 ...

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, ...