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 ...

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 ...

Cheristi Cognetta-Rieke, DNP, RN, vice chair for nursing at the Mayo Clinic, says nursing documentation is undergoing a "fundamental shift." At the 2026 HIMSS Global Health Conference & Exposition in ...

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, ...

Advocate Health has been aiming to take cognitive and documentation load off its nursing staff by implementing AI and virtual nursing. The Charlotte, N.C.-based health system recently launched Project ...

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 ...