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Peer-reviewed research

Quantifying and Visualizing Nursing Flowsheet Documentation Burden in Acute and Critical Care

Sarah A. Collins et al., AMIA Annual Symposium Proceedings, 2018

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Read on October 16, 2026

What it is
A 2018 study at one academic center that counted every manual flowsheet entry on four acute care medicine units and two medical ICUs over 12 months. It reports how many entries nurses make per 12-hour shift and cites time-motion studies of nurses' documentation time.
How much weight it carries
Peer-reviewed conference proceedings with a large data set, but from a single academic center in 2017. The count of entries shows the volume of charting, not the minutes spent on it. The 19 to 35 percent range is cited from earlier time-motion studies, so check those originals before quoting the range as a finding.

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