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Documentation in nursing is crucial for patient safety, care continuity, and legal compliance.
Documentation in nursing serves as a vital aspect of medical practice by ensuring accurate, timely, concise, and thorough documentation is maintained, which is key for patient safety and continuity of care. It encompasses everything written or printed within a patient record, including care plans, research results, case studies, and electronic health records. In nursing, the quality of documentation directly impacts patient care outcomes, regulatory compliance, and legal considerations.
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