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BMJ 2004;328 (31 January), doi:10.1136/bmj.328.7434.0-e
On-site simulation of rare emergencies may improve the management of real patients without exposing them to inadequate care. Thompson and colleagues (p 269) report on a fire drill programme, using on-site simulation, to evacuate patients with eclampsia. They recorded the action of staff in written and video format during the drills, and identified problems with activation of the team, use of protocols, individual skills, drug usage, time wasting, and staff coordination. The authors developed and implemented solutions that resulted in improved care of simulated patients in subsequent drills, applying evidence based management and enhancing the level of efficiency.
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