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Failure-to-rescue

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https://www.readbyqxmd.com/read/29914834/statins-reduce-mortality-and-failure-to-rescue-after-carotid-artery-stenting
#1
Muhammad Rizwan, Muhammad Faateh, Hanaa Dakour Aridi, Besma Nejim, Widian Alshwaily, Mahmoud B Malas
OBJECTIVE: The benefit of statins has been well established in reducing morbidities and mortality after carotid endarterectomy. However, the potential advantage of statin use in patients undergoing carotid artery stenting (CAS) remains largely unknown. The purpose of this study was to evaluate the effect of statins on postoperative outcomes after CAS. METHODS: The Premier Healthcare Database was retrospectively analyzed to identify all patients who underwent CAS from 2009 to 2015...
June 15, 2018: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29907229/effects-of-medicaid-expansion-on-disparities-in-trauma-care-and-outcomes-in-young-adults
#2
Manzilat Akande, Peter C Minneci, Katherine J Deans, Henry Xiang, Deena J Chisolm, Jennifer N Cooper
BACKGROUND: Racial/ethnic and socioeconomic disparities in trauma care and outcomes among young adults are well documented. As the Patient Protection and Affordable Care Act Medicaid expansion has increased insurance coverage among young adults, we aimed to investigate its impact on disparities in insurance coverage and outcomes among hospitalized young adult trauma patients. MATERIALS AND METHODS: We used the healthcare cost and utilization project state inpatient databases to examine changes in insurance coverage and risk-adjusted outcomes from before (2012-2013) to after (2014) Medicaid expansion among young adults (age 19-44) hospitalized for injury across 11 Medicaid expansion states...
August 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/29891525/weekend-effect-in-emergency-colon-and-rectal-cancer-surgery-a-prospective-study-using-data-from-the-dutch-colorectal-audit
#3
Daniëlle D Huijts, Julia T van Groningen, Onno R Guicherit, Jan Willem T Dekker, Leti van Bodegom-Vos, Esther Bastiaannet, Johannes A Govaert, Michel W Wouters, Perla J Marang-van de Mheen
Background: It is unclear whether emergency weekend colon and rectal cancer surgery are associated with worse outcomes (ie, weekend effect) because previous studies mostly used administrative data, which may insufficiently adjust for case-mix. Materials and Methods: Prospectively collected data from the 2012-2015 Dutch ColoRectal Audit (n=5,224) was used to examine differences in 30-day mortality and severe complication and failure-to-rescue rates for emergency weekend (Saturday and Sunday) versus Monday surgery, stratified for colon and rectal cancer...
June 2018: Journal of the National Comprehensive Cancer Network: JNCCN
https://www.readbyqxmd.com/read/29874372/association-of-medicaid-expansion-under-the-affordable-care-act-with-outcomes-and-access-to-rehabilitation-in-young-adult-trauma-patients
#4
Manzilat Akande, Peter C Minneci, Katherine J Deans, Henry Xiang, Jennifer N Cooper
Importance: Trauma is the leading cause of death and disability among young adults in the United States. Young adults are also the age group most likely to be uninsured. Implementation of Medicaid expansion through the Affordable Care Act (ACA) has increased insurance coverage, but its associations with trauma care and outcomes among young adults nationwide remain unknown. We examined whether Medicaid expansion, in its first year, was associated with changes in insurance coverage and improved outcomes in young adults hospitalized for traumatic injury...
June 6, 2018: JAMA Surgery
https://www.readbyqxmd.com/read/29784568/assessment-of-failure-to-rescue-after-abdominal-aortic-aneurysm-repair-using-the-national-surgical-quality-improvement-program-procedure-targeted-data-set
#5
Hanaa Dakour-Aridi, Nawar Z Paracha, Satinderjit Locham, Besma Nejim, Mahmoud B Malas
OBJECTIVE: Open aortic repair (OAR) is associated with higher risk of mortality compared with endovascular aneurysm repair (EVAR). The aim of this study was to compare failure to rescue (FTR) after major predischarge complications in patients undergoing OAR and EVAR. METHODS: Patients who underwent OAR or EVAR in the American College of Surgeons National Surgical Quality Improvement Program between 2011 and 2015 were selected. Patients with ruptured aneurysm and those with type IV thoracoabdominal aneurysms were excluded...
May 18, 2018: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29759545/sequential-inappropriate-subcutaneous-implantable-cardioverter-defibrillator-shocks-pro-arrhythmia-followed-by-failure-to-rescue
#6
Christian A Torres, Marcelo E Helguera, Sergio L Pinski, Jose L Baez-Escudero
No abstract text is available yet for this article.
July 2017: JACC. Clinical Electrophysiology
https://www.readbyqxmd.com/read/29691125/perioperative-complications-and-the-cost-of-rescue-or-failure-to-rescue-in-hepato-pancreato-biliary-surgery
#7
Qinyu Chen, Eliza W Beal, Charles W Kimbrough, Fabio Bagante, Katiuscha Merath, Mary Dillhoff, Carl Schmidt, Susan White, Jordan Cloyd, Timothy M Pawlik
BACKGROUND: It is unclear how either the successful or failed rescue of hepato-pancreato-biliary (HPB) patients from complications impacts costs. METHODS: A retrospective cohort study of HPB surgical patients was performed using claims data from 2013 to 2015 in the Medicare Provider Analysis and Review (MEDPAR) database. Patient demographics, characteristics, outcomes and risk-adjusted Medicare payments were compared. RESULTS: 11,596 patients were identified...
April 21, 2018: HPB: the Official Journal of the International Hepato Pancreato Biliary Association
https://www.readbyqxmd.com/read/29596105/attention-health-care-leaders-literature-review-deems-baccalaureate-nurses-improve-patient-outcomes
#8
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
#9
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
#10
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
#11
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
#12
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...
May 16, 2018: JAMA Surgery
https://www.readbyqxmd.com/read/29558568/lower-postsurgical-mortality-for-individuals-with-dementia-with-better-educated-hospital-workforce
#13
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
#14
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
#15
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-operation
#16
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 NSQIP (2005 to 2012) for patients undergoing thoracoabdominal operations. Using the Modified Frailty Index, patients were classified as not (0 points), mildly (1 point), moderately (2 points), and severely (≥3) frail. RESULTS: There were 962,913 patients 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
#17
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
#18
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...
April 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
#19
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...
May 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
#20
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...
April 2018: International Journal of Nursing Studies
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