Describe the challenge of institutions to help nursing staff refine their charting skills.

Discuss National Patient Safety Goals for Hospitals from JCAHO.

Name five sections of information a medical record must contain.

Discuss why computerized charting is good.

Describe major issues involved in documentation litigation.

Discuss how documentation on the patient’s medical record is controlled.

Discuss how care plans provide a structured approach to the assessment, planning and delivery of patient care.

Name three ways to avoid nursing liability for inadequate or inaccurate documentation.