Failure to rescue following emergency surgery: a FRAM analysis of the management of the deteriorating patient.

M. Sujan; N. Bilbro; A. Ross; L. Earl; M. Ibrahim; G. Bond-Smith; A. Ghaferi; L. Pickup; P. McCulloch

Study

Failure to rescue following emergency surgery: a FRAM analysis of the management of the deteriorating patient.

February 2, 2022

Sujan M, Bilbro N, Ross A, et al. Appl Ergon. 2022;98:103608.

View more articles from the same authors.

Failure to rescue refers to delayed or missed recognition of a potentially fatal complication that results in a patient’s death. This single-center study sought to more effectively manage deteriorating patients after emergency surgery and reduce failure to rescue rates. Researchers used the functional resonance analysis method (FRAM) to develop recommendations for strengthening organizational resilience. Recommendations included improving team communication, organizational learning, and relationships.

PubMed citation

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See More About The Topic

Intensive Care Units

Operating Room

Quality and Safety Professionals

Emergency Medicine

Surgery

Failure to rescue following emergency surgery: a FRAM analysis of the management of the deteriorating patient.

Reducing hospital harm: establishing a command centre to foster situational awareness.

The University of Michigan Emergency Critical Care Center (EC3) Provides Timely Intensive Care to Critically Ill Patients in the Emergency Department

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Failure to rescue following emergency surgery: a FRAM analysis of the management of the deteriorating patient.

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The University of Michigan Emergency Critical Care Center (EC3) Provides Timely Intensive Care to Critically Ill Patients in the Emergency Department

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