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In April 2008, a 70-year-old independent lady with no previous comorbidities became a grandmother for the first time and was looking forward to watching her family grow-up. She developed a cough' became breathless and presented to her local hospital. She was admitted and developed severe sepsis and septic shock secondary to her community-acquired pneumonia; she died within seven hours. Her sepsis was not recognized, and antibiotics and fluids were not given in a timely manner. The patient's family and the well-meaning and competent medical and nursing team were devastated.
So begins the account of a real patient story that compelled Dr. Matt Inada-Kim and colleagues to tackle the problem of managing sepsis within their practice (Patient Stories, 2020).
https://www.patientstories.org.uk/recent-posts/surviving-sepsis-a-human-factors-approach/
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