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 ...

On April 22, 2024, the Centers for Medicare and Medicaid Services (CMS) released a final rule that will require long-term care facilities (LTCFs) to satisfy minimum nurse staffing standards with the ...

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 ...

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 part of the Biden administration’s initiative to ensure safe and quality care in long-term care facilities, on May 10, 2024, the Centers for Medicare & Medicaid Services (“CMS”) published a final ...

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, ...

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 ...

RECORD-KEEPING or documentation is an essential part of nursing practice that has clinical and legal significance at the same time. It is said that quality documentation improves patient care which ...

Revisions to the 2009 American Society of Clinical Oncology/Oncology Nursing Society Chemotherapy Administration Safety Standards: Expanding the Scope to Include Inpatient Settings Forty-four (80%) of ...

Back in the days when computerized documentation was still a pipe dream and we had callouses from so much writing, nurses often grumbled about charting. Here is a familiar observation: "In spite of ...