Journal Article
Study

Interpersonal and organizational dynamics are key drivers of failure to rescue.

Smith ME, Wells EE, Friese CR, et al. Health affairs (Project Hope). 2018;37:1870-1876.

When a patient experiences a major surgical complication, a health care team's inability to prevent subsequent postoperative death is known as failure to rescue. Stakeholders at five Michigan hospitals identified two changeable causes of failure to rescue: delayed recognition of evolving complications and communication deficiencies. A WebM&M commentary discussed a failure to rescue and system-level means to address the adverse outcome.