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Documentation: The front line in midwifery risk management

Abstract:

A midwife came in the other morning and said, 'It's terrible since you started telling me about professional liability, I document everything. Like this morning: I got a phone call from a woman and normally I would write "X rang - advised". Today I documented why she rang, what we discussed, our decisions, and that she must ring back if there was no improvement. Do you think I'm overreacting?'

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documentation, professional liability, professional responsibility, record keeping