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 ...

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Providing nursing students with the opportunity to audit nursing charts in a real-world scenario may change their perspective about the charting process.

Computer-assisted coding, which recently has spread from hospital outpatient departments like radiology to some hospitals' inpatient departments, now is invading physician coding, as well.

For this reason pocket charting was the subject of one of a number of computer assisted learning (CAL) programmes developed within the department.

Traditionally, the purpose of nursing documentation is to facilitate information flow that supports the continuity, quality, and safety of patient care. [2] Over time, documentation has ...