PubMed · 13614079
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B MAYES. 1959. Could the chapter on eclampsia disappear.. https://doi.org/10.1080/00325481.1959.11712318
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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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