Premium Essay

Failure to Rescue

In:

Submitted By minicollector
Words 576
Pages 3
Running head: FAILURE TO RESCUE

Failure to Rescue
Barbara Combes
Breckenridge School of Nursing
ITT Technical Institute
July 15, 2014

FAILURE TO RESCUE
Abstract
This paper describes failure to rescue (FTR), according to recent studies. Failure to rescue is discussed in terms of importance to nursing. The paper speculates on how knowing about failure to rescue may help in the nursing course studies and critical thinking skills.
FAILURE TO RESCUE
Introduction
According to a 2007 article in Med Care, use of failure to rescue as an indicator of hospital quality and patient safety has increased over the past decade. Researchers have used different sets of complications and deaths to define this measure. (Silber JH, Romano PS, Rosen AK, Wang Y, Even-Shoshan O, Volpp KG, 2007). This paper gives a description of failure to rescue, discusses the importance to nursing and nursing students, in regards to course studies and critical thinking skills. References for this paper are research studies that used the “original” FTR (using all deaths) description.

Description
Failure to Rescue is generally defined as the inability to save a hospitalized patient’s life when he/she experiences a complication. A complication is a condition that is not present on admission, such as cardiopulmonary arrest/shock, pneumonia, upper GI bleed, venous thromboembolism (VTE), and sepsis. Failure to rescue does not necessarily imply wrong doing. (Silber, JH, 2007)

Importance to Nursing
Patients that experience a complication are at risk for failure to rescue. Surgical and trauma patients are most vulnerable. Early warning signs include changes in vital signs; temperature, blood pressure, pulse, heart rate, and respiration rate, changes in oxygen saturation, and changes in mental status. Monitoring these represents the most basic nursing skill, yet essential for

Similar Documents

Premium Essay

Hedge Funds

...TABLE OF CONTENT WHAT IS A HEDGE FUND? 1 WHAT GENERIC HEDGE FUND HAS SIMILAR LEVERAGE CHARACTERISTICS TO BANKS? 2 DO ALL HEDGE FUNDS HAVE A SIMILAR RISK PROFILE? IF NOT DESCRIBE THE TYPE OF RISK FACING EACH MAIN TYPE OF HEDGE FUND 3 More Risky 3 Moderate Risk 3 Risk-Avoidance 3 WHAT FINANCIAL RISKS LED TO FAILURE OF LONG-TERM CAPITAL MANAGEMENT (LTCM)? 4 WHY DID THE FEDERAL RESERVE OPT NOT TO SUPPORT LONG-TERM CAPITAL MANAGEMENT FINANCIALLY? 5 WHAT WERE THE ARGUMENTS IN FAVOUR AND AGAINST THE RESCUE OF LONG-TERM CAPITAL MANAGEMENT? 6 Arguments for the rescue of LTCM: 6 Arguments against the rescue of LTCM: 6 WHAT TYPE OF FINANCIAL INVESTOR WAS DIRECTLY AFFECTED? WHAT WAS THE POTENTIAL INDIRECT EFFECT OF THIS CATEGORY INVESTOR FAILURE? 7 DOES THE RESCUE OF INSTITUTIONS LABELLED “TOO BIG TO FAIL” 9 Strengthen the long term stability of financial services sector? If so, how? 9 Encourage excessive risk taking in the knowledge of an implicit “safety net”? If so, explain why 9 WAS THIS A CASE OF CRONY CAPITALISM? 10 REFERENCES: 11 WHAT ARE HEDGE FUNDS? Hedge funds are private investment funds that aim to make profits for their shareholders by trading securities. Hedge fund utilises a variety of financial instruments to reduce risks, enhance returns and minimise the correlation with equity and bond markets. They are flexible in their investment options and can use short selling, leverage, derivatives and arbitrage. Hedge funds are defined by...

Words: 2410 - Pages: 10

Premium Essay

Task Force of New Orleans Disaster Recovery Research

...strongest overall. At least 1,836 people died in the actual hurricane and in the subsequent floods, making it the deadliest U.S. hurricane since the 1928 Okeechobee hurricane and Hurricane Andrew in 1992. Hurricane Katrina formed over the Bahamas on August 23, 2005 and crossed southern Florida as a moderate Category 1 hurricane, causing some deaths and flooding there before strengthening rapidly in the Gulf of Mexico. The storm weakened before making its second landfall as a Category 3 storm on the morning of Monday, August 29 in southeast Louisiana. It caused severe destruction along the Gulf coast from central Florida to Texas, much of it due to the storm surge. A primary reason for the great loss of life and property in New Orleans was the failure of the levee system due to the system design flaws and lack of maintenance (Waple 2010). Nearly every levee in New Orleans was breached leading to the flooding of 80% of the city and nearby parishes. The city which was subjected to hours of hurricane condition...

Words: 1615 - Pages: 7

Free Essay

Military Intelligence Failures

...Successful Failure Micheal Stout 4 February, 2015 By and large, the inability to collect, report, process, disseminate, and act upon intelligence gathered by our military forces has been the cause of numerous failures in military operations. Operation Ivory Coast, a daring raid on the prisoner of war (POW) camp Son Tay during the Vietnamese war, was one such operation. Considered by many as a stunning tactical success, this mission was a failure from an intelligence standpoint, and the ultimate goal of the operation, to rescue the POW’s held at Son Tay, was unsuccessful. Operation Ivory Coast Background and Planning In the spring of 1970, intelligence gathered from the United States Air Force through analysis of aerial imagery confirmed the presence of fifty five American POW’s, a handful of which were in a condition requiring urgent rescue, located at a compound near Son Tay, 23 miles west of Hanoi. Planning was finalized in August of 1970 to conduct a raid to rescue the POW’s. It would be a joint effort between Air Force search and rescue teams and Army Special Forces. Col Arthur “Bull” Simons was given command of the ground forces. With just over a hundred service members for the ground force, a mock site was built at Eglin Air Force Base, and the joint force conducted roughly 170 training missions in preparation for the operation. Air Force pilots flew over one thousand hours at different locations in the southeastearn United States, practicing the dissimilar aircraft...

Words: 1458 - Pages: 6

Premium Essay

Horton vs Dig

...that DIG’s contributory negligence contributed 80% to Horton’s injury. The ruling was based on the rescue doctrine of the law which holds that “if a tortfeasor creates a circumstance that places the tort victim in danger, the tortfeasor is liable not only for the harm caused to the victim, but also the harm caused to any person injured in an effort to rescue that victim.”(Wiki) In this case, Horton was the rescuer and DIG was the tortfeasor. D.I.G. Contracting, LLC was hired by Fordham University to dig the foundation for a new dorm to be built. However, DIG did not follow the requirements of NYCRR 753-3 which is the regulation that give the local governing body the time to mark any underground gas or electric lines that must be avoided. DIG’s backhoe then hits the gas line which caused the explosion. Horton who has brittle bone disease witnessed the whole event and saved Mr. Employee who was thrown in the air by the explosion from landing on the ground. The issue here is whether the contracting company is liable in negligence for causing injury to the victim who suffers from brittle bone disease. We will examine each and every element of negligence from the plaintiff and the defendant which ultimately helped to reach the decision of the case. From duty of care, DIG’s negligence clearly consists of conduct that creates and unreasonable risk of harm. The company’s failure to follow the requirements of NYCRR 753-3 puts many peoples’ lives in danger. The defendant did not...

Words: 664 - Pages: 3

Premium Essay

Why Projects Fail?

...PROJECT FAILURE Darshanaben Parekh B00075391 Department of Business School of Business & Humanities Institute of Technology, Blanchardstown Dublin 15. Word Limit for Assignment: 3,000 Actual Word Count: 3,418 Project Management BSST H4014 15/10/2014 Table of Contents Introduction: 1 Cases of Project failure: 1 Case A: the failure of the FireControl Project 1 Introduction: 1 Key facts of FireControl Project 1 Why the FireControl Project Fail? 2 Case B: US 2010 Cencus – Field Data Collection Automation (FDCA) project failed 2 Introduction 2 Why 2010 Cencus Project Fail? 3 Case C: Why KM projects fail? 3 Introduction 3 Case 1: a global bank 3 Key factors 4 The main reason for the a global bank project fail; 4 Case 2: a pharmaceutical company 4 Key factors 5 The main reasons for failure of KM at the Pharmaceutical Company were as follows; 5 Case 3: A manufacturing company 6 Key factors 6 Main reasons of failure of KM at manufacturing company were as below; 6 Case 4: a European – headquartered company 7 Key factors 7 The main reasons for the failure of KM initiative at the company were as below: 7 Discussion 8 Conclusion 8 Reference 9 Introduction: Project Management is very wide and interesting subject for study. As per my understanding, it is the process or method of planning, organizing and guiding the project from start to end point. My question is that, what are the main reasons behind failure of projects...

Words: 3393 - Pages: 14

Free Essay

Bcom 275 Communications Success at Chilean Copper Mine

...be part of every corporation’s strategic business plan. The failure of not developing a crises management plan could cause a corporation to face additional financial loss or reputation loss (Gupta, 2011). Research of Corporate Communication Institute found that during crises the ability of have an effective communication team and the ability to master the media is an important tool for the each of the three stages of the crises management plan. The most effective communication strategy is audience segmentation (Gupta, 2011). Audience segmentation will allow the spokesperson to speak to key market segments, which have different concerns than other segments. In the example of the Chile mine collapse the main segments are; Chile mine owners, trapped miners, family members, media, Chile government, and the corporation’s employees. In the case of the Chile mine collapse the owners did not have a crises management plan in place to handle the crises. They failed to handle the crises communication, contingency planning, containment, and had no plan for a resolution. The troubled mine owners even attempted to hide the fact of the collapse but were unsuccessful thanks to the miner’s families. The families of the trapped miners who built a camp near the accident site played a vital role to draw their government attention to the problem. The president of Chile instructed the state secretaries to take direct charge of the rescue mission (Meza, Vidal, 2011). The Chile Government proved to...

Words: 848 - Pages: 4

Premium Essay

Business

...catalyst for the Institute of Medicine (IOM) calling for a ratio of 60% BSN and 40% ADN/ diploma in the North Carolina nursing workforce. Study Design: quantitative, observational study with cross-section design Objective: To examine whether the proportion of hospital RNs educated at the baccalaureate level or higher is associated with risk-adjusted mortality and failure to rescue (deaths in surgical patients with serious complications). Purpose: "We tested whether hospitals with higher proportions of direct-care RNs educated at the baccalaureate level or above have lower risk-adjusted mortality rates and lower rates of failure to rescue (deaths in patients with serious complications). We also examined whether the educational backgrounds of hospital RNs are a predictor of patient mortality beyond factors such as nurse staffing and experience. These findings offer insights into the potential benefits of a more highly educated nurse workforce." Conclusion: In hospitals with higher proportions of nurses educated at the baccalaureate level or higher, surgical patients experienced lower mortality and failure-to-rescue rates. "Our findings indicate that surgical patients cared for in hospitals in which higher proportions of direct-care RNs held bachelor's degrees experienced a substantial survival advantage over those treated in hospitals in which fewer staff nurses had BSN or higher degrees. Similarly, surgical patients experiencing serious complications during hospitalization...

Words: 1032 - Pages: 5

Premium Essay

Responding in Crises: a Comparative Analysis of Disaster Responses Between Mainland China and Taiwan

...Journal of Homeland Security and Emergency Management Volume 9, Issue 1 2012 Article 31 Responding in Crises: A Comparative Analysis of Disaster Responses between Mainland China and Taiwan Chun-Chieh MA, National University of Tainan, Harvard University Recommended Citation: MA, Chun-Chieh (2012) "Responding in Crises: A Comparative Analysis of Disaster Responses between Mainland China and Taiwan," Journal of Homeland Security and Emergency Management: Vol. 9: Iss. 1, Article 31. ©2012 De Gruyter. All rights reserved. Authenticated | bee_and_tom@hotmail.com Download Date | 9/16/12 10:06 AM Responding in Crises: A Comparative Analysis of Disaster Responses between Mainland China and Taiwan Chun-Chieh MA Abstract The management of crisis events involves activity at the organizational and governmental jurisdiction levels and is comprised of an integrated system of practice and structure. However, because there are two systems involved in crisis response, namely centralization and decentralization of disaster management, there are differences in governmental actions in response to crisis events. This article analyzes and compares the actions of disaster responses undertaken by mainland China and Taiwan when faced with major natural disasters in order to demonstrate the different response results and defects of centralized and decentralized crisis response systems, respectively. The results showed that the efficiency of decentralized response systems is higher than...

Words: 5900 - Pages: 24

Free Essay

Knowing Your Audience

...the miners and they will tend to be emotional. The employees will also be shaken because if it were under different circumstances it could have been them trapped in the mine. Potential needs of the families Family members require more details about accidents that befall their relatives while at work (Tennyson & Ray, 2005). They will need to know the exact time the incident took place, persons trapped in the mine, rescue measures being taken to save the victims and what is being done to help them as they wait to be saved. They will also need to be updated from time to time on the developments of the rescue process, how they can get access to the miners upon rescue and above all they will need to be assured that all necessary procedures are being taken to ensure the miners are rescued safe and sound. Potential needs of the employees Since the employees are accustomed to the operations of the mine the communication will have to be concise and done formally. They will need a quick update of the incident and what the company is doing to rescue them and they will also need to be assured that the other mines are not at risk of collapsing when they resume mining (Bajak, 2010). Actions to be taken before and after communicating the message Before making the communication release it is best to consider the best channel for communicating the message to both audiences (Tennyson & Ray, 2005). For the families , it is best done through the media more specifically...

Words: 905 - Pages: 4

Premium Essay

Disaster Management on Building Collaspe

...Whatever, this disaster could be managed more efficiently. Requirement was a bit awareness and some knowledge about the result of the incident. 1.1 Aim The aim of this paper is to highlight the manmade disaster “Building Collapse”, it’s details, mitigation, how to minimize the loss due to building collapse? 1.2 Scope In this paper I shall discuss the following things sequentially: * What is building collapse * Types of building collapse * Reasons of building collapse * Effects of building collapse * Rana Plaza tragedy * Measures to avoid building collapse * Few do’s and don’ts during building collapse * Owner’s responsibilities 2.0 Building Collapse Structural integrity and failure is an aspect of engineering which deals with the ability of a structure to support a designed load (weight, force, etc...) without...

Words: 2241 - Pages: 9

Free Essay

Mv Dona Paz

...The ORIGINAL ARTICLE Heart the MVand Short StaturePolicy implications CASE REPORT Sinking of Failure Doña Paz – II. in a 43 year-old male Table 1. Initial Laboratory Results Heart Failure recommendations to address these to hypothyroidism. with cardiomyopathy secondary factors. The patient had been born full term to a then 31-yearMethod. ReviewPara 3 (G4P3), the 4th of preparedness in the old Gravida 4 of the state of maritime 9 siblings, with an pre-disaster setting and the post-disaster responsefacilitated the apparently unremarkable delivery at home following by Table 2. Thyroid Doña Paz by the sinking of the MV Function Tests government and responsible a traditional birth attendant. He was noted to be normal agencies. A scrutiny Reference Value preparedness of concerned of the state of Result at birth. and subsequent response to thewith age was agencies The patient was allegedly at par0.02 disaster both Free T4 (0.8-2.0) ng/dL physically and mentally until formulating 24.75 Uiu/ml conducted with the objective of eight years old when he was recommendations TSH (0.4-6.0) said to have stopped growing in height. He was brought to which may lead to prevention and mitigate loss of lives. a private doctor, whose diagnosis was undisclosed, and he Results. Multiple factors to increase for the occurrence patient was given medications accounted height, which the of this tragedy. only one month with no improvement. Through the took for These factors include an inherent risk due...

Words: 8494 - Pages: 34

Free Essay

Asn vs Bsn

...The Difference in Competencies At this time it is possible to graduate and sit for the nursing board exam with either an Associate Degree in Nursing or a Bachelor Degree in Nursing or a diploma completion from a hospital education program. This paper will focus on the two major pathways to a nursing degree, the associate and bachelor degrees. There are several major differences between these degrees and several similarities. Firstly, the history behind these degrees, how they came to being, and where education levels are headed to in the future. Then patient care and the direct and indirect impact on the patient will be discussed. The Associate Degree for Nursing In society today the associate of nursing degree is a fairly common achievement. It typically involves three years of full time attendance, taking undergraduate courses at a community or junior college with an emphasis on a particular area of study (thefreedictionary). Those who are studying for a nursing degree at a community college are typically working towards an Associate Degree of Applied Science (AAS) with an emphasis in nursing (ASN) or an Associate Degree of Nursing (ADN). History and Creation of the Associate Degree for Nursing Prior to WWII the associate degree was not offered. Most nurses were trained in schools through larger hospitals across the United States. According to Conceptual Foundations: The Bridge to Professional Nursing Practice (2011), there were more than 4000 hospital programs training...

Words: 1286 - Pages: 6

Free Essay

Business

...the Enterprise Act 2002, has made provisions for five insolvency regimes [3] ,that can be applied in the case of a financially distressed company depending on the state of such company. This essay attempts to provide an exposition on liquidation, which is the oldest and the eventual outcome of a financially distressed company, and to critically analyze it as the best option for an insolvent company. To begin with, the origin, fundamental principles and objectives of this insolvency regime will be discussed, bringing out its importance and effectiveness in Insolvency Law. It also discusses on the criticisms against liquidation, bringing out its disadvantages by comparing it with other insolvency regimes which has been described as corporate rescue procedures; looking into their relevance, and finally drawing a conclusion as to the best option for an insolvent company in the light of the procedures discussed....

Words: 5085 - Pages: 21

Premium Essay

Nursing Shortage

...Literature Review One nursing issue that I am passionate about is the shortage of nurses. This has been a long standing problem, even in the days of Ms. Florence Nightingale, when she and her nurses "used limited resources to address unlimited wants for healthcare (Cherry & Jacob, 2014)". They did the best they could and were able to improve the soldiers' condition dramatically. Agreeably, the situation is far better today. This topic is of great importance because, a shortage of nurses means that the ratio of patient to nurse increases and this can result in nurses being overwhelmed. It also affects the every aspect of patients’ care and it increases the risk of negative patients’ outcomes. It makes nurses apprehensive when they are going to work and that is not a good way to feel on a regular basis. Some of the reasons listed as causes of shortage of nurses include lack of good role models and early professional socialization, unrealistic workload, an aging workforce, negative work environment, retention problem, and insufficient nursing faculty staff. I chose the first article "Becoming a nurse: a meta-study of early professional socialization and career choice in nursing," because it attempts to deal with the issue of nursing shortage by investigating what motivates young people to choose nursing as a career and early professional socialization (Price, 2009). It highlighted the need to have good mentors, peers and role models, especially as new nurses are transitioning...

Words: 1539 - Pages: 7

Premium Essay

Adn and Bsn from 2010

...ADN or BSN What’s the Real Difference? Amy Dubois Great Bay Community College ADN or BSN What’s the Real Difference? The writer will briefly discuss the pros and cons of an ADN vs. BSN for entry level nursing. The primary difference in background between the 2 degrees are 3 nursing classes : nursing theory, research and finance. Many fingers point at the rapid changes and complexities in the healthcare system that have made BSN and higher degrees a more desirable title to hold. However, the associate degree of nursing curriculum provides for attainment of knowledge and skills set in the current practice of nursing, community concepts, health care delivery, critical thinking, communications, therapeutic interventions, and current trends in health care (Todd Van Wieran & Christine Reid, 2007). A big pro with the ADN is that in most places, this is the requirement. Whether there is another candidate applying for the same position with a BSN is another story. Many widely accredited nursing organizations such as the American Association of Nurse Life Care Planners ( AANLCP), Certified Rehabilitation Registered Nurse (CRRN), American Association of Legal Nurse Consultants (AALNC) , the American Board of Nursing Specialties (ABNS), along with several others have all agreed on one thing. They all state “no stance advertisement about the minimal level of nursing preparation required for entry into professional practice, other than the implicit fact that they focus...

Words: 972 - Pages: 4