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Academic Journal

Electronic nursing documentation for patient safety, quality of nursing care, and documentation: a systematic review .

  • Authors : Wahyuni ED; Department of Nursing, Universitas Airlangga, Surabaya, Indonesia.; Nursalam N

Subjects: Patient Safety*/Patient Safety*/Patient Safety*/standards ; Documentation*/Documentation*/Documentation*/standards ; Quality of Health Care*

  • Source: JPMA. The Journal of the Pakistan Medical Association [J Pak Med Assoc] 2024 Sep; Vol. 74 (9), pp. 1669-1677.Publisher: Pakistan Medical Association Country of Publication: Pakistan NLM ID: 7501162 Publication Model: Print Cited Medium: Internet ISSN:

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Academic Journal

Bedside Nurse Documentation Practices: At the Patient Bedside or Not?

  • Authors : Gauthier-Wetzel HE; Author Affiliation: Research & Development, Center of Innovation (COIN), Health Equity and Rural Outreach Innovation Center (HEROIC), Ralph H. Johnson VA Medical Center, Medical University of South Carolina.

Subjects: Documentation*/Documentation*/Documentation*/standards ; Documentation*/Documentation*/Documentation*/methods ; Nursing Records*

  • Source: Computers, informatics, nursing : CIN [Comput Inform Nurs] 2024 Sep 01; Vol. 42 (9), pp. 629-635. Date of Electronic Publication: 2024 Sep 01.Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 101141667 Publication Model: Electronic Cited Medium: Internet

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Academic Journal

Do goals of care documentation reflect the conversation?: Evaluating conversation-documentation accuracy.

  • Authors : Ma JE; Geriatric Research Education and Clinical Center, Durham VA Health System, Durham, North Carolina, USA.; Division of General Internal Medicine, Department of Medicine, Duke University School of Medicine, Durham, North Carolina, USA.

Subjects: Documentation*/Documentation*/Documentation*/standards ; Documentation*/Documentation*/Documentation*/methods ; Patient Care Planning*

  • Source: Journal of the American Geriatrics Society [J Am Geriatr Soc] 2024 Aug; Vol. 72 (8), pp. 2500-2507. Date of Electronic Publication: 2024 Apr 09.Publisher: Blackwell Science Country of Publication: United States NLM ID: 7503062 Publication Model: Print-Electronic Cited Medium: Internet ISSN:

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Academic Journal

Child Sexual Abuse Documentation in Primary Care Settings.

  • Authors : MacPherson SC; Department of Pediatrics, Duke University Health System, Durham, NC, USA.; School of Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

Subjects: Primary Health Care*/Primary Health Care*/Primary Health Care*/statistics & numerical data ; Child Abuse, Sexual*/Child Abuse, Sexual*/Child Abuse, Sexual*/statistics & numerical data ; Child Abuse, Sexual*/Child Abuse, Sexual*/Child Abuse, Sexual*/diagnosis

  • Source: Clinical pediatrics [Clin Pediatr (Phila)] 2024 Oct; Vol. 63 (9), pp. 1247-1257. Date of Electronic Publication: 2023 Dec 24.Publisher: Sage Publications Country of Publication: United States NLM ID: 0372606 Publication Model: Print-Electronic Cited Medium: Internet ISSN:

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Academic Journal

The Impact of Collaborative Documentation on Person-Centered Care: Textual Analysis of Clinical Notes.

  • Authors : Stanhope V; Silver School of Social Work, New York University, 1 Washington Square N, New York, NY, 10003, United States, 1 3016931203.; Yoo N

Subjects: Patient-Centered Care* ; Natural Language Processing* ; Documentation*/Documentation*/Documentation*/methods

  • Source: JMIR medical informatics [JMIR Med Inform] 2024 Sep 20; Vol. 12, pp. e52678. Date of Electronic Publication: 2024 Sep 20.Publisher: JMIR Publications Country of Publication: Canada NLM ID: 101645109 Publication Model: Electronic Cited Medium: Internet ISSN:

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Academic Journal

AI-Powered Clinical Documentation and Clinicians' Electronic Health Record Experience: A Nonrandomized Clinical Trial.

  • Authors : Liu TL; Center for Health System Sciences, Atrium Health, Charlotte, North Carolina.; Hetherington TC

Subjects: Electronic Health Records*/Electronic Health Records*/Electronic Health Records*/statistics & numerical data ; Electronic Health Records*/Electronic Health Records*/Electronic Health Records*/standards ; Documentation*/Documentation*/Documentation*/standards

  • Source: JAMA network open [JAMA Netw Open] 2024 Sep 03; Vol. 7 (9), pp. e2432460. Date of Electronic Publication: 2024 Sep 03.Publisher: American Medical Association Country of Publication: United States NLM ID: 101729235 Publication Model: Electronic Cited Medium: Internet

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Academic Journal

Right-sizing Documentation: What the Pandemic Taught Us about Clinical Documentation and Quality of Care.

  • Authors : Kelley T; Healthcare Innovation Online Graduate Certificate Program, Nursing and Engineering Innovation Center, University of Connecticut, School of Nursing, Storrs, CT, USA; iCare Nursing Solutions, Boston, MA, USA

Subjects: COVID-19*/COVID-19*/COVID-19*/epidemiology ; COVID-19*/COVID-19*/COVID-19*/nursing ; Documentation*/Documentation*/Documentation*/standards

  • Source: Critical care nursing clinics of North America [Crit Care Nurs Clin North Am] 2024 Sep; Vol. 36 (3), pp. 393-406. Date of Electronic Publication: 2024 May 14.Publisher: Elsevier Health Sciences Division Country of Publication: United States NLM ID: 8912620 Publication Model: Print-Electronic Cited Medium:

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Academic Journal

Lost in translation: Unveiling medical students' untold errors of medical history documentation.

  • Authors : Lange S; Institute of Medical Education, LMU University Hospital, LMU Munich, Munich, Germany.; Department of Dermatology and Allergy, LMU University Hospital, LMU Munich, Munich, Germany.

Subjects: Students, Medical*/Students, Medical*/Students, Medical*/psychology ; Medical History Taking*/Medical History Taking*/Medical History Taking*/standards ; Documentation*/Documentation*/Documentation*/standards

  • Source: The clinical teacher [Clin Teach] 2024 Aug; Vol. 21 (4), pp. e13749. Date of Electronic Publication: 2024 Mar 03.Publisher: Blackwell Pub Country of Publication: England NLM ID: 101227511 Publication Model: Print-Electronic Cited Medium: Internet ISSN:

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Academic Journal

Streamlining documentation in patient electronic medical records: An example of chlamydia consultation shortcuts.

  • Authors : Goller JL; GradDip (Nursing), MPH, MHlthSc, PhD, Senior Research Fellow, Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Vic.; Bittleston H

Subjects: Electronic Health Records* ; Documentation*/Documentation*/Documentation*/methods ; Documentation*/Documentation*/Documentation*/standards

  • Source: Australian journal of general practice [Aust J Gen Pract] 2024 Oct; Vol. 53 (10), pp. 777-781.Publisher: Royal Australian College of General Practitioners Country of Publication: Australia NLM ID: 101718099 Publication Model: Print Cited Medium:

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Academic Journal

Accounting for taste: preferences mediate the relationship between documentation time and ambulatory physician burnout.

  • Authors : Apathy NC; Health Policy & Management, University of Maryland School of Public Health, College Park, MD 20742, United States.; Regenstrief Institute, Indianapolis, IN 46202, United States.

Subjects: Burnout, Professional* ; Electronic Health Records* ; Documentation*

  • Source: Journal of the American Medical Informatics Association : JAMIA [J Am Med Inform Assoc] 2024 Oct 01; Vol. 31 (10), pp. 2246-2254.Publisher: Oxford University Press Country of Publication: England NLM ID: 9430800 Publication Model: Print Cited Medium: Internet ISSN:

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  • 1-10 of  7,623,996 results for ""DOCUMENTATION""