Our notes have changed and adapted over the years, especially as we went from paper charts to the electronic health record.

The Clinical Systems Department at the study site had implemented various forms of an EHR documentation for nursing and was aware of some existing problems and issues that required attention.

The majority of nurses, 64%, preferred bedside documentation but reported that environmental and system barriers often prevent EHR charting at the bedside. Overall, 75% of nurses thought EHRs had ...

Improvements to documentation should consider the roles of the EHR, patient, and clinician together. Increasingly, documentation itself should become an active and interventional tool to improve ...

Opinion: Before integrating AI scribes into the exam room, physicians must honestly examine the root causes of the problems ...

At its annual Meditech Live conference, Meditech unveiled plans to enhance its Expanse EHR with conversational and generative AI to ease clinicians' documentation workloads, a move aimed at ...

When a person initiates a discussion about a health issue with their doctor, the matter only makes it into their electronic health record 45% of the time, researchers found. In comparison, health ...

Discover the impact of AI-powered ambient documentation on clinician efficiency and work-life balance in a new study from NEJM AI. Learn more here.

North Texas Preferred Health Partners streamline clinical documentation for in-office and telehealth visits WESTBOROUGH, Mass.--(BUSINESS WIRE)--eClinicalWorks®, the largest ambulatory cloud EHR ...

Interim HealthCare agencies in Colorado Springs, Fort Collins, Pueblo, and Tucson are set to implement Netsmart’s integrated ...