Using in situ simulation to identify and resolve latent environmental threats to patient safety: case study involving a labor and delivery ward.
Hamman WR, Beaudin-Seiler BM, Beaubien JM, et al. Using in situ simulation to identify and resolve latent environmental threats to patient safety: case study involving a labor and delivery ward. J Patient Saf. 2009;5(3):184-7. doi:10.1097/PTS.0b013e3181b35e6c.
This case analysis explains how crew resource management training provides an opportunity to identify latent failures and delineate resolution strategies.