Which principle is central to charting by exception?

• A. Only abnormal findings are documented
• B. All findings are documented
• C. Only normal findings
• D. Documentation is optional

Answer: (A)

Charting by exception focuses on recording only abnormal or unexpected findings—deviations from the established standard or baseline—while routine, normal findings are assumed and not written down. This approach highlights significant changes in a patient’s status and relies on predefined standards or care plans to identify what needs documentation. It helps clinicians quickly spot deterioration, reduces charting time, and centers on actions or interventions rather than everyday data. So, documenting only abnormal findings is the best fit. Options that suggest recording everything, only normal findings, or making documentation optional don’t align with this method.