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The Emerging Role of “Failure to Rescue” as the Primary Quality Metric for Cardiovascular Surgery and Critical Care

We conducted a thorough literature review on the emerging role of failure to rescue (FTR) as a quality metric for cardiovascular surgery and critical care. For this purpose, we identified all original research studies assessing the implementation of FTR in cardiovascular surgery and critical care fr...

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Autores principales: Magouliotis, Dimitrios E., Xanthopoulos, Andrew, Zotos, Prokopis-Andreas, Arjomandi Rad, Arian, Tatsios, Evangelos, Bareka, Metaxia, Briasoulis, Alexandros, Triposkiadis, Filippos, Skoularigis, John, Athanasiou, Thanos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10381557/
https://www.ncbi.nlm.nih.gov/pubmed/37510991
http://dx.doi.org/10.3390/jcm12144876
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author Magouliotis, Dimitrios E.
Xanthopoulos, Andrew
Zotos, Prokopis-Andreas
Arjomandi Rad, Arian
Tatsios, Evangelos
Bareka, Metaxia
Briasoulis, Alexandros
Triposkiadis, Filippos
Skoularigis, John
Athanasiou, Thanos
author_facet Magouliotis, Dimitrios E.
Xanthopoulos, Andrew
Zotos, Prokopis-Andreas
Arjomandi Rad, Arian
Tatsios, Evangelos
Bareka, Metaxia
Briasoulis, Alexandros
Triposkiadis, Filippos
Skoularigis, John
Athanasiou, Thanos
author_sort Magouliotis, Dimitrios E.
collection PubMed
description We conducted a thorough literature review on the emerging role of failure to rescue (FTR) as a quality metric for cardiovascular surgery and critical care. For this purpose, we identified all original research studies assessing the implementation of FTR in cardiovascular surgery and critical care from 1992 to 2023. All included studies were evaluated for their quality. Although all studies defined FTR as mortality after a surgical complication, a high heterogeneity has been reported among studies regarding the included complications. There are certain factors that affect the FTR, divided into hospital- and patient-related factors. The identification of these factors allowed us to build a stepwise roadmap to reduce the FTR rate. Recently, FTR has further evolved as a metric to assess morbidity instead of mortality, while being also evaluated in the context of interventional cardiology. All these advances are further discussed in the current review, thus providing all the necessary information to surgeons, anesthesiologists, and physicians willing to implement FTR as a metric of quality in their establishment.
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spelling pubmed-103815572023-07-29 The Emerging Role of “Failure to Rescue” as the Primary Quality Metric for Cardiovascular Surgery and Critical Care Magouliotis, Dimitrios E. Xanthopoulos, Andrew Zotos, Prokopis-Andreas Arjomandi Rad, Arian Tatsios, Evangelos Bareka, Metaxia Briasoulis, Alexandros Triposkiadis, Filippos Skoularigis, John Athanasiou, Thanos J Clin Med Review We conducted a thorough literature review on the emerging role of failure to rescue (FTR) as a quality metric for cardiovascular surgery and critical care. For this purpose, we identified all original research studies assessing the implementation of FTR in cardiovascular surgery and critical care from 1992 to 2023. All included studies were evaluated for their quality. Although all studies defined FTR as mortality after a surgical complication, a high heterogeneity has been reported among studies regarding the included complications. There are certain factors that affect the FTR, divided into hospital- and patient-related factors. The identification of these factors allowed us to build a stepwise roadmap to reduce the FTR rate. Recently, FTR has further evolved as a metric to assess morbidity instead of mortality, while being also evaluated in the context of interventional cardiology. All these advances are further discussed in the current review, thus providing all the necessary information to surgeons, anesthesiologists, and physicians willing to implement FTR as a metric of quality in their establishment. MDPI 2023-07-24 /pmc/articles/PMC10381557/ /pubmed/37510991 http://dx.doi.org/10.3390/jcm12144876 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Magouliotis, Dimitrios E.
Xanthopoulos, Andrew
Zotos, Prokopis-Andreas
Arjomandi Rad, Arian
Tatsios, Evangelos
Bareka, Metaxia
Briasoulis, Alexandros
Triposkiadis, Filippos
Skoularigis, John
Athanasiou, Thanos
The Emerging Role of “Failure to Rescue” as the Primary Quality Metric for Cardiovascular Surgery and Critical Care
title The Emerging Role of “Failure to Rescue” as the Primary Quality Metric for Cardiovascular Surgery and Critical Care
title_full The Emerging Role of “Failure to Rescue” as the Primary Quality Metric for Cardiovascular Surgery and Critical Care
title_fullStr The Emerging Role of “Failure to Rescue” as the Primary Quality Metric for Cardiovascular Surgery and Critical Care
title_full_unstemmed The Emerging Role of “Failure to Rescue” as the Primary Quality Metric for Cardiovascular Surgery and Critical Care
title_short The Emerging Role of “Failure to Rescue” as the Primary Quality Metric for Cardiovascular Surgery and Critical Care
title_sort emerging role of “failure to rescue” as the primary quality metric for cardiovascular surgery and critical care
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10381557/
https://www.ncbi.nlm.nih.gov/pubmed/37510991
http://dx.doi.org/10.3390/jcm12144876
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