Staggered Sensitivity Results
Guglielmo BJ. AHRQ WebM&M [serial online]. March 2007.
Several days after a patient’s surgery, preliminary wound cultures grew
. Although the final sensitivity profile for the cultures showed resistance to the antibiotic that the patient was receiving, the care team was not notified and the patient died of sepsis.
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AHRQ WebM&M [serial online]. August 2009.
Patient Safety Authority Annual Reports.
Harrisburg, PA: Patient Safety Authority; April 2012.
Learning accountability for patient outcomes.
Pronovost PJ. JAMA. 2010;304:204-205.
MHA Keystone Center for Patient Safety & Quality 2010 Annual Report.
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