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A Review of Current and Emerging Approaches to Address Failure-to-Rescue

2011; Lippincott Williams & Wilkins; Volume: 115; Issue: 2 Linguagem: Inglês

10.1097/aln.0b013e318219d633

1528-1175

Andreas H. Taenzer, Joshua Pyke, Susan McGrath, David S. Warner,

Patient Safety and Medication Errors

Failure-to-Rescue, defined as hospital deaths after adverse events, is an established measure of patient safety and hospital quality. Until recently, approaches used to address failure-to-rescue have been focused primarily on improvement of response to a recognized patient crisis, with limited success in terms of patient outcomes. Less attention has been paid to improving the detection of the crisis. A wealth of retrospective data exist to support the observation that adverse events in general ward patients are preceded by a significant period (on the order of hours) of physiologic deterioration. Thus, the lack of early recognition of physiologic decline plays a major role in the failure-to-rescue problem.