The PSNet Collection: All Content
Search All Content
Anaesth Intensive Care. 2023;51(6):372-421.
Washington, DC: The Veterans Affairs Inspector General. October 4, 2023. Report No. 23-00080-227.
This case describes the failure to identify a brewing abdominal process, which over the span of hours led to fulminant sepsis with rapid clinical deterioration and eventual demise. The patient’s ascitic fluid cultures and autopsy findings confirmed bowel perforation, but this diagnosis was never explicitly considered.
Irving, TX: American College of Emergency Physicians; 2023.
Grubenhoff JA, Cifra CL, Marshall T, et al. Rockville, MD: Agency for Healthcare Research and Quality; September 2023. AHRQ Publication No. 23-0040-5-EF.
Kwon S. KFF Health News. August 8, 2023
Washington DC: Department of Veterans Affairs, Office of Inspector General; June 29, 2023. Report no. 22-01540-146.