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Christopher Fee, MD; February-March 2009
Interrupted during a telephone handoff, an ED physician, despite limited information, must treat a patient in respiratory arrest. The patient is stabilized and transferred to the ICU with a presumed diagnosis of aspiration pneumonia and septic shock. Later, ICU physicians obtain further history that leads to the correct diagnosis: pulmonary embolism.
Journal Article > Commentary
Klompas M, Platt R. Ann Intern Med. 2007;147:803-805.
This commentary asserts that, until objective outcome measures are developed, ventilator-associated pneumonia rates should not be used as a measure to reward quality of care.