Consider the six aims (STEEEP) to better ensure quality care. How might they apply to this patient?

A 21-year-old woman presented to the emergency department of an urban hospital with a history of systemic lupus. Her complaint was dehydration, dizziness, and feeling faint. The woman also had a recent history of being dehydrated, complicated by renal involvement from lupus and having to receive bolus fluids. She was on multiple medications, including steroids and methotrexate. An intravenous (IV) line was started, and blood was drawn for labs. The emergency department physician returned to report that the lab values were within normal limits, yet the young woman felt no better. She stated that she still felt dehydrated, her blood pressure felt low, and she normally received more IV fluids and a steroid injection when she felt this way. The physician indicated that he felt no need for this treatment, but when the patient insisted on more fluids, he agreed to continue them for a while and to give her an injection of steroids.