Use of an emergency manual during an intraoperative cardiac arrest by an interprofessional team: a positive-exemplar case study of a new patient safety tool.

Sylvia Bereknyei Merrell; David M. Gaba; Aalok Agarwala V; Jeffrey B. Cooper; Andrea L. Nevedal; Steven M. Asch; Steven K. Howard; Sara N. Goldhaber-Fiebert

Study

Use of an emergency manual during an intraoperative cardiac arrest by an interprofessional team: a positive-exemplar case study of a new patient safety tool.

August 15, 2018

Merrell SB, Gaba DM, Agarwala A, et al. Jt Comm J Qual Patient Saf. 2018;44(8):477-484.

View more articles from the same authors.

Emergency manuals have been adopted from high reliability industries as a cognitive aid for guiding interprofessional teams during clinical crises. Investigators interviewed emergency manual users after an intraoperative cardiac arrest and conceptualized how the manual helped provide optimal care. A PSNet interview reviews more broadly how to achieve high reliability in health care.

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