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 ...

Accurate coding and documentation enable seamless care coordination and continuity for patients. Through comprehensive documentation, primary care providers (PCPs) can capture all relevant patient ...

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 ...

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

Professor and Associate Dean for Technology and Innovation, and senior scientist at the UAB Informatics Institute, Jacqueline Moss, PhD, RN, FAAN, first became interested in informatics as she ...

"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 ...

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 ...

A descriptive study of nurse-end users of an EHR documentation system yielded important information about barriers, frustrations, needs, and preferences of nursing staff. Using a researcher-developed ...