Jen W-Y, Chao C-C. Int J Med Inform. 2008;77:689-97.
This study discovered that use of mobile patient safety information systems can contribute to improvement in services and a reduction in patient risk, but these communication systems may also contribute to physician anxiety.
Several days after a patient’s surgery, preliminary wound cultures grew Staphylococcus aureus. 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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