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Cases & Commentaries
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Kimberly G. Blumenthal, MD, MSc; June 2019
Transferred to the emergency department from the transfusion center after becoming unresponsive and hypotensive, an elderly man with signs of sepsis is given incomplete and delayed antimicrobial coverage due to a history of penicillin allergy. Neither gram-negative nor anaerobic coverage were provided until several hours later, and the patient developed septic shock.
Journal Article > Study
Defining the incidence of cardiorespiratory instability in patients in step-down units using an electronic integrated monitoring system.
A continuous physiologic monitoring system appeared to detect physiologic instability earlier than standard monitoring techniques. Prior research has questioned the false negative rate of such systems, but that problem was not noted in this study.
Journal Article > Commentary
Albert BL, Huesman L. Dimens Crit Care Nurs. 2011;30:283-292.
This commentary describes how one hospital developed an early warning score system to improve rapid response team deployment.
Ross C. STAT. May 13, 2019.
Nuisance alarms, interruptions, and insufficient staff availability can hinder effective monitoring and response to acute patient deterioration. This news article reports on how hospital logistics centers are working toward utilizing artificial intelligence to improve clinician response to alarms by proactively identifying hospitalized patients at the highest risk for heart failure to trigger emergency response teams when their condition rapidly declines.