Analyzing 598,736 patients across 52 Norwegian hospitals from 2011 to 2021, this study investigates failure to rescue (FTR30) after abdominal surgery. Despite a 30% decrease in FTR30 rates over a decade, substantial variations persist among similar hospitals. General surgical complications, with circulatory collapse and cardiac arrhythmia prevalent, were linked to FTR30. Surprisingly, hospital factors and proximity to intensive care units didn’t explain FTR variations. The study underscores the need for addressing microsystem issues affecting FTR30 in hospitals, emphasizing a complex interplay beyond geographic and institutional characteristics.
Journal Article by Augestad KM, Skyrud KD, Lindahl AK and Helgeland J in BMJ Open
© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.