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Documentation Standards

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Quick Hits in Obstetric Anesthesia

Abstract

The primary purpose of the medical record is to support on-going patient care. It provides a crucial central source of information in a health care system where shared-care, shift-work and frequent handovers are common. Any other function of the notes is secondary e.g. to provide defence against complaints.

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References

  1. General Medical Council. Good Medical Practice 2013 (updated 2014). www.gmc-uk.org/guidance  (Accessed 19th August 2021)

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  2. McCombe K, Bogod DG. Learning from the law: a review of 21 years of litigation for pain during caesarean section. Anaesthesia. 2018;73:223–30.

    Article  CAS  Google Scholar 

  3. McCombe K, Bogod DG. A review of 21 years of litigation for nerve injury following central neuraxial blockade in obstetrics. Anaesthesia. 2019.

    Article  PubMed  Google Scholar 

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McCombe, K. (2022). Documentation Standards. In: Fernando, R., Sultan, P., Phillips, S. (eds) Quick Hits in Obstetric Anesthesia. Springer, Cham. https://doi.org/10.1007/978-3-030-72487-0_17

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  • DOI: https://doi.org/10.1007/978-3-030-72487-0_17

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-72486-3

  • Online ISBN: 978-3-030-72487-0

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