failure-to-rescue

(făl′yĕr-too-rĕs′kū),

FTR

Loss of life among hospitalized patients resulting from inadequate recognition and treatment of life-threatening complications. FTR is correlated with high ratios of patients to nurses and with psychological variables (e.g., burnout). It has been used, along with complication rates of surgery and other criteria, as an indicator of the quality of hospital care.

References in periodicals archive ?

"Failure-to-Rescue: Comparing Definitions to Measure Quality of Care." Medical Care 45 (10): 918-25.

Template matching for auditing hospital cost and quality

the higher the percentage of BSN nurses the lower the odds on patient deaths and failure-to-rescue (p.

The Georgia nursing workforce of the future: increase the number of BSN graduates in the state to 80 percent by 2020!

Outcome variables were a 30-day inpatient mortality and failure-to-rescue events.

Medical Care: Effects of nurse staffing and nurse education on patient deaths in hospitals with different nurse work environment

(3,4) Other research has shown a significant association between higher proportions of RNs on medical and surgical units, lower lengths of stay, and Lower "failure-to-rescue" indicators in 799 United States (US) hospitals.

Measuring nursing--is it possible?

A 2002 study published in the Journal of the American Medical Association found that in hospitals with a high patient-to-nurse ratio, surgical patients experience higher risk-adjusted 30-day mortality and failure-to-rescue rates, and nurses are more likely to experience burnout and job dissatisfaction.

Dedication on your own dime

For every 10% increase in RNs there is a 27% decrease in failure-to-rescue and we have wards in NSW where the percentage of RNs is already below 50%.

Skills matter

The patients studied did not include all patients but were limited to risk-adjusted patient mortality and failure-to-rescue within 30 days of admission.

Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction

What remains unknown is whether racial disparities also extend to major complications and failure-to-rescue (death after a major complication) (Silber et al.

Trends in racial disparities for injured patients admitted to trauma centers

A review of current and emerging approaches to address failure-to-rescue. Anesthesiology,, 115(2), 421-431.

Increasing acuity, increasing technology, and the changing demands on nurses

Linda Aiken, PhD, RN, was able to demonstrate in her 1993 study published in JAMA that in hospitals with high patient-to-nurse ratios, surgical patients experienced higher risk-adjusted 30-day mortality and failure-to-rescue rates, and nurses were more likely to experience burnout and job dissatisfaction.

Strength in numbers

Failure-to-rescue (FR) refers to the inability to save a patient's life after the development of a complication (Aiken, Clarke, Sloane, Sochalski, & Silber, 2002; Clarke & Aiken, 2003; Needleman, Buerhaus, Mattke, Stewart, & Zelevinsky, 2002; Silber, Rosenbaum, Schwartz, Ross, & Williams, 1995; Silber, Williams, Krakauer, & Schwartz, 1992).

Differentiating between pre-arrest and failure-to-rescue

However, the low- and medium-volume tertiles were combined and then compared with the high-volume category after preliminary analyses revealed no differences in mortality and failure-to-rescue rates between the low- and medium-volume groups.

Lower mortality for abdominal aortic aneurysm repair in high-volume hospitals is contingent upon nurse staffing