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 ...

"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 ...

Rachel Moscicki is on the leading edge of a movement for nurses to use speech recognition and natural-language-processing technology to record their clinical documentation, saving time and optimizing ...

Surgical nurses need to improve the documentation of post-operative pain assessment and management, suggests a new study. Using three pain audit tools, nurse researchers reviewed a random sample of ...

The research study was a descriptive, cross-sectional design to assess functionality, needs and preferences, and attitudes of 100 nursing personnel (RNs, licensed practical nurses, and nursing ...