Engineers create a patient management system to be used in o…
Engineers create a patient management system to be used in operating rooms; the purpose of the patient management system is to reduce human error in tasks such as medication errors, order of operations during surgery, and exposing patients to common allergens such as latex and penicillin. The system is installed in a hospital in Charlotte, NC. Under normal conditions, the system works well, but if physicians need to edit the patient details, they often have trouble making the edits correctly. In one procedure, a physician accidently put in the wrong weight when reprogramming the computer and nearly gave a patient a lethal dose of medication. From a systems perspective, what has most likely happened?
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