"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 ...

Success with nursing AI will depend on designing tools around the realities of bedside care, governance and operational ...

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 ...

Nursing documentation is more than paperwork—it’s a lifeline for patient safety, communication, and legal protection. From practical charting tips to AI-powered tools, new strategies are helping ...

Cheristi Cognetta-Rieke, DNP, RN, vice chair for nursing at the Mayo Clinic, says nursing documentation is undergoing a "fundamental shift." At the 2026 HIMSS Global Health Conference & Exposition in ...

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 ...

Documentation and assessments are crucial to following patients’ progress. One action research project radically changed processes to improve patient care Liz Lees MSc, Dip HSM, BSc, DipN, RGN, is ...

Standardized nursing documentation and care processes constitute a critical framework for delivering consistent, high-quality patient care. At their core, these systems employ agreed-upon ...

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 ...