In two recently published manuscripts, hundreds of nurses reported delays in care, suboptimal care, nursing moral distress, falsifying of nursing documentation, and loss of autonomy to use nursing ...

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

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, ...

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 ...

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 CMS is pumping the brakes on enforcing an Obama-era regulation that sought to improve quality of care and safety at nursing homes. Industry stakeholders welcome the move and said they need more ...

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 ...