Complex Care Patient | Failure to Rescue

Running head: COMPLEX CARE PATEINT
FAILURE TO RESCUE
Name of the Student
Name of the University
Author Note

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COMPLEX CARE PATIENT
INTRODUCTION & DEFINITION
There are an enormous number of patients that the nurses deliver care every day. It is
quite natural that the conditions of the patients are not always same. The term ‘failure to rescue’
is devised to evaluate quality of care, which can be provided to the patient immediately and this
term was intended to examine the ability of the supervisor to stabilize the patient. Therefore, the
failure to rescue is indication of the quality of nursing care. Most of the cases it can be seen in
older patient to whom the appropriate care is difficult to provide. Another event can also lead to
this scenario such as critical operation situation such as liver transplant, coronary heart disease.
These patients often undergo deterioration. This essay focuses on the research related to ‘failure
to rescue’ of the patients with deteriorating condition in health care facility, the incidence of
adverse condition, analysis and evaluation of the condition of patient, family and health care
facility, and finally two nursing strategies to maintain patient safety.
The term ‘failure to rescue’ can be explained as incapability to halt the deterioration of
patients that leads to death or permanent disability. It is caused from a complication of the
treatment procedure or from an illness that cannot be cured. Currently it is considered as an
indicator to evaluate the quality of nursing care. The term also inferred that it presents the
number of death among patients who suffer treatable conditions undergoing a surgery.
INCIDENCE OF ADVERSE EVENTS IN AUSTRALIA
The maximum instances of failure to rescue happen with surgical patients in acute
healthcare systems. A study revealed the data that mortality rate was higher after

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COMPLEX CARE PATIENT
pancreaticoduodenectomy (PD) in Australia. The result showed 42 major complications were
identified as critical consideration. The nurses are incapable to rescue these patients (Stevens et
al., 2019). It is seen that majority of the hospitalized patients in health care are at increased
tendecy of developing disease related complications, which can occasionally result in failure to
rescue (FTR). The factors responsible for incidence of FTR involve age of the patient, quality of
the care provided in the hospital. In hospitalized condition, many complications are associated
with failure to rescue system. The diseases include acute respiratory distress syndrome,
congestive heart failure, myocardial infraction and renal failure. Sometimes, the patients may
also be traumatized which is considered as adverse conditions. The study revealed that about 7.5-
16.6% of patients’ death occurred in acute care settings. In Australia approximately 15-20% of
after surgical patient faced complications and 5%-7% of them cannot make up to discharge.
It has been observed that in Australian patient, cardiac arrest, chest pain, hypertension,
COPD, respiratory distress, myocardial infraction have adverse events and eventually lead to
failure to rescue (Silver et al., 2018). The number of reasons is there to cause deterioration of the
patients. These includes lack of proper treatment care, inattentive situation of the nurses,
incapability of identification of the alterations of the patient’s conditions also the incorrect
decision making (Jones & Johnstone, 2017) These may lead to this situation of patients’ death.
Several factors need to be evaluated in failure to recover understanding. The
physiological deterioration of the patient needs to be understood well. Also the sociology of
hospital and the psychological parameters are required to check individually (Subbe & Barach,
2017).