What are the Common Errors in Nursing Documentation?
Common errors in nursing documentation include:
Omissions: Failing to document important information such as medication administration or changes in the patient's condition. Inaccuracies: Recording incorrect data or making typographical errors. Late Entries: Documenting events long after they occurred, which can lead to inaccuracies. Subjectivity: Including personal opinions or non-factual information. Illegibility: Handwritten notes that are difficult to read.