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 ...

SOAP notes are the backbone of clear, consistent, and legally sound nursing documentation. By mastering their structure—Subjective, Objective, Assessment, and Plan—nurses can ensure better patient ...

CLEVELAND, Ohio — Cleveland Clinic is the first U.S. health system to pilot Chart Chat for Nursing, described as the first ...

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 ...

Nursing documentation is the backbone of safe, effective patient care, but it can be time-consuming and overwhelming. By embracing best practices, informatics tools, and even AI-powered EHR systems, ...

"While there is some skepticism among nurses, I believe that when applied in the right settings, artificial intelligence is far from a threat," says Hadassah Backman, CEO of Guardoc, a clinical data ...

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 ...

In short, nurse practitioners -- advanced practice registered nurses with either a master's degree or a doctorate -- want to change the law that requires them to be supervised by a physician. At stake ...

"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 ...