Table 4.

Care Management Problems.

Care Management Problems	Number of cases (%) N = 27
Delay in administration of antibiotics	15 (56%)
Inappropriate fluid management	15 (56%)
Deficient coordination of care	15 (56%)
Inadequate management of hypoxia	13 (48%)
Lack of infectious workup	11 (41%)
Imaging studies not done	11 (41%)
Unavailability of laboratory test results	11 (41%)
Inadequate follow-up of laboratory test results	10 (37%)
Inadequate patient monitoring	9 (33%)
Inadequate management of electrolytes	6 (22%)
Inappropriate medication management	4 (15%)
Delay in MD evaluation	3 (11%)
Arrhythmia not addressed	3 (11%)
Lack of access to intensive care	3 (11%)
Inadequate management of heart failure	2 (7%)
Lack of recognition of cardiac ischemia	2 (7%)
Delay in blood transfusion	2 (7%)
Delay in lumbar puncture	2 (7%)
Unavailability of necessary medication	1 (4%)