Clinical risk management in obstetrics: eclampsia drills (Reprinted from BMJ, vol 327, pg 269-71, 2004)

被引:16
|
作者
Thompson, S [1 ]
Neal, S
Clark, V
机构
[1] St George Hosp, Dept Anaesthet, Kogarah, NSW 2217, Australia
[2] St Johns Hosp, Livingston EH54 6PP, Scotland
[3] Royal Infirm Edinburgh NHS Trust, Edinburgh EH3 9YW, Midlothian, Scotland
来源
QUALITY & SAFETY IN HEALTH CARE | 2004年 / 13卷 / 02期
关键词
D O I
10.1136/qhc.13.2.127
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
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.
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页码:127 / 129
页数:3
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