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Logo of qualsafetyQuality and Safety in Health CareCurrent TOCInstructions for authors
Qual Saf Health Care. Apr 2004; 13(2): 127–129.
PMCID: PMC1743808

Clinical risk management in obstetrics: eclampsia drills*


Problem: Infrequent presentation of patients with eclampsia, leading to staff inexperienced in the condition and untested emergency systems.

Design: "Fire drill" programme using on-site simulation of patients with eclampsia.

Setting: Tertiary referral obstetric unit.

Key measures for improvement: Successful implementation of measures to optimise management of eclampsia.

Strategies for change: Rapid activation of emergency team after one call, development and dissemination of evidence based protocol for eclampsia, strategically placed "eclampsia boxes," individual staff feedback and education.

Effects of change: Efficient and appropriate management of subsequent simulated patients.

Lessons learnt: On-site simulation can identify and correct potential deficiencies in the care of patients with eclampsia.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Patel RM, Crombleholme WR. Using simulation to train residents in managing critical events. Acad Med. 1998 May;73(5):593–593. [PubMed]
  • Chopra V, Gesink BJ, de Jong J, Bovill JG, Spierdijk J, Brand R. Does training on an anaesthesia simulator lead to improvement in performance? Br J Anaesth. 1994 Sep;73(3):293–297. [PubMed]
  • Gaba DM, Howard SK, Flanagan B, Smith BE, Fish KJ, Botney R. Assessment of clinical performance during simulated crises using both technical and behavioral ratings. Anesthesiology. 1998 Jul;89(1):8–18. [PubMed]
  • Douglas KA, Redman CW. Eclampsia in the United Kingdom. BMJ. 1994 Nov 26;309(6966):1395–1400. [PMC free article] [PubMed]
  • Duley L. Magnesium sulphate regimens for women with eclampsia: messages from the Collaborative Eclampsia Trial. Br J Obstet Gynaecol. 1996 Feb;103(2):103–105. [PubMed]
  • Sibai BM. Eclampsia. VI. Maternal-perinatal outcome in 254 consecutive cases. Am J Obstet Gynecol. 1990 Sep;163(3):1049–1055. [PubMed]

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