The patient develops postoperative pneumonia when the physician fails to order respiratory therapy treatments after surgery. Which type of quality problem does this situation most clearly represent?
1. Misuse
2. Error of planning
3. Underuse
4. Error of benefit
3
Explanation: 1. Misuse is an unavoidable complication that prevents patients from receiving full potential benefit of a service.
2. This could possibly be an error in planning, but there is no indication that the physician did not plan to order the treatments. It most clearly represents underuse.
3. This is most clearly an underuse problem or failure to provide a service that would have produced a favorable outcome for the patient.
4. This is not one of the types of error discussed in the text.
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