Failure to Rescue as a Surgical Quality Indicator Current Concepts and Future Directions for Improving Surgical Outcomes

Over the past decade, failure to rescue —defined as the death of a patient after one or more potentially treatable complications—has received increased attention as a surgical quality indicator. Failure to rescue is an appealing quality target because it implicitly accounts for the fact that postoperative complications may not always be preventable and is based on the premise that prompt recognition and treatment of complications is a critical, actionable point during a patient’s postoperative course. Although numerous patient and macrosystem factors have been associated with failure to rescue, there is an increasing appreciat ion of the key role of microsystem factors. Although failure to rescue is believed to contribute to observed hospital-level variation in both surgical outcomes and costs, further work is needed to delineate the underlying patient-level and system-level factors preventing the timely identification an d treatment of postoperative complications. Therefore, the goals of this narrative review are to provide a conceptual framework for understanding failure to rescue, to discuss various associated patient- and system-level factors, to delineate the reasons it has become recognized as an important qual ity indicator, and to propose future directions of scientific inquiry for developing effective interventions that can be broadly implemented to improve postoperative outcomes across all hospitals.
Source: Anesthesiology - Category: Anesthesiology Source Type: research

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Source: Quintessence International - Category: Dentistry Source Type: research
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Source: Journal of Oral Biology and Craniofacial Research - Category: Dentistry Source Type: research
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Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Anesthesiology Source Type: forums
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Source: Neuroscience - Category: Neuroscience Source Type: research
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Source: Comparative Clinical Pathology - Category: Pathology Source Type: research
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Source: Journal of Anesthesia - Category: Anesthesiology Source Type: research
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Source: Anaesthesia and intensive care medicine - Category: Anesthesiology Source Type: research
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Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Anesthesiology Source Type: forums
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Source: Best Practice and Research Clinical Anaesthesiology - Category: Anesthesiology Source Type: research
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Source: Anaesthesia and intensive care medicine - Category: Anesthesiology Source Type: research
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