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.
University of Michigan School of Nursing, Ann Arbor, MI 48109, USA. antalsma@umich.edu
AkkeNeel
A
Talsma
Vinita
V
Bahl
Darrell A
DA
Campbell
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