RT Journal Article SR Electronic T1 Clinical risk management in obstetrics: eclampsia drills JF Quality and Safety in Health Care JO Qual Saf Health Care FD BMJ Publishing Group Ltd SP 127 OP 129 DO 10.1136/qshc.328.7434.269 VO 13 IS 2 A1 S Thompson A1 S Neal A1 V Clark YR 2004 UL http://qualitysafety.bmj.com/content/13/2/127.abstract 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.