What is the clinical evidence from this study?

Study design: Review. Population: Failure to Rescue in surgical patients. Intervention: Failure to Rescue (FTR).

What question did this study set out to answer?

To review the current evidence, risk factors, limitations, and institutional mitigation strategies for failure to rescue in emergency general surgery.

May 14, 2019Journal of Trauma and Acute Care SurgeryOpen Access

Failure to rescue in surgical patients: A review for acute care surgeons

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Key result

Failure to Rescue (FTR) is an outcome metric associated with modifiable institutional factors, though its study and application in emergency general surgery populations remain limited.

Why the study?

Although failure to rescue has been used as an outcome metric primarily in elective surgery, study among emergency general surgery patients has been limited.

Population

Emergency general surgery and surgical patients

Design

Review

Authors

JHJustin S. HatchimonjiUniversity of Chicago EKElinore J. KaufmanUniversity of Pennsylvania CSCatherine E. SharokyHospital of the University of Pennsylvania

Discussion

Member takes

Implication

May guide institutional strategies to reduce FTR in emergency general surgery; leaves open prospective validation before practice change.

Key Points

To review the current evidence, risk factors, limitations, and institutional mitigation strategies for failure to rescue in emergency general surgery.
Synthesized literature spanning approximately 25 years on the failure to rescue (FTR) metric in surgical populations.
Evaluated the conceptual model of FTR and its translation from elective surgical cohorts to emergency general surgery (EGS) settings.
FTR rates correlate strongly with modifiable hospital-level factors rather than underlying complication rates, but evidence remains limited in emergency general surgery cohorts.
Adapting elective FTR models to emergency surgery requires addressing unique patient acuity challenges, early complication recognition, and timely escalation protocols.

Structured PICO

Population

Surgical patients, including elective, medical, and emergency general surgery (EGS) populations

Outcome

Failure to Rescue (FTR) rate

This review provides acute care surgeons with a conceptual model and strategies to minimize Failure to Rescue events in emergency general surgery populations.

Cite This Study

Hatchimonji et al. (2019) conducted a review in Failure to Rescue in surgical patients. Failure to Rescue (FTR) was evaluated. Failure to Rescue (FTR) is an outcome metric associated with modifiable institutional factors, though its study and application in emergency general surgery populations remain limited.

synapsesocial.com/papers/6a1ffa4e17bd4d7ccf04b956 https://doi.org/10.1097/ta.0000000000002365

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Failure to rescue in surgical patients: A review for acute care surgeons

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Failure to rescue in surgical patients: A review for acute care surgeons

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Also Consider