Category archives for Electronic Medical Records

NURSING DOCUMENTATION: PATIENT CARE AND LEGAL RAMIFICATIONS

The quality of nursing documentation is an important issue for both patients and nurses.  Obviously quality nursing documentation enhances patient care as this leads to better communication of the issues. “No matter how skilled or experienced you are, inaccurate or incomplete nursing documentation can mean serious trouble for your patients—and for you if you’re ever […]

Electronic Medical Records: How to Navigate Your Way Through the Paper Printouts

  The patient’s healthcare record has evolved into the most reliable source of data available to fulfill multiple purposes and functions.  As many as 150 end users seek access to a standard medical record.  With ever increasing numbers of individuals needing the information in a medical record, the physical condition and location of the record […]