Trauma/Critical CareA systematic review to identify the factors that affect failure to rescue and escalation of care in surgery
Section snippets
Data sources
The databases searched included Ovid MEDLINE (1980 to week 2, November 2012), EMBASE (1980 to week 2, November 2012), PsycINFO (1987 to week 2, November 2012), the Cochrane Database of Systematic Reviews (Issue 10, 2012), and the Cochrane Central Register of Controlled Trials (Issue 10, 2012). Conference abstracts and reference lists of included articles were hand searched to identify additional relevant data. The grey literature (work lacking bibliographic control) was searched using Google.
Search strategy
Results
The search produced 19,887 citations with 9,414 remaining after limits were applied and duplicates removed. Of these, 8,566 articles were excluded after title review leaving 848 abstracts for further scrutiny. Abstract review led to exclusion of a further 781 articles, leaving 67 for full-text evaluation. Thirty-eight of these articles met the inclusion criteria. A hand search of relevant article references and associated literature identified 4 additional articles that fulfilled the inclusion
Discussion
This review identified the incidence of FTR, and factors leading to increased rates of FTR and delayed escalation of care. Our approach also evaluated interventions aiming to prevent adverse outcomes on surgical wards. In doing so, a link between delayed escalation of care and FTR was highlighted and suggests the important role that communication and teamwork can play in the avoidance of adverse events.
Multiple studies showed that mortality rates differ significantly between different hospitals
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2023, European Journal of Surgical Oncology
Funding: This review article received no direct funding. Johnston, Arora, King, Almoudaris, Davis, and Darzi are affiliated with the Imperial Patient Safety Translational Research Centre, which receives center funding from the National Institute for Health Research (UK). The grant number is 40490.
Registration: This systematic review was registered with the International Prospective Register of systematic reviews (PROSPERO) ID - CRD42013004080.