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 ...

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 ...

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, ...

"While there is some skepticism among nurses, I believe that when applied in the right settings, artificial intelligence is far from a threat," says Hadassah Backman, CEO of Guardoc, a clinical data ...

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 ...

The hospital used reports in Epic to discover that nurses were spending more than 30 percent of their 12 hour shifts working in the hospital systems EHR. The hospital formed “Project Joy” in 2017 to ...

So, have you ever realized that when you go to look at nurses’ notes in the medical record that you are making the same face you make when opening the door to a public restroom stall? Because you ...

An RN’s careful note-taking protects hospital from liability. This month we look at a case in which a nurse’s careful documentation of a patient’s neurologic examination findings saved the day for a ...

"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 ...