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Accountability for Documentation

Emerging RN Leader

Recently, nurse leaders have talked with me about professional nurses who don’t document […] The post Accountability for Documentation appeared first on Emerging Nurse Leader. Ethicists have commented that there has been a change in the willingness of individuals to accept responsibility. for their behavior.

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If It’s Not Documented, It Was Not Done

Empowered Nurses

How many times have you heard this “If it’s not documented, it was not done?” Your documentation will save you every time. Some common areas where lack of documentation becomes concerning include: Failing to document Verbal Orders. It is imperative to document verbal orders. I assume many and it is so true.

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171K+ clicks saved: Inside Johns Hopkins' nurse documentation revamp

Becker's Hospital Review

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 documentation in nursing.

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Systems ramp up efforts to reduce documentation time

Becker's Hospital Review

Discover how Ochsner Health's use of Epic has saved nurses 11 million clicks and 10 minutes of documentation time, with plans for even more time saved.

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Revolutionizing Nursing Care: Abridge, Mayo Clinic, and Epic Team Up for Cutting-Edge AI Documentation Solution

Daily Nurse

Today, Abridge, Mayo Clinic, and Epic have revealed an innovative AI ambient documentation workflow designed for nurses. Mayo’s nurses will be invaluable in designing and testing this solution, which complements Abridge’s doctor-facing documentation product. Ryannon Frederick, M.,

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What Nurses Need to Know About Metadata, Documentation, and Legal Liability

American Nurse

What nurses need to know about metadata, documentation, and legal liability Metadata analysis of information in a patient’s electronic health record (EHR) has the potential to provide valuable information to attorneys in the case of a lawsuit. Avoid documentation gaps. Don’t copy and paste text from one patient’s EHR to another.

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What Nurses Need to Know About Metadata, Documentation, and Legal Liability

American Nurse

What nurses need to know about metadata, documentation, and legal liability Metadata analysis of information in a patient’s electronic health record (EHR) has the potential to provide valuable information to attorneys in the case of a lawsuit. Avoid documentation gaps. Don’t copy and paste text from one patient’s EHR to another.