Interpersonal And Organizational Dynamics Are Key Drivers Of Failure To Rescue.

ABSTRACT: Failure to rescue-mortality following a major surgical complication-is a key driver of variation in postoperative mortality. However, little is known about the impact of interpersonal and organizational dynamics, or microsystem factors, on failure to rescue. In a qualitative study of providers from hospitals with high and low rescue rates, we identified five key factors that providers believe influence the successful rescue of surgical patients: teamwork, action taking, psychological safety, recognition of complications, and communication. Near-uniform agreement existed on two targets for improvement: delayed recognition of developing complications and poor interprofessional communication and inability to express clinical concerns. To improve perioperative outcomes, hospitals and payers sh

SUBMITTER: Smith ME 

PROVIDER: S-EPMC7033741 | biostudies-literature | 2018 Nov

REPOSITORIES: biostudies-literature