Gephart Sheila M, McGrath Jacqueline M, Effken Judith A
College of Nursing, The University of Arizona, Tucson, AZ 85721, USA.
J Perinat Neonatal Nurs. 2011 Jul-Sep;25(3):275-82. doi: 10.1097/JPN.0b013e318227cc03.
Failure to rescue (FTR) has been described as the end result of a series of events relating to the environment of care and nursing quality. Only recently has FTR as a process measure been applied to perinatal care settings. Nurses' continuous presence at the bedside puts them in a privileged position to recognize signs of clinical deterioration and to take action. Many factors contribute to nurses' ability to save lives when infants develop complications. Although such factors are often system-related, nurses may be held responsible if they do not act according to an acceptable standard of care. In the neonatal intensive care unit, FTR has not been applied or adopted as a measure of nursing quality. This article describes how FTR is relevant in the neonatal intensive care unit and outlines nursing and system actions that can be taken to rescue some of the hospital's most vulnerable patients.
未能成功救治（FTR）被描述为一系列与护理环境和护理质量相关事件的最终结果。直到最近，FTR作为一种过程指标才被应用于围产期护理环境。护士持续在床边护理，使他们处于识别临床恶化迹象并采取行动的有利位置。当婴儿出现并发症时，许多因素有助于护士挽救生命。尽管这些因素通常与系统相关，但如果护士未按照可接受的护理标准行事，可能会被追究责任。在新生儿重症监护病房，FTR尚未被应用或采纳为护理质量的衡量标准。本文描述了FTR在新生儿重症监护病房中的相关性，并概述了为挽救医院一些最脆弱患者可采取的护理和系统行动。
