The nursing shared governance clinical informatics and technology council identified that nursing admission documentation was particularly cumbersome and time consuming. The group established four guiding principles used to judge if the assessment field added value…
The healthcare environment has entered the post-pandemic era where efficient management of clinical care and workflow is even more critical as the nation undergoes nursing workforce shortage and high turnover rates…
Ten years after implementation of the electronic health record, what are nurses saying? In 2014, nurses were satisfied with the electronic health record. In 2018, nurses were still satisfied but identified barriers with system updates and documentation burden…
This literature review consists of an appraisal of nursing cognitive overload and electronic documentation burden literature. Review findings are synthesized into two themes: ‘user-centered redesign’ and ‘cognitive support needed for nurses…
The healthcare environment has entered the post-pandemic era where efficient management of clinical care and workflow is even more critical as the nation undergoes nursing workforce shortage and high turnover rates…
Key components and outcomes of a flowsheet documentation redesign process that decreased duplication, redundancy, and non-value-added tasks are discussed…
A nursing efficiency project guided by the plan-do-study-act model improved nursing documentation satisfaction by 70% within 5 months of project institution…
Clinical informatics ambassadors quickly identified areas of opportunity to improve standard documentation and reduce duplicative charting in the electronic health record. A quality improvement initiative using data analysis and end-user engagement helped to improve nurse efficiency…
Our institution has been challenged with the time it takes to complete the electronic version of the admission history power form, a vital documentation component of the patient’s episode of care…
Project description: Electronic documentation burden is well documented in the literature. During the initial COVID-19 surge period in 2020, this burden was elevated to a critical level…
Purpose: The purpose of this project was to optimize nursing documentation of MTP blood products to improve documentation accuracy, timeliness, and completeness…
Addressing the intricate challenges presented by documentation burden, involving a multitude of stakeholders, processes, policies, and external regulations, is imperative for sustaining meaningful and efficient healthcare practices…
The American Medical Informatics Association (AMIA) defines documentation burden as the stress resulting from excessive work required to document in the electronic health record (EHR)…
Nurses are the largest users of electronic health record (EHR) systems in health care. Front-line nurses at our healthcare system expressed the need to remove unnecessary documentation and improve efficiency in Epic…
Background: In clinical practice, nurses increasingly rely on evidence-based resources accessed through digital platforms to ensure quality and safety in patient care…
Introduction/background: Nurses must adapt to an evolving digital landscape, with electronic health records (EHRs) becoming central to their workflow. Yen et al…
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