Time is a valuable thing. When patients are scheduled/rounded on so quickly, it leaves very little time to document. Caregivers want to give the patient as much time that they can, while managing their time to see all of their patients. This may leave very time to really sit down and write cleanly, as much as it is desired. For instance, doing a medical history, a physical assessment, and the assessment and plan for a patient documentation can take a lot of writing and time. What ends up happening is that they end up writing to fast and haphazardly which causes illegibility. I deal with it everyday as I dig through charts, it is a headache, but as a I watch a physician taking care of several floors of patients, I know its alot to get through.
To fix this problem we need to find a solution to either increase efficiency or an easier way to document. I think electronic is paving the path for this. Its easier at times to do e-prescribing or transcription, and its much more legible and leads to less confusion about what was written. However, this depends on institutions and their overall implementation. As time goes on, I think this will improve.