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PSNet: Patient Safety Network
Journal Article
Commentary

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. Journal of patient safety. 2009;5:184-7.

This case analysis explains how crew resource management training provides an opportunity to identify latent failures and delineate resolution strategies.