Articles Posted in Sepsis

In this medical malpractice lawsuit, injuries were suffered by the plaintiff, Lisa Swift, during a 2010 laparoscopic hysterectomy by the defendant Dr. David J. Schleicher. During this surgical procedure, Dr. Schleicher perforated Swift’s small bowel with three through-and-through holes. The doctor chose not to diagnose the perforations until four days after the surgery. Swift developed sepsis, needed a bowel resection surgery and then suffered additional complications that required hospitalization and home health care.

In addition to Dr. Schleicher, Swedish American Health System Corp. and its related companies were also made defendants. These defendants admitted that they caused the injury but argued that the injuries were not the result of negligence. At the end of the jury trial, the jury agreed with defendants and found in favor of them and against Swift.

The plaintiff Swift filed a motion for a new trial, which was denied by the trial court. As a result, Swift took an appeal arguing that the trial judge committed reversible error by (1) allowing evidence that plaintiff’s expert, Dr. Robert Dein, caused a bowel injury in 1989; (2) allowed cumulative defense testimony; and (3) declined to find the verdict against the manifest weight of the evidence.
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According to a report in Modern Healthcare, the University of Colorado Health and its flagship hospital, University of Colorado Hospital, reduced the sepsis mortality rate by 15% in less than one year. In 2016, about 10% of patients with sepsis died from it. At the University of Colorado Hospital, officials conducted an internal study and found that some septic patients did not receive the needed antibiotics quickly enough. According to CMS (Centers for Medicare and Medicaid Services), antibiotics should be given to patients with sepsis within three hours. The University of Colorado Health has found that patients regularly waited three hours or longer to get the needed antibiotic after sepsis was diagnosed.

At the University of Colorado Health, it was proven convincingly that if the patient receives antibiotics within an hour of the sepsis diagnosis, the sepsis death rate dropped by 50%. At the University of Colorado Hospital to reduce this response time, its officials developed a multi-step process that uses patients’ electronic medical records to identify patients who are at risk of sepsis. The electronic health records (EHR) monitors patients’ vital signs and alert a nurse of any abnormalities. The nurse then will check for other signs of sepsis and enter those symptoms into the EHR, which determines whether the patient has a low, medium or high probability of sepsis.

When patients are determined to have a medium or high probability of contracting sepsis, the hospital’s sepsis team, a group of caregivers made up of a nurse, pharmacist and a physician or advanced practitioner, who are dedicated to making quick sepsis diagnoses, are put into place. If the team determines that the patient is septic, antibiotics are immediately ordered and given. The prescription is marked as urgent to make sure that the pharmacist fills the order within the hour.
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