Causes, Diagnostic Testing, and Treatments Related to Clinical Deterioration Events among High-Risk Ward Patients

Matthew M. Churpek, Ryan Ingebritsen, Kyle A. Carey, Saieesh A Rao, Emily Murnin, Tonela Qyli, Madeline K. Oguss, Jamila Picart, Leena Penumalee, Benjamin D. Follman, Lily K Nezirova, Sean T. Tully, Charis Benjamin, Christopher Nye, Emily R. Gilbert, Nirav S. Shah, Christopher J. Winslow, Majid Afshar, Dana P. Edelson
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Abstract

OBJECTIVE Timely intervention for clinically deteriorating ward patients requires that care teams accurately diagnose and treat their underlying medical conditions. However, the most common diagnoses leading to deterioration and the relevant therapies provided are poorly characterized. Therefore, we aimed to determine the diagnoses responsible for clinical deterioration, the relevant diagnostic tests ordered, and the treatments administered among high-risk ward patients using manual chart review.
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高风险病房患者临床病情恶化事件的相关原因、诊断测试和治疗方法
目的 对临床病情恶化的病房病人进行及时干预,要求护理团队准确诊断和治疗其潜在的医疗状况。然而,导致病情恶化的最常见诊断和提供的相关治疗方法却鲜为人知。因此,我们旨在通过人工病历审查来确定导致高危病房患者临床病情恶化的诊断、开具的相关诊断检查单以及采取的治疗方法。
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