Imperial College London
Alternate

Mr Alex Almoudaris BSc.(Hons.) MBBS DIC PhD FRCS(Eng.)

Faculty of Medicine, Department of Surgery & Cancer

Honorary Clinical Research Fellow
 
 
 
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Contact

 

+44 (0)20 3312 7651a.almoudaris

 
 
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Location

 

1089Queen Elizabeth the Queen Mother Wing (QEQM)St Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Burke:2022:10.1097/pts.0000000000000720,
author = {Burke, JR and Downey, C and Almoudaris, AM},
doi = {10.1097/pts.0000000000000720},
journal = {Journal of Patient Safety},
pages = {e140--e155},
title = {Failure to Rescue Deteriorating Patients: A Systematic Review of Root Causes and Improvement Strategies},
url = {http://dx.doi.org/10.1097/pts.0000000000000720},
volume = {18},
year = {2022}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - <jats:sec>            <jats:title>Objectives</jats:title>            <jats:p>“Failure to rescue” (FTR) is the failure to prevent a death resulting from a complication of medical care or from a complication of underlying illness or surgery. There is a growing body of evidence that identifies causes and interventions that may improve institutional FTR rates. Why do patients “fail to rescue” after complications in hospital? What clinically relevant interventions have been shown to improve organizational fail to rescue rates? Can successful rescue methods be classified into a simple strategy?</jats:p>          </jats:sec>          <jats:sec>            <jats:title>Methods</jats:title>            <jats:p>A systematic review was performed and the following electronic databases searched between January 1, 2006, to February 12, 2018: MEDLINE, PsycINFO, Cochrane Library, CINAHL, and BNI databases. All studies that explored an intervention to improve failure to rescue in the adult population were considered.</jats:p>          </jats:sec>          <jats:sec>            <jats:title>Results</jats:title>            <jats:p>The search returned 1486 articles. Eight hundred forty-two abstracts were reviewed leaving 52 articles for full assessment. Articles were classified into 3 strategic arms (recognize, relay, and react) incorporating 6 areas of intervention with specific recommendations.</jats:p>          </jats:sec>          <jats:sec>            <jats:title>Conclusions</jats:title>            <jats:p>Complications occur consistently within healthcare organizations. They represent a huge burden on patients, clinicians, and healthcare systems. Organizations vary in their ability to manage such events. Failure to rescue is a measure of institutional competence in this context. We propose “The 3 Rs of Failure to Rescue&rdq
AU  - Burke,JR
AU  - Downey,C
AU  - Almoudaris,AM
DO  - 10.1097/pts.0000000000000720
EP  - 155
PY  - 2022///
SN  - 1549-8417
SP  - 140
TI  - Failure to Rescue Deteriorating Patients: A Systematic Review of Root Causes and Improvement Strategies
T2  - Journal of Patient Safety
UR  - http://dx.doi.org/10.1097/pts.0000000000000720
VL  - 18
ER  -
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