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Clinical risk management in obstetrics: eclampsia drills^*

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

Correspondence to:
S Thompson
Department of Anaesthetics, St George Hospital, Kograh 2217 Sydney, Australia; sarahathompson{at}hotmail.com
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.

Keywords: Quality improvement report; clinical risk management; obstetrics; eclampsia drills

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