Proper documentation is a necessary component of modern health care. Diligent documentation is essential for more than just good patient care. It is also the surest way to protect your professional ...

"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 ...

The Legal Advisor often discusses the importance of documentation. This month’s case is a prime example of how taking good chart notes saved the APRN from liability.

For more information about Charting Hero, or to take advantage of the free trial, please visit https://chartinghero.com. About Charting Hero Charting Hero is an AI-powered medical scribe platform ...

HLTH Booth #3021 — Ambience Healthcare, the leading ambient AI platform for documentation, coding, and clinical workflows, today announced that it has been ranked #1 for improving the clinician ...

Despite major investments in EHRs and AI tools, clinicians today still face a gap between available patient data and actionable diagnostic insights. Only three percent of patient data – key ...

Cardiopulmonary resuscitation in hospitalized patients with advanced cancer is associated with high rates of morbidity and mortality. Although advance care planning (ACP) in this population improves ...

Regard has upgraded its AI platform to enable doctors to more accurately diagnose patients at the bedside. The company developed a proprietary diagnostic engine to identify missed conditions like ...

The state Medical Examining Board has reprimanded and fined Dr. Judith Major, of Shelton, $7,500 for changing a patient’s chart after DPH officials notified her that the patient had filed a complaint ...

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, ...