The Real Cause of Deadly Medical Errors
A few months ago, I cared for an older patient that I will call Mr. Jones. He lived alone and one afternoon, after a neighbor found him disoriented, was brought into the emergency department. Diagnosed with pneumonia, he was admitted and started on standard guidelines-based antibiotics. By next morning, he had taken a turn for the worse and was sent to the intensive care unit where he struggled and eventually died 72 hours later. Troubled by the death of a seemingly healthy man, I spoke to his daughter who lived in California. She mentioned he had been admitted to another hospital two months prior, also for pneumonia.
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