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Failure-to-rescue

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https://www.readbyqxmd.com/read/29596105/attention-health-care-leaders-literature-review-deems-baccalaureate-nurses-improve-patient-outcomes
#1
Deborah O'Brien, Mary Knowlton, Ramona Whichello
AIM: This review of studies conducted since the 2011 publication of the Institute of Medicine (IOM) report "The Future of Nursing: Leading Change, Advancing Health" evaluates the current state of evidence showing an association between an increased ratio of BSN-prepared nursing staff and improved patient outcomes. BACKGROUND: The IOM established a nationwide goal to increase the number of BSN nurses to 80 percent by 2020 to meet the challenges seen in today's health care environment...
March 28, 2018: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29578952/failure-to-rescue-after-acute-myocardial-infarction
#2
Jeffrey H Silber, Alexander F Arriaga, Bijan A Niknam, Alexander S Hill, Richard N Ross, Patrick S Romano
BACKGROUND: Failure-to-rescue (FTR), originally developed to study quality of care in surgery, measures an institution's ability to prevent death after a patient becomes complicated. OBJECTIVES: Develop an FTR metric modified to analyze acute myocardial infarction (AMI) outcomes. RESEARCH DESIGN: Split-sample design: a random 20% of hospitals to develop FTR definitions, a second 20% to validate test characteristics, and an out-of-sample 60% to validate results...
May 2018: Medical Care
https://www.readbyqxmd.com/read/29572565/hospital-teaching-status-and-patients-outcomes-after-colon-cancer-surgery
#3
Julia T van Groningen, Eric H Eddes, Hans F J Fabry, Marc W A van Tilburg, Ernst J van Nieuwenhoven, Yvonne Snel, Perla J Marang van de Mheen, Mirre E de Noo
BACKGROUND AND OBJECTIVES: It is increasingly accepted that quality of colon cancer surgery might be secured by combining volume standards with audit implementation. However, debate remains about other structural factors also influencing this quality, such as hospital teaching status. This study evaluates short-term outcomes after colon cancer surgery of patients treated in general, teaching or academic hospitals. METHODS: All patients (n = 23,593) registered in the Dutch Colorectal Audit undergoing colon cancer surgery between 2011 and 2014 were included...
March 23, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29571615/variation-in-hospital-mortality-after-pancreatoduodenectomy-is-related-to-failure-to-rescue-rather-than-major-complications-a-nationwide-audit
#4
Lennart B van Rijssen, Maurice J Zwart, Susan van Dieren, Thijs de Rooij, Bert A Bonsing, Koop Bosscha, Ronald M van Dam, Casper H van Eijck, Michael F Gerhards, Josephus J Gerritsen, Erwin van der Harst, Ignace H de Hingh, Koert P de Jong, Geert Kazemier, Joost Klaase, Berendina M van der Kolk, Cornelis J van Laarhoven, Misha D Luyer, Isaac Q Molenaar, Gijs A Patijn, Coen G Rupert, Joris J Scheepers, George P van der Schelling, Alexander L Vahrmeijer, Olivier R C Busch, Hjalmar C van Santvoort, Bas Groot Koerkamp, Marc G Besselink
BACKGROUND: In the mandatory nationwide Dutch Pancreatic Cancer Audit, rates of major complications and Failure to Rescue (FTR) after pancreatoduodenectomy between low- and high-mortality hospitals are compared, and independent predictors for FTR investigated. METHODS: Patients undergoing pancreatoduodenectomy in 2014 and 2015 in The Netherlands were included. Hospitals were divided into quartiles based on mortality rates. The rate of major complications (Clavien-Dindo ≥3) and death after a major complication (FTR) were compared between these quartiles...
March 20, 2018: HPB: the Official Journal of the International Hepato Pancreato Biliary Association
https://www.readbyqxmd.com/read/29562073/association-of-frailty-with-failure-to-rescue-after-low-risk-and-high-risk-inpatient-surgery
#5
Rupen Shah, Kristopher Attwood, Shipra Arya, Daniel E Hall, Jason M Johanning, Emmanuel Gabriel, Anthony Visioni, Steven Nurkin, Moshim Kukar, Steven Hochwald, Nader N Massarweh
Importance: Failure to rescue (FTR), or death after a potentially preventable complication, is a nationally endorsed, publicly reported quality measure. However, little is known about the impact of frailty on FTR, in particular after low-risk surgical procedures. Objective: To assess the association of frailty with FTR in patients undergoing inpatient surgery. Design, Setting, and Participants: This study assessed a cohort of 984 550 patients undergoing inpatient general, vascular, thoracic, cardiac, and orthopedic surgery in the National Surgical Quality Improvement Program between January 1, 2005, and December 31, 2012...
March 21, 2018: JAMA Surgery
https://www.readbyqxmd.com/read/29558568/lower-postsurgical-mortality-for-individuals-with-dementia-with-better-educated-hospital-workforce
#6
Elizabeth M White, Jessica G Smith, Rebecca L Trotta, Matthew D McHugh
OBJECTIVES: To investigate whether care in a hospital with more nurses holding at least a Bachelor of Science in Nursing (BSN) degree is associated with lower mortality for individuals with Alzheimer's disease and related dementias (ADRD) undergoing surgery ADRD. DESIGN: Cross-sectional data from 2006-07 Medicare claims were linked with the Multi-State Nursing Care and Patient Safety Survey of nurses in 4 states. SETTING: Adult, nonfederal, acute care hospitals in California, Florida, New Jersey, and Pennsylvania (N=531)...
March 20, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29557884/association-between-hospital-staffing-models-and-failure-to-rescue
#7
Sarah T Ward, Justin B Dimick, Wenying Zhang, Darrell A Campbell, Amir A Ghaferi
OBJECTIVE: To identify hospital staffing models associated with failure to rescue (FTR) rates at low- and high-performing hospitals. BACKGROUND: FTR is an important quality measure in surgical safety and is a metric that hospitals are seeking to improve. Specific unit-level determinants of FTR, however, remain unknown. METHODS: Retrospective, observational study using data from the Michigan Quality Surgical Collaborative, which is a prospectively collected and clinically audited database in the state of Michigan...
March 19, 2018: Annals of Surgery
https://www.readbyqxmd.com/read/29482901/surgical-rescue-in-medical-patients-the-role-of-acute-care-surgeons-as-the-surgical-rapid-response-team
#8
REVIEW
Alexandra Briggs, Andrew B Peitzman
Failure to rescue is death occurring after a complication. Rapid response teams developed as a prompt intervention for patients with early clinical deterioration, generally from medical conditions or complications. Patients with surgical complications or surgical pathology require prompt evaluation and management by surgeons to avoid deterioration; this is surgical rescue. Patients in the medical intensive care unit may develop intra-abdominal pathology that requires expeditious operative intervention. Acute care surgeons should serve as the surgical rapid response team to help assess and manage these complex patients...
April 2018: Critical Care Clinics
https://www.readbyqxmd.com/read/29481960/frailty-predicts-failure-to-rescue-after-thoracoabdominal-surgery
#9
Catalina Mosquera, Juan M Bermudez, Jessica L Evans, Konstantinos Spaniolas, Dougald C MacGillivary, Timothy L Fitzgerald
BACKGROUND: An association between frailty and mortality exists; we hypothesized this is secondary to failure to rescue (F2R). STUDY DESIGN: Data were obtained from the National Surgical Quality Improvement Program (2005-2012) for patients undergoing thoracoabdominal surgery. Using the modified frailty index (MFI), patients were classified as not (0 points), mildly (1 point), moderately (2 points), and severely (=/>3) frail. RESULTS: 962,913 patients were included; a majority were non-frail (52...
February 23, 2018: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/29472758/predictors-of-reoperation-and-failure-to-rescue-in-bariatric-surgery
#10
Jeanie L Gribben, Nicole Ilonzo, Sean Neifert, I Michael Leitman
Background and Objectives: Morbidity and mortality have been shown to increase several-fold in patients who have undergone bariatric surgery and returned to the operating room after their initial procedures. Failure-to-rescue (FTR) analyses allow for an understanding of patient management and outcomes that is more distinguished than assessments of adverse occurrences and mortality rates alone. The objective of this study was to assess failure to rescue (FTR) and the characteristics and outcomes of patients undergoing reoperation after laparoscopic gastric bypass (LGBP) and laparoscopic sleeve gastrectomy (LSG)...
January 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://www.readbyqxmd.com/read/29461275/management-of-the-critically-ill-liver-failure-patient-surpassing-our-limitations-to-reach-transplantation
#11
Constance M Mobley, Ashish Saharia
PURPOSE OF REVIEW: Patients with liver failure and liver-related diseases are often critically ill. Here, we review advances in donor organ management, tools for patient selection and highlight ICU management of liver transplant (LT) recipients. A focused discussion on the impact each of these factors have on critical care management of liver failure patients is presented. RECENT FINDINGS: Artificial liver assist devices to increase donor organ utilization are broadening the potential for transplantation of critically ill patients...
February 15, 2018: Current Opinion in Organ Transplantation
https://www.readbyqxmd.com/read/29459198/the-educational-impact-of-web-based-and-face-to-face-patient-deterioration-simulation-programs-an-interventional-trial
#12
Catherine Chung, Simon J Cooper, Robyn P Cant, Cliff Connell, Angela McKay, Leigh Kinsman, Swapnali Gazula, Jayne Boyle, Amanda Cameron, Penny Cash, Lisa Evans, Jeong-Ah Kim, Rana Masud, Denise McInnes, Lisa Norman, Erika Penz, Thomas Rotter, Erin Tanti, Tom Breakspear
BACKGROUND: There are international concerns relating to the management of patient deterioration. The "failure to rescue" literature identifies that nursing staff miss cues of deterioration and often fail to call for assistance. Simulation-based educational approaches may improve nurses' recognition and management of patient deterioration. OBJECTIVES: To investigate the educational impact of the First2Act web-based (WB) and face-to-face (F2F) simulation programs...
February 8, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29407346/associations-between-nurse-education-and-experience-and-the-risk-of-mortality-and-adverse-events-in-acute-care-hospitals-a-systematic-review-of-observational-studies
#13
REVIEW
Li-Anne Audet, Patricia Bourgault, Christian M Rochefort
OBJECTIVES: To provide knowledge from the summarization of the evidence on the: a) associations between nurse education and experience and the occurrence of mortality and adverse events in acute care hospitals, and; b) benefits to patients and organizations of the recent Institute of Medicine's recommendation that 80% of registered nurses should be educated at the baccalaureate degree by 2020. DATA SOURCES: A systematic search of English and French literature was conducted in six electronic databases: 1) Medline, 2) PubMed, 3) CINAHL, 4) Scopus, 5) Campbell, and 6) Cochrane databases...
January 31, 2018: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/29401188/hospital-variation-in-mortality-after-emergency-bowel-resections-the-role-of-failure-to-rescue
#14
Ambar Mehta, David Efron, Kent Stevens, Mariuxi C Manukyan, Bellal Joseph, Joseph V Sakran
INTRODUCTION: Hospital variation in failure-to-rescue (FTR) rates has partially explained nationwide differences in mortality after elective surgeries. To examine the role of FTR among emergency general surgery, we compared nationwide risk-adjusted mortality, complications, and FTR rates after emergent bowel resections. METHODS: We identified patients who underwent emergent small or large bowel resections in the 2010-2011 Nationwide Inpatient Sample using the American Association for the Surgery of Trauma criteria...
February 3, 2018: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/29397102/predictors-of-failure-to-rescue-after-esophagectomy
#15
Douglas Z Liou, Derek Serna-Gallegos, James Mirocha, Vahak Bairamian, Rodrigo F Alban, Harmik J Soukiasian
BACKGROUND: Failure to rescue (FTR), defined as death after a major complication, is a metric increasingly being used to assess quality of care. Risk factors associated with FTR after esophagectomy have not been previously studied. METHODS: The American College of Surgeons National Surgical Quality Improvement Program database was queried for patients who underwent esophagectomy with gastric conduit between 2010 and 2014. Patients with at least one major postoperative complication were grouped according to inhospital mortality (FTR group) and survival to discharge (SUR group)...
January 31, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29389841/emergency-general-surgery-in-geriatric-patients-a-statewide-analysis-of-surgeon-and-hospital-volume-with-outcomes
#16
Ambar Mehta, Linda A Dultz, Bellal Joseph, Joseph K Canner, Kent Stevens, Christian Jones, Elliot R Haut, David T Efron, Joseph V Sakran
INTRODUCTION: Geriatric patients undergoing emergency general surgery (EGS) face significant morbidity and mortality. We assessed how surgeon and hospital volumes affected these outcomes. METHODS: We identified patients at least 65 years old in Maryland's Health Services Cost Review Commission database from 2012-2014 who underwent one of 12 EGS procedures, as defined by the American Association for the Surgery of Trauma, and then calculated four outcomes: mortality rate, the incidence of at least one of eight common in-hospital EGS complications, failure-to-rescue (death after experiencing a postoperative complication), and the 30-day readmission rate...
January 31, 2018: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/29388457/avoidable-30-day-mortality-analysis-and-failure-to-rescue-in-dysvascular-lower-extremity-amputees
#17
Christian Wied, Nicolai B Foss, Peter T Tengberg, Gitte Holm, Anders Troelsen, Morten T Kristensen
Background and purpose - An enhanced treatment program may decrease 30-day mortality below 20% after lower extremity amputations (LEA). The potential and limitations for further reduction are unknown. We analyzed postoperative causes of 30-day mortality, and assessed failure to rescue (FTR) rate in LEA patients who followed an enhanced treatment program. Patients and methods - Medical charts of 195 primary LEA procedures were reviewed independently by 3 of the authors, and deaths during hospitalization following amputation were classified according to consensus...
February 1, 2018: Acta Orthopaedica
https://www.readbyqxmd.com/read/29355993/relationships-between-army-nursing-practice-environments-and-patient-outcomes
#18
Pauline A Swiger, Lori A Loan, Dheeraj Raju, Sara T Breckenridge-Sproat, Rebecca S Miltner, Patricia A Patrician
Favorable nursing practice environments have been associated with lower patient mortality, failure to rescue, nurse-administered medication errors, infections, patient complaints, and patient falls. Favorable environments have also been associated with higher nurse-reported care quality and patient satisfaction in civilian hospitals. However, limited information exists on the relationship between favorable nursing practice environments and positive outcomes in military facilities. Using 4 years of secondary data collected from 45 units in 10 Army hospitals, generalized estimating equations were used to test the associations between nurses' scores on the Practice Environment Scale of the Nursing Work Index (PES-NWI) and patient outcomes of falls with and without injury, medication administration errors with and without harm, and patient experience...
April 2018: Research in Nursing & Health
https://www.readbyqxmd.com/read/29298221/evaluating-an-art-based-intervention-to-improve-practicing-nurses-observation-description-and-problem-identification-skills
#19
Beth M Nease, Tina S Haney
Astute observation, description, and problem identification skills provide the underpinning for nursing assessment, surveillance, and prevention of failure to rescue events. Art-based education has been effective in nursing schools for improving observation, description, and problem identification. The authors describe a randomized controlled pilot study testing the effectiveness of an art-based educational intervention aimed at improving these skills in practicing nurses.
January 2018: Journal for Nurses in Professional Development
https://www.readbyqxmd.com/read/29285642/association-of-delivery-system-integration-and-outcomes-for-major-cancer-surgery
#20
Jonathan Li, Zaojun Ye, James M Dupree, Brent K Hollenbeck, Hye Sung Min, Deborah Kaye, Lindsey A Herrel, David C Miller, Chad Ellimoottil
BACKGROUND: Integrated delivery systems (IDSs) are postulated to reduce spending and improve outcomes through successful coordination of care across multiple providers. Nonetheless, the actual impact of IDSs on outcomes for complex multidisciplinary care such as major cancer surgery is largely unknown. METHODS: Using 2011-2013 Medicare data, this study identified patients who underwent surgical resection for prostate, bladder, esophageal, pancreatic, lung, liver, kidney, colorectal, or ovarian cancer...
April 2018: Annals of Surgical Oncology
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