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, ...

Nursing documentation is a cornerstone of contemporary healthcare, integrating systematic recording of patient observations, interventions, and outcomes with the aim of enhancing effective care ...

FALLS CHURCH, Va. & KANSAS CITY, Mo.--(BUSINESS WIRE)--Helping to streamline electronic documentation processes for perioperative care, CSC (NYSE: CSC) and the Association of periOperative Registered ...

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 ...

A. Jay Holmgren ([email protected]), University of California San Francisco, San Francisco, California. Julia Adler-Milstein, University of California San Francisco. Nate C. Apathy, University of ...

RECORD-KEEPING or documentation is an essential part of nursing practice that has clinical and legal significance at the same time. It is said that quality documentation improves patient care which ...

The handwriting is on the wall when it comes to replacing handwritten prescriptions with electronic systems at some local hospitals. The North Shore-Long Island Jewish Health System and Stony Brook ...

In one of the few recent studies to examine this question objectively, Yee and colleagues [8] assessed time spent by nurses documenting on EHRs compared with paper charting. A cross-sectional analysis ...