Charting by Exception

Author: Gina Aranzamendez, BSN, RN

Primary Advisor: James P. Turley, RN, PhD (co-author)

Committee Members: Kathy A. Johnson-Throop, PhD (co-author)

Masters thesis, The University of Texas School of Health Information Sciences at Houston.

Charting by exception method of documentation uses a predetermined standards and norms to record only the significant findings or exceptions. The practice of charting by exception has been adopted by a number of institutions and is noted to be time-efficient and cost-effective approach for streamline nursing documentation. The purpose of this article is to review published evidence of charting by exception and evaluate whether CBE has delivered the positive outcomes it offers.