Department of Anesthesiology, Dartmouth Medical School and Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA.
Anesthesiology. 2011 Aug;115(2):421-31. doi: 10.1097/ALN.0b013e318219d633.
Failure-to-Rescue, defined as hospital deaths after adverse events, is an established measure of patient safety and hospital quality. Until recently, approaches used to address failure-to-rescue have been focused primarily on improvement of response to a recognized patient crisis, with limited success in terms of patient outcomes. Less attention has been paid to improving the detection of the crisis. A wealth of retrospective data exist to support the observation that adverse events in general ward patients are preceded by a significant period (on the order of hours) of physiologic deterioration. Thus, the lack of early recognition of physiologic decline plays a major role in the failure-to-rescue problem.
失败救治（Failure-to-Rescue），定义为不良事件后的医院死亡，是患者安全和医院质量的既定衡量标准。直到最近，用于解决失败救治的方法主要集中在改善对已识别的患者危机的反应上，但在患者结局方面取得的成功有限。人们对提高危机检测的关注度较低。大量回顾性数据支持这样的观察结果，即普通病房患者的不良事件通常先有一段时间（大约几个小时）的生理恶化。因此，对生理下降的早期识别不足在失败救治问题中起着主要作用。
