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  1. pso.ahrq.gov/sites/default/files/wysiwyg/oig-list-long-term-care-hospitals-2019.pdf
    January 01, 2019 - Events Related to Infections LTCH-acquired respiratory infections • Pneumonia contributing to patient death … • Pneumonia contributing to patient death • Respiratory syncytial virus (RSV) pneumonia associated with … aspiration resulting in transfer to an acute-care hospital and contributing to death • Pneumonia … • Cascade with stage-4 infected pressure ulcer leading to septic shock and contributing to patient death … 9 Vascular-catheter-associated infections • Central line-related sepsis/fungemia contributing to death
  2. pso.ahrq.gov/sites/default/files/wysiwyg/adverse-events-rehab-hospitals.pdf
    July 01, 2016 - to sepsis and then severe hypotension resulting in transfer to an acute-care hospital and finally death … sepsis-like symptoms (hypotension, lethargy) resulting in transfer to an acute-care hospital and, finally, death

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