Diagnosis: Difficulty breathing and cough Treatment: Inpatient hospital admission The inpatient hospital admission was not medically necessary. This baby girl was referred to the ED by the pediatrician because of hypoxia with respiratory distress in the office. She was admitted because while in the ED she had episodes of desaturation to 88-92% in room air. While it was appropriate to continue monitoring this young infant for resolution of dehydration and need to apply supplemental oxygen, she was overall hemodynamically stable. She did not require acute inpatient admission and could have been safely managed at a lower level of care such as observation.

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