ArticleHealth affairs (Project Hope)2018
Interpersonal And Organizational Dynamics Are Key Drivers Of Failure To Rescue.
Article in Health affairs (Project Hope), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
What it found
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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
13 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Pooled it
- The Use of Rapid Response Teams to Reduce Failure to Rescue Events: A Systematic Review.Journal of patient safety · 2020Pooled it
- Surgeon Perceptions of Failure to Rescue After Surgery.JAMA network open · 2026Article
- Between-Hospital Variation in Failure to Rescue After Major Surgery.JAMA network open · 2026Article
- An Umbrella Review of Relational Enablers of Psychological Safety and Identity-Related Gaps in the Evidence: Implications for Healthcare and Organizational Settings.Journal of healthcare leadership · 2026Review
- Balancing fidelity and flexibility: a case study presentation of an augmented dynamic adaptation process for socio-technical innovations in healthcare.Frontiers in health services · 2026Article
- Risk Factors and Strategies for Failure to Rescue Following Hepatectomy: A Review.Journal of hepato-biliary-pancreatic sciences · 2025Review
- Interhospital variability in failure to rescue rates following aortic valve surgery.JTCVS open · 2023Article
- Article
- Hospital-level variation in mesh use for ventral and incisional hernia repair.Surgical endoscopy · 2023Article
- The Effect of Physiatry Involvement for Patients With Acute Traumatic Spinal Cord Injury at a Level 1 Trauma Center.Topics in spinal cord injury rehabilitation · 2022Article
- A concept analysis of psychological safety: Further understanding for application to health care.Nursing open · 2022Article
- Assessing the impact of a shadowing programme on in-hospital mortality following trainee doctors' changeover.BMC health services research · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
Failure to rescue-mortality following a major surgical complication-is a key driver of variation in postoperative mortality. However, little is known about the impact of interpersonal and organizational dynamics, or microsystem factors, on failure to rescue. In a qualitative study of providers from hospitals with high and low rescue rates, we identified five key factors that providers believe influence the successful rescue of surgical patients: teamwork, action taking, psychological safety, recognition of complications, and communication. Near-uniform agreement existed on two targets for improvement: delayed recognition of developing complications and poor interprofessional communication and inability to express clinical concerns. To improve perioperative outcomes, hospitals and payers should shift their attention to improving early detection and effective communication of major complications.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.