Proactive documentation using AI reviews all patient data to reduce clinician burden and enhance care quality and efficiency.

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 ...

Here are five best practices for maintaining accurate, complete and thorough clinical documentation in your ambulatory surgery center. 1. Put a formal policy in place. Jack Egnatinsky, MD, a medical ...

"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 ...

An industry first: Ambience Healthcare becomes the only ambient AI to deliver comprehensive patient context before encounters, extending beyond documentation to clinical workflow transformation SAN ...

Artificial Intelligence is becoming increasingly more common in nearly every aspect of life, including our healthcare. So how ...

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.

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 ...

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 ...

I recently took care of a patient whose medical records included multiple notes about her past open-heart surgery. Only she had never undergone open-heart surgery. That would have been obvious if the ...

Dozens of people every day could provide care or services at this stage, when a patient is moved to an inpatient room. This is a labor-intensive stage that typically lasts about four days. In addition ...

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, ...