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American health care is sick. The sepsis crisis is just one of its symptoms.

Art Jones‘s insight:

Which is the proper protocol for clinicians to follow. In January of 2013 Govenor Coumo In January announced that hospitals in his state would be required to adopt specific guidelines. The move, Gov. Cuomo said, would save 5,000 to 8,000 lives a year.



Excerpt: Hospitals reward caution, even when it does more harm than good. Chiefs of Quality investigate doctors whose actions produce a complication. But they are less likely to single out individual physicians for not being aggressive, particularly when the indications are less certain.

From this perspective, not ordering the test in the first place is the safest action – not for the patient, but for the physician.

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