Journal Article

A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery.

Johnston MJ, Arora S, King D, et al. Surgery. 2015;157:752-63.

Failure to rescue—lack of adequate response to patient deterioration—has been associated with adverse patient outcomes, particularly in acute care settings. This systematic review found that high hospital volume and increased patient-to-nurse staffing ratios were associated with failure to rescue, suggesting that addressing these workforce issues may enhance ability to recognize and intervene for deteriorating patients.