Zago Mauro, Bozzo Samantha, Carrara Giulia, Mariani Diego
Chirurgia (Bucur). 2017 Sept-Oct;112(5):538-545. doi: 10.21614/chirurgia.112.5.538.
To explore the current literature on the failure to rescue and rescue surgery concepts, to identify the key items for decreasing the failure to rescue rate and improve outcome, to verify if there is a rationale for centralization of patients suffering postoperative complications.
There is a growing awareness about the need to assess and measure the failure to rescue rate, on institutional, regional and national basis. Many factors affect failure to rescue, and all should be individually analyzed and considered. Rescue surgery is one of these factors. Rescue surgery assumes an acute care surgery background.
Measurement of failure to rescue rate should become a standard for quality improvement programs. Implementation of all clinical and organizational items involved is the key for better outcomes. Preparedness for rescue surgery is a main pillar in this process. Centralization of management, audit, and communication are important as much as patient centralization.
探讨目前关于未能成功抢救及抢救手术概念的文献，确定降低未能成功抢救率并改善预后的关键因素，验证对术后并发症患者进行集中管理是否合理。
机构、地区和国家层面越来越意识到有必要评估和衡量未能成功抢救率。许多因素影响未能成功抢救，所有这些因素都应单独分析和考虑。抢救手术是其中一个因素。抢救手术以急性护理手术为背景。
未能成功抢救率的测量应成为质量改进项目的标准。实施所有相关临床和组织因素是取得更好预后的关键。抢救手术的准备是这一过程的主要支柱。管理、审核和沟通的集中化与患者集中化同样重要。
