Logo of qualsafetyQuality and Safety in Health CareCurrent TOCInstructions for authors
Qual Saf Health Care. 2004 Apr; 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.
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  • 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]
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Articles from Quality & Safety in Health Care are provided here courtesy of BMJ Group


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