Computer charting adversely affects nurses ability to give quality patient care. Software design usually excludes input from those who use it.I have seen systems that took a minimum of 25 minutes to complete per patient. In surgery I have had to put off the charting in order to care for the patient, transfer the patient to recovery room and then complete the charting. This causes a huge delay in turnover with OR time cost est at $60/minute imagine the yearly cost for a very busy OR. Administrators will continue to add more documentation and increase nurses attention away from the patient. Due to poor workstation design ergonomics will adversely affect nurses body mechanics and we will see an epidemic of neck and back injuries.The longer we are distracted from our patient observation to complete multiple tasks on the computer the more risk to the patient. We need a universally accepted system designed by staff nurses that is user friendly and streamlined to decrease distractions from hands on patient care.Continuity is more cost effective for many reasons and if designed by nurses will decrease stress and improve patient safety.