TY - BOOK AU - AU - ED - ED - ED - Lippincott Williams & Wilkins. ED - SN - 158255238X (paperback : alkaline paper) SN - 2 PY - 2003///];copyright 200346 CY - Springhouse, Pennsylvania PB - Lippincott Williams & Wilkins KW - KW - 2 KW - 0 KW - 6 KW - 20 KW - Nursing records.;Nursing care plans.;Nursing Records.;Documentation;Forms and Records Control KW - Nurses' Instruction.;Nurses' Instruction N1 - Includes bibliographical references and index; Nursing documentation and the medical record -- Legal and ethical implications of documentation -- Performance improvement and reimbursement -- Documentation systems -- Documentation of the nursing process -- Documentation in acute care -- Documentation in long-term care -- Documentation in home health care -- Documentation in ambulatory care -- Documentation of everyday events -- Documentation of selected clinical specialties -- Legally perilous documentation practices -- Computerized patient records -- The future of automated documentation; 5 ER -