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 ...

For New Jersey’s JFK EMS, a mobile-first strategy boosts accuracy, speeds documentation and strengthens quality improvement ...

"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 ...

Powered by OpenAI’s Reinforcement Fine-Tuning technology, this first-in-class AI copilot delivers real-time, patient-specific, evidence-based insights, directly within the EHR, underpinned by trusted ...

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 ...

Care Qventus launches gap and coding automation suite to improve patient care and increase reimbursement accuracy in real time.

It’s official: doctors treat charts, not people. Harvard researcher Russell Phillips reckons physicians of many stripes are now "data entry technicians." My preferred term is “checklist monkeys.” The ...