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 ...

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 ...

The root causes of nursing burnout are varied – as are potential solutions for it. However, given that nurses are frequently responsible for clinical documentation, it's perhaps not surprising that ...

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 ...

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 ...

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 ...

Nursing homes are facing rising legal risk as plaintiffs are increasing their use of AI to analyze medical records and public ...

Federal officials have quietly withdrawn the only new nursing home quality measure that had been listed as “under consideration” for future years.

"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 ...