Evaluating Failure to Rescue in Australian Acute Healthcare Settings

This essay delves into the critical concept of "failure to rescue" within the context of the Australian acute healthcare environment. It begins by defining the term and outlining the essay's aim, which is to evaluate current research on this topic, emphasizing patient safety. The essay then discusses the incidence and prevalence of adverse events linked to failure to rescue, providing statistics and insights specific to the Australian healthcare system. It analyzes the consequences of failure to rescue for patients, their families, and the healthcare system, highlighting the impact of poor clinical management and delayed treatment. Furthermore, the essay evaluates two key nursing strategies: the Six Sigma strategy for process improvement and the Plan-Do-Study-Act (PDSA) cycle, emphasizing their roles in preventing patient deterioration and enhancing patient safety. The conclusion summarizes the importance of interprofessional practices and coordinated healthcare delivery in mitigating the risks associated with failure to rescue, underscoring the need for proactive measures to ensure patient well-being.

Interprofessional Practice and Patient Safety
1

Contents
INTRODUCTION...........................................................................................................................3
MAIN BODY..................................................................................................................................3
Concept failure to rescue.............................................................................................................3
Discussion of the incidence & prevalence of adverse events that are linked to failure to rescue
in the Australian acute healthcare environment...........................................................................4
Analysis and evaluation of the consequences of failure to rescue for the patient; the patient’s
family; and the health care system...............................................................................................6
Evaluation of TWO nursing strategies........................................................................................7
CONCLUSION................................................................................................................................8
REFERENCES................................................................................................................................9
2

A. Outline the Aim
Aim of project is to understand the concept of failure to rescue. Interprofessional
practices is defined the different health worker from multiple professional background working
together with families, patients, communities and each other to deliver health care. The essay
will discuss the incidence & prevalence of adverse events, establish as linked to the failure in
patient rescue in Australian acute healthcare environment. Discussion will be identified the
specific consequences of failure in the rescue for patient. Moreover, it will discuss about the
different kind of nursing strategies, which involves either in patient, family and health care
system. This will help for prevent the registered nurse from failing to the rescue, maintain or
control all kind of patient safety measurement.
B. Concept failure to rescue
The concept of failure to rescue which means that capture innovative idea that, although
not identified the complication at every medical care. The health care system is able to determine
the causes of patient disease and provide the treatment as possible manner (Cahn, 2020). When
applied the health care, the concept of failure or rescue which may refer to the ability or
capability of team, identify any kind of changes in the patient’s health condition as quickly.
C. Discussion of the incidence & prevalence of adverse events that are linked to failure to rescue
in the Australian acute healthcare environment.
The incidence & prevalence of adverse events during hospitalisation and complication
after surgery, which become quite common. According to the Australian Acute healthcare
environment, there are one fifth of patients, who underwent in surgery and died because of the
treatable complication (Dinius & et.al., 2020). Within Australian, 10% to 15% of patients
experienced a major complication at the time of surgery. Moreover, some patients have been
identified the unpredictable, symptomatic process of worsening physiology condition towards
clinical illness.
Despite the wide acceptance of FTR (Failure to rescue) as consider the patient safety
indicator, identified the variation of this concept in term of health care jurisdiction. In this way, it
3

is important to recognise of effective treatment of complication once it occurs and can prevent
the rate of patient’s. Whenever, different clinical team has been measured the failure to rescue,
which is mainly identified the accurate proportion of death among surgical in patient with proper
treatable complication. Sometimes, it is also consider the quality indicator regarding the
Australian health care system.
On the other hand, Failure to recue is kind of risk which is not only contributes for patient
or hospital based. But at certain level, it is also represents the large geographical scale in
Australia, which may reflect on the impacts of different multi-factorial process regarding quality
improvement. Sometimes, it is also relates to the complex aspect in patient level factors such as
gender, age, comorbidity.
Australian health care system, hospitals are responding differently towards patient in
complication level. It would be handled the inequality in treatment service and also varying the
post- complication death in every hospital levels (Redley & et.al., 2017). There are large number
of variation in the quality of health care service. The primary aim of clinical team to recognition
of both positive as well as negative aspect, also contributed towards observed discrepancies.
As per analysis the failure to rescue on the basis of incident & prevalence events,
Australian health care system should be considered the different aspects of surgical procedures
and performed accordingly. Afterwards, it has been identified the mortality, failure to rescue,
complication rates for different individual hospitals. Therefore, it become easier for identifying
the critical care admission and their treatment of patient complications.
D. Analysis and evaluation of the consequences of failure to rescue for the patient; the patient’s
family; and the health care system
Failure to rescue is basically consider as indicator that has been supports for measure quality of
care for surgical patients. it is also evaluating the different patients, who are died after
developing the post-operative complications (Palaian, Buabeid & Ashames, 2020). Therefore, it
is an essential aspect to identify patient complication and taking necessary action as quickly
manner. this will help for providing the better quality of health care services. On the other hand,
4

it has been identified the major consequences of failure to rescue for the patient; the patient’s
family; and the health care system. This can happen due to poor ability of clinical team and
unable to handle the complex situation after surgery.
Consequences-
In acute care, clinical deterioration can be occurred at any stage of patient illness.
Generally, it may be identified after surgery. Patients and their family members are already feel
so much stressed at the time of medical as well as surgical intervention. In critical illness, it has
been increased higher risk for patient death (Anderson, Gray & Price, 2017). Clinical team have
faced the failure to rescue, not providing the enough health care treatment.
In most of cases, it has been identified the physiological abnormalities in pulse rate,
mental functionality, poor respiration and oxygenation. However, these kind of changes are
missed by medical staff members. Therefore, it would be generated as mis-interpreted or mis-
management.
Delays in the treatment as well as deficient care of different patients. It often result in
represent as unanticipated admission to its intensive care unit. As per analysis, it has been found
that failure to rescue will increase the possibilities of cardiac arrest or death. Many Australian
health care agencies will try to change in their structure of acute care. Many patient have found
that actual frequency of physiological observations, instruction giving the particular parameters.
It should trigger to review the overall health related condition.
In context to Cause of failure to rescue, the consequence of failure to rescue reveals about
the complexity of patient problem, reflected in the both acute care and maternity. The Clinical
team have a lack of knowledge, skills and inadequate staffing level or supervision. This is
automatically increased the pressure or stressed on the staff members. In this way, it is very
difficult to handle the complex situation (Pedersen & Mesman, 2021). Due to the failure of
rescue, which means that identified the inadequate obstetric consult, overloaded and not suitable
clinical skills.
5

E. Evaluation of TWO nursing strategies
The necessity for quality and safety improvement where involving either patient’s, family
or health care system. The effective management of Australian care system is mainly used the
approach of post-operative complication and then reportedly made a large contribution to patient
survival than its operation type or particular characteristics of patient. Failure to rescue rate
varies in different patients.
For example- Some older patient, who have been identified the pre-operative highly
comorbidities, increasing the risk of complication regarding death after performing surgery.
Clinical team have been revealed that patient undergoing surgery in Australian health care with
become high level of mortality rate, patients are not suffered the major complication as compare
with other low mortality in hospitals. It is basically depends upon the health care facilities and
services (Morgan & et.al., 2020). The older patients have been experienced a high risk of FTR
(failure to rescue), directly affect on the post-operative mortality. On the basis of analysis, it has
been examined the characteristics at individual aspects, contributing towards factors. So as
clinical team have easily identified the different patient indicators.
Generally, it may be used the registered nurses which plays important role in the better
treatment facilities and services. At the time of failing to rescue, registered nurses have been
used the different strategies to maintain the patient safety.
Six sigma is based on the improvement strategy, in order to monitor or track the entire
process of clinical team. It is helping to reduce or eliminate any kind of waste while optimising
the patient satisfaction level. Failure to rescue is mainly occurs because of the inability of staff
members, a lack of health care (Sulistyaningsih, Jati & Dwidiyanti, 2020). This type of six sigma
strategy is used by registered nurses to divide into different phases such as disciplined, rigorous
way to measure, analyse, control, and improve. This type of process involve at the time of
medical or surgical intervention. Therefore, it can easily handle the complication risk in proper
manner. At certain point, Interprofessional practices are implementing in the different areas,
establishing the collaboration and learning to work together, respecting one another individual.
6

There are various disciplines work more effectively as team and provide the best quality of
service to their patient, generate better result or outcome. This should be started with step with
work outside of health care. It including the Reason’s based organisational accident theory, other
kind of foundational work in the human factors, complex systems.
Sometimes, professionals have an act on those changes in proper manner and then
provide the better benefits regarding patient health. Failure to rescue May occurs in any situation
where clinical team was unable to select right mitigation approach or prevention. As a result, it
has been determined the failure to rescue, shows as inability to prevent the death after
development of any harmful complications. For Example- many women’s have been faced the
critical health condition in regards of abdominal hysterectomy, developing difficulty in
breathing. Moreover, tachycardia is also another second postoperative day. At that time, clinical
team have failed to determine the actual sign, symptoms, which are consistently affecting the
entire immune system of patient. Sometimes, it is leading the failure to rescue and perform the
suitable testing approach at the time of health complication. It would be consistent with the
concept of failure to rescue.
For example- The development of different failure to rescue measures was considered as
important aspect in term of quality as well as safety aspect. However, different people have been
concerned about the inability of clinical team members (Choudhury us Salam & Choudhury,
2020). It should be counted in the measurement of death situation. There are different approaches
supports for identifying the multiple cases of failure to rescue, able to differentiate whether any
kind of serious complication occurs.
Plan do study act is another kind of nursing strategy, which is mainly used to do some
positive change in health care process. Afterwards, it is directly affecting favourable outcome or
result. This strategy will consider as appropriate way to improve the health care treatment
process as quickly (Merrell & et.al., 2018). Registered nurses have been used this strategy to
apply as unique features and then impacting on the desirable changes. The primary purpose of
7

Plan do study act strategy to improve all kind of efforts and establish a functional as well as
causal relationship with patients, patient family members. Therefore, it is helping to resolve any
kind of complex situation at the time of medical as well as surgical intervention.
For Example- by using study plan through effective strategy that can identify Failure to
rescue on the basis of recognition of warning sign, symptoms but with an interpretation as well
as timely examined of clinical management (Reeves & et.al., 2017). if any kind of deterioration
is determined. In Australian hospitals, front line staff members needed to provide the better
support for patient. An effective interprofessional team can help to establish a collaboration with
patient and provide the better healthcare.
F. Summarise
From above discussion, it has been concluded that Interprofessional practices plays
important role in order to establish a coordination between health worker from multiple
professional background working together with families, patients, communities and each other to
deliver health care. As per analysis, it has been summarised about the concept of failure to
rescue. Discussion on the incidence & prevalence of adverse events, establish as linked to the
failure in patient rescue in Australian acute healthcare environment. Through analysis, it has
been identified the consequences of failure in the rescue for patient. Moreover, identifying the
various kind of nursing strategies. However, it has been analysed the prevention of registered
nurse from failing to the rescue, maintain or control all kind of patient safety.
8

REFERENCES
Book and journals
Anderson, E. S., Gray, R., & Price, K. (2017). Patient safety and interprofessional education: A
report of key issues from two interprofessional workshops. Journal of interprofessional
care. 31(2). 154-163.
Cahn, P. S. (2020). How interprofessional collaborative practice can help dismantle systemic
racism.
Choudhury, R. I., us Salam, M. A. & Choudhury, S. R. (2020). How interprofessional education
could benefit the future of healthcare–medical students’ perspective. BMC Medical
Education. 20(1). 1-4.
Dinius, J. & et.al., (2020). Inter-professional teamwork and its association with patient safety in
German hospitals—A cross sectional study. PloS one. 15(5). e0233766.
Merrell, S. B. & et.al., (2018). Use of an emergency manual during an intraoperative cardiac
arrest by an interprofessional team: a positive-exemplar case study of a new patient safety
tool. The Joint Commission Journal on Quality and Patient Safety. 44(8). 477-484.
Morgan, K. H. & et.al., (2020). Patients’ experiences of interprofessional collaborative practice
in primary care: A scoping review of the literature. Journal of Patient Experience.
2374373520925725.
Palaian, S., Buabeid, M., & Ashames, A. (2020). Patient Safety Culture in Handling
Prescriptions and Interprofessional Collaboration Practices Amongst Community
Pharmacists: An Investigative Simulated Patient Study from the United Arab
Emirates. Risk Management and Healthcare Policy. 13. 3201.
Pedersen, K. Z., & Mesman, J. (2021). A transactional approach to patient safety: understanding
safe care as a collaborative accomplishment. Journal of Interprofessional Care. 1-11.
Redley, B. & et.al., (2017). Interprofessional communication supporting clinical handover in
emergency departments: An observation study. Australasian Emergency Nursing
Journal. 20(3). 122-130.
9

Reeves, S. & et.al., (2017). Examining the nature of interprofessional interventions designed to
promote patient safety: a narrative review. International Journal for Quality in Health
Care. 29(2). 144-150.
Sulistyaningsih, Y., Jati, S. P., & Dwidiyanti, M. (2020). Interprofessional Collaborative Practice
in Comprehensive Emergency Obstetric and Neonatal Services to Improve the Patient
Safety Quality.
10