RT Book, Section A1 Ballard, David J. A1 da Graca, Briget A1 Nicewander, David A2 Greenberg, Raymond S. SR Print(0) ID 1108590967 T1 Quality of Care T2 Medical Epidemiology: Population Health and Effective Health Care, 5e YR 2014 FD 2014 PB McGraw-Hill Education PP New York, NY SN 978-0-07-182272-5 LK accessmedicine.mhmedical.com/content.aspx?aid=1108590967 RD 2024/03/28 AB Mrs. E., a 69-year-old, Spanish-only-speaking Hispanic woman with a history of congestive heart failure (CHF), is admitted to Hospital A complaining of shortness of breath and difficulty breathing when lying down. During her stay, she is not evaluated for left ventricular systolic dysfunction (LVSD); as a result, she does not receive a prescription for an angiotensin- converting enzyme inhibitor (ACEI) or angiotensin receptor blocker (ARB) for LVSD despite having no contraindications. She receives postdischarge instructions verbally and in writing but only in English because Hospital A does not have onsite translators or a translation service. Two days after discharge, she is readmitted through the emergency department (ED) with an ejection fraction of 15% and severe pulmonary edema. Despite treatment, she dies.