WebM&M: Errors in Sepsis Management

The current issue of AHRQ Web M&M (http://webmm.ahrq.gov) includes the case of a 72-year-old woman with pulmonary hypertension, chronic obstructive pulmonary disease on home oxygen, and coronary artery disease who came to the hospital experiencing abdominal pain on her left side and shortness of breath.

Upon being admitted, she was also diagnosed with pneumonia. The patient was treated with normal saline in the emergency department but was not given additional intravenous fluids because of her history of pulmonary hypertension and coronary artery disease. Twenty-four hours after admission her blood cultures were growing methicillin-resistant Staphylococcus aureus. Her condition worsened to the point that she required mechanical ventilation. Following a decision by her family to withdraw life-sustaining therapies, she died during her fourth day in the hospital.

In the Perspectives on Safety feature, John Birkmeyer, M.D., chief academic officer and executive vice president at Dartmouth-Hitchcock Medical Center, talks about his video study, that found a link between practicing surgeons’ technical skills and surgical outcomes. An accompanying perspective, explores the advantages of using video in clinical practice and health care education.

Select to access AHRQ Web M&M.

Page last reviewed May 2015
Internet Citation: WebM&M: Errors in Sepsis Management. May 2015. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/webmandm.html