PT - JOURNAL ARTICLE AU - S Thompson AU - S Neal AU - V Clark TI - Clinical risk management in obstetrics: eclampsia drills AID - 10.1136/qshc.328.7434.269 DP - 2004 Apr 01 TA - Quality and Safety in Health Care PG - 127--129 VI - 13 IP - 2 4099 - http://qualitysafety.bmj.com/content/13/2/127.short 4100 - http://qualitysafety.bmj.com/content/13/2/127.full SO - Qual Saf Health Care2004 Apr 01; 13 AB - 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.