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

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 ...

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, ...

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 ...

As the Cardiovascular (CV) Clinical Nurse Specialist (CNS) at The Miriam Hospital (TMH), it is my responsibility to provide for our heart failure patients. In this capacity I have been a resource to ...

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 ...

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 ...