Observational studyAnnals of surgery2019
Association Between Hospital Staffing Models and Failure to Rescue.
Observational study in Annals of surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
22 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Pooled it
- Updated European Reference Network for rare Inherited and Congenital Digestive and Gastrointestinal Anomalies guidelines for the management of rectosigmoid Hirschsprung's disease 2025.Journal of pediatric gastroenterology and nutrition · 2026Guideline
- A Concept Analysis on Failure to Rescue in Maternal Health: Implications for Practice and Policy.Birth (Berkeley, Calif.) · 2025Pooled it
- Postoperative Septic Shock After Esophagectomy for Esophageal Cancer: Risk Factors and Impact on Short- and Long-Term Survival.Journal of personalized medicine · 2026Article
- Failure to Rescue and Lung Resections for Lung Cancer: Measuring Quality from the Operation Room to the Intensive Care Unit.Cancers · 2025Review
- Esophagectomy Trends and Postoperative Outcomes at Private Equity-Acquired Health Centers.JAMA surgery · 2025Article
- Variation in Hospital Mortality After Complex Cancer Surgery: Patient, Volume, Hospital or Social Determinants?Annals of surgical oncology · 2024Article
- Requirements for hospitals in Japan to have low operative mortality and failure-to-rescue rates.Annals of gastroenterological surgery · 2024Article
- Interhospital variability in failure to rescue rates following aortic valve surgery.JTCVS open · 2023Article
- The Emerging Role of "Failure to Rescue" as the Primary Quality Metric for Cardiovascular Surgery and Critical Care.Journal of clinical medicine · 2023Review
- Failure to rescue: A candidate quality metric for durable left ventricular assist device implantation.The Journal of thoracic and cardiovascular surgery · 2023Article
- Failure to rescue following anatomical lung resection. Analysis of a prospective nationwide database.Frontiers in surgery · 2023Article
- Interhospital failure to rescue after coronary artery bypass grafting.The Journal of thoracic and cardiovascular surgery · 2023Observational
- Advancing Quality Metrics for Durable Left Ventricular Assist Device Implant: Analysis of the Society of Thoracic Surgeons Intermacs Database.The Annals of thoracic surgery · 2022Article
- Variability in Smoking Status for Lobectomy Among Society of Thoracic Surgeons Database Participants.The Annals of thoracic surgery · 2021Article
- Interaction of Surgeon Volume and Nurse-to-Patient Ratio on Post-operative Outcomes of Medicare Beneficiaries Following Pancreaticoduodenectomy.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2020Article
- Should Complex Cancer Patients Requiring High-Risk Surgery Shoot for the Stars?JNCI cancer spectrum · 2020Article
- [Internal hospital emergency management : Concepts for optimization of patient safety in hospitals].Der Anaesthesist · 2020Review
- ERNICA guidelines for the management of rectosigmoid Hirschsprung's disease.Orphanet journal of rare diseases · 2020Review
- Trauma complications and in-hospital mortality: failure-to-rescue.Critical care (London, England) · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
objectiveTo identify hospital staffing models associated with failure to rescue (FTR) rates at low- and high-performing hospitals.
backgroundFTR is an important quality measure in surgical safety and is a metric that hospitals are seeking to improve. Specific unit-level determinants of FTR, however, remain unknown.
methodsRetrospective, observational study using data from the Michigan Quality Surgical Collaborative, which is a prospectively collected and clinically audited database in the state of Michigan. We identified 44,567 patients undergoing major general or vascular surgery from 2008 to 2012. Our main outcome measures were mortality, complications, and FTR rates.
resultsHospital rates of FTR across low, middle, and high tertiles were 8.9%, 16.5%, and 19.9%, respectively (P < 0.001). Low FTR hospitals tended to have a closed intensive care unit staffing model (56% vs 20%, P < 0.001) and a higher proportion of board-certified intensivists (88% vs 60%, P < 0.001) when compared to high FTR hospitals. There was also significantly more staffing of low FTR hospitals by hospitalists (85% vs 20%, P < 0.001) and residents (62% vs 40%, P < 0.01). Low FTR hospitals were noted to have more overnight coverage (75% vs 45%, P < 0.001) as well as a dedicated rapid response team (90% vs 60%, P < 0.001).
conclusionsLow FTR hospitals had significantly more staffing resources than high FTR hospitals. Although hiring additional staff may be beneficial, there remain significant financial limitations for many hospitals to implement robust staffing models. Thus, our ongoing work seeks to improve rescue and implement effective staffing strategies within these constraints.
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