title: Clinical risk management in obstetrics: eclampsia drills.
abstract: OBJECTIVE
  Infrequent presentation of patients with eclampsia, leading to staff inexperienced in the condition and untested emergency systems.
  
  
  METHODS
  "Fire drill" programme using on-site simulation of patients with eclampsia.
  
  
  METHODS
  Tertiary referral obstetric unit.
  
  
  METHODS
  Successful implementation of measures to optimise management of eclampsia.
  
  
  METHODS
  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.
  
  
  RESULTS
  Efficient and appropriate management of subsequent simulated patients.
  
  
  CONCLUSIONS
  On-site simulation can identify and correct potential deficiencies in the care of patients with eclampsia.
authors.affiliation: Department of Anaesthetics, St George Hospital, Kograh 2217 Sydney, Australia. sarahathompson@hotmail.com
authors.forename: S
authors.initials: S
authors.lastname: Thompson
authors.forename: S
authors.initials: S
authors.lastname: Neal
authors.forename: V
authors.initials: V
authors.lastname: Clark
mesh_terms: D001315:Australia; D004461:Eclampsia / Q000517:prevention & control*; D005260:Female; D006801:Humans; D009774:Obstetrics; D011247:Pregnancy; D011785:Quality Assurance, Health Care; D012308:Risk Management / Q000379:methods*