Clinical risk management in obstetrics: eclampsia drills

doi:10.1136/bmj.328.7434.269

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This article has a correction

Please see: Simulation of medical emergencies improves patients' care

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Sarah Thompson, provisional fellow (sarahathompson{at}hotmail.com)1,
Shona Neal, consultant anaesthetist2,
Vicki Clark, consultant anaesthetist3

¹Department of Anaesthetics, St George Hospital, Kograh 2217 Sydney, Australia
²St John's Hospital, Livingston, West Lothian EH54 6PP
³Royal Infirmary of Edinburgh, Edinburgh EH3 9YW

Correspondence to: S Thompson

Accepted 18 November 2003

Abstract

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.

Footnotes

Contributors ST has participated in and coordinates drills, and initiated this article. SN is the lead obstetric anaesthetist in a district hospital, coordinates drills in her unit, and provided the photograph. VC initiated and organises the obstetric emergency drills programme at the Simpson Centre for Reproductive Health, Royal Infirmary of Edinburgh.
Funding None declared.
Competing interests None declared.