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 ...

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 ...

Proper documentation is a necessary component of modern health care. Diligent documentation is essential for more than just good patient care. It is also the surest way to protect your professional ...

Credit: Getty Images. Providing nursing students with the opportunity to audit nursing charts in a real-world scenario may change their perspective about the charting process. The entire student audit ...

Nurses report increased stress levels, and they have said a major contributor to burnout is unproductive charting – a burden that the KLAS Arch Collaborative says hospitals and health systems are able ...

There is ongoing discussion about physician burnout and stress, but doctors aren't the only ones under pressure. A 2020 nursing survey found that almost two-thirds of nurses (62%) experienced burnout ...

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, ...