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10.1016/j.surg.2016.08.017 http://scihub22266oqcxt.onion/10.1016/j.surg.2016.08.017 C5803187!5803187 !27788924     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=27788924 &cmd=llinks): Failed to open stream: HTTP request failed! 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Failure-to-rescue after injury is associated with preventability: The results of mortality panel review of failure-to-rescue cases in trauma |pdf=|usr=}}{{27788924 }} gab.com Text Failure-to-rescue after injury is associated with preventability: The results of mortality panel review of failure-to-rescue cases in trauma JO: Surgery http://www.kidney.de/pget.php?&tw=1&pmid=27788924 #FOAvip BACKGROUND: Failure-to-rescue is defined as the conditional probability of death after a complication, and the failure-to-rescue rate reflects a center's ability to successfully "rescue" patients after complications. The validity of the failure-to-rescue rate as a quality measure is dependent on the preventability of death and the appropriateness of this measure for use in the trauma population is untested. We sought to evaluate the relationship between preventability and failure-to-rescue in trauma. METHODS: All adjudications from a mortality review panel at an academic level I trauma center from 2005-2015 were merged with registry data for the same time period. The preventability of each death was determined by panel consensus as part of peer review. Failure-to-rescue deaths were defined as those occurring after any registry-defined complication. Univariate and multivariate logistic regression models between failure-to-rescue status and preventability were constructed and time to death was examined using survival time analyses. RESULTS: Of 26,557 patients, 2,735 (10.5%) had a complication, of whom 359 died for a failure-to-rescue rate of 13.2%. Of failure-to-rescue deaths, 272 (75.6%) were judged to be non-preventable, 65 (18.1%) were judged potentially preventable, and 22 (6.1%) were judged to be preventable by peer review. After adjusting for other patient factors, there remained a strong association between failure-to-rescue status and potentially preventable (odds ratio 2.32, 95% confidence interval, 1.47-3.66) and preventable (odds ratio 14.84, 95% confidence interval, 3.30-66.71) judgment. CONCLUSION: Despite a strong association between failure-to-rescue status and preventability adjudication, only a minority of deaths meeting the definition of failure to rescue were judged to be preventable or potentially preventable. Revision of the failure-to-rescue metric before use in trauma care benchmarking is warranted. Twit Text FOAVip Failure-to-rescue after injury is associated with preventability: The results of mortality panel review of failure-to-rescue cases in trauma ????Surgery http://www.kidney.de/pget.php?&tw=1&pmid=27788924 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=27788924 #FOAvip English Wikipedia <ref>{{Cite pmid|27788924 }}</ref> Failure-to-rescue after injury is associated with preventability: The results of mortality panel review of failure-to-rescue cases in trauma #MMPMID27788924 Kuo LE ; Kaufman E ; Hoffman RL ; Pascual JL ; Martin ND ; Kelz RR ; Holena DN Surgery 2017[Mar]; 161 (3 ): 782-790 PMID27788924 show ga BACKGROUND: Failure-to-rescue is defined as the conditional probability of death after a complication, and the failure-to-rescue rate reflects a center's ability to successfully "rescue" patients after complications. The validity of the failure-to-rescue rate as a quality measure is dependent on the preventability of death and the appropriateness of this measure for use in the trauma population is untested. We sought to evaluate the relationship between preventability and failure-to-rescue in trauma. METHODS: All adjudications from a mortality review panel at an academic level I trauma center from 2005-2015 were merged with registry data for the same time period. The preventability of each death was determined by panel consensus as part of peer review. Failure-to-rescue deaths were defined as those occurring after any registry-defined complication. Univariate and multivariate logistic regression models between failure-to-rescue status and preventability were constructed and time to death was examined using survival time analyses. RESULTS: Of 26,557 patients, 2,735 (10.5%) had a complication, of whom 359 died for a failure-to-rescue rate of 13.2%. Of failure-to-rescue deaths, 272 (75.6%) were judged to be non-preventable, 65 (18.1%) were judged potentially preventable, and 22 (6.1%) were judged to be preventable by peer review. After adjusting for other patient factors, there remained a strong association between failure-to-rescue status and potentially preventable (odds ratio 2.32, 95% confidence interval, 1.47-3.66) and preventable (odds ratio 14.84, 95% confidence interval, 3.30-66.71) judgment. CONCLUSION: Despite a strong association between failure-to-rescue status and preventability adjudication, only a minority of deaths meeting the definition of failure to rescue were judged to be preventable or potentially preventable. Revision of the failure-to-rescue metric before use in trauma care benchmarking is warranted. |*Failure to Rescue, Health Care [MESH] |Adult [MESH] |Aged [MESH] |Female [MESH] |Hospital Mortality [MESH] |Humans [MESH] |Male [MESH] |Middle Aged [MESH] |Retrospective Studies [MESH] |Survival Analysis [MESH] |Wounds and Injuries/*mortality/*prevention & control [MESH]Failure-to-rescue after injury is associated with preventability: The (epmc).pdf DeepDyve Pubget Overpricing