"Charting by Exception" sounds like a BUZZ WORD from about 1985. That was the IN thing to do.
THEN the public got wind of malpractice by listening to TV commercials from.....oh AMBULANCE CHASING ATTORNEYS! That's when the *jit hit the fan.
Were you injured in a hospital.....call Benjamin E.......**z and get what is coming to you. Benjamin E........**? Let's settle this one.
I've not been deposed nor have I been called to testify, but I know of co-workers that have. Try six years later to prove that you looked at the bandage over a post-op wound that became infected during a hospital stay.
One nurse had to PROVE she DIDN'T turn that the patient who died from a PE right after arriving by air from another facility with strict orders NOT to turn because of a totally shattered ilium and was for surgery that night.
Turning would be the standard of care-right? How did she prove she didn't. The hospital "settled" that one.
IF IT AIN'T WRITTEN, IT AIN'T BEEN DONE.