title: Failure to rescue as the conceptual basis for nursing clinical peer review.
abstract: It is incumbent for health care professionals to identify and reduce risk of harm. Left unchecked, minor risk may progress to increased care needs and subsequent morbidity. Recognizing nursing's front-line impact, a nursing clinical peer review committee was developed in an acute care hospital to analyze retrospectively select patient cases for opportunities to reduce risk in future similar situations. Risk-adjusted mortality and code blue calls decreased.
authors.affiliation: Performance Improvement, Nebraska Methodist Hospital, Omaha, Nebraska.
authors.forename: Jackie
authors.initials: J
authors.lastname: Thielen
mesh_terms: D018450:Disease Progression; D017052:Hospital Mortality; D006801:Humans; D009730:Nursing Assessment; D009741:Nursing Staff, Hospital / Q000592:standards*; D061214:Patient Safety; D010380:Peer Review; D058996:Quality Improvement; D012189:Retrospective Studies; D040242:Risk Reduction Behavior; D017211:Treatment Failure; D035502:Trust