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Search results for "Failure to rescue"
- Emergency Medicine
- Failure to rescue
DeMarco P. Globe Magazine. November 3, 2018.
This magazine article reports on the preventable death of a patient during an acute asthma attack. Written by the patient's husband, the article outlines the failures that led to her death despite the fact that she was at the door of a hospital emergency department and on the phone with an emergency dispatcher. Factors discussed include overreliance on poorly functioning technology, communication failures, and lack of fail-safes.
Ross C. STAT. May 13, 2019.
Nuisance alarms, interruptions, and insufficient staff availability can hinder effective monitoring and response to acute patient deterioration. This news article reports on how hospital logistics centers are working toward utilizing artificial intelligence to improve clinician response to alarms by proactively identifying hospitalized patients at the highest risk for heart failure to trigger emergency response teams when their condition rapidly declines.
Palmer J. Patient Saf Qual Healthc. May/June 2019.
Organizations must learn from adverse events to prevent similar incidents. Reporting on lessons to be learned from the cascade of failures connected with the preventable death of a patient during an acute asthma attack at the door of a hospital emergency department, this magazine article outlines the importance of effective signage, appropriate security staff placement, and acceptance of the responsibility for failure.
Journal Article > Study
Chalwin R, Giles L, Salter A, Eaton V, Kapitola K, Karnon J. Jt Comm Qual Patient Saf. 2019;45:268–275.
Rapid response teams remain a well-established patient safety strategy and are frequently implemented in order to identify deteriorating patients early so that appropriate care can be provided quickly. However, evidence supporting their effectiveness remains mixed. In this retrospective study, researchers found that patients who triggered a rapid response call but who met ongoing rapid response criteria when the initial call ended and then triggered a repeat call had significantly higher odds of mortality compared to patients with a single rapid response call during their admission.