Exploratory analyses of the "failure to rescue" measure: evaluation through medical record review.
Clinicians and hospital leaders are interested in assessing the degree to which the failure-to-rescue indicator identifies true problems in processes of care at the individual or system level. Failure-to-rescue complications are flagged through administrative data, and the clinical course of events is evaluated. The review suggests that many factors influence whether a case is included in the measure, such as existing health problems, the presence of complex comorbidities, and variation in clinical documentation and coding practices.
Talsma
AkkeNeel
A
University of Michigan School of Nursing, Ann Arbor, MI 48109, USA. antalsma@umich.edu
Bahl
Vinita
V
Campbell
Darrell A
DA
D000328:Adult; D000465:Algorithms; D015897:Comorbidity; D003625:Data Collection; D003953:Diagnosis-Related Groups / Q000145:classification / Q000706:statistics & numerical data; D004282:Documentation; D005260:Female; D006302:Health Services Research; D017052:Hospital Mortality; D006784:Hospitals, Teaching; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008485:Medical Audit / Q000458:organization & administration*; D008824:Michigan / Q000453:epidemiology; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care / Q000458:organization & administration*; D019984:Quality Indicators, Health Care / Q000458:organization & administration*; D020379:Risk Adjustment; D018570:Risk Assessment; D017751:Safety Management / Q000458:organization & administration; D016019:Survival Analysis; D013597:Systems Analysis