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PSNet: Patient Safety Network
Journal Article
Study

Failure events in transition of care for surgical patients.

Helling TS, Martin LC, Martin M, et al. Journal of the American College of Surgeons. 2014;218:723-31.

Wide variation in hospital surgical mortality rates have been attributed to failure to rescue patients when postoperative complications occur. This study identified the clinical factors associated with unplanned transfers to the intensive care unit after surgery and found that failure to detect severity of illness was one factor related to delays in escalating care when necessary.