Failure to Rescue Rates After Coronary Artery Bypass Grafting: An Analysis From The Society of Thoracic Surgeons Adult Cardiac Surgery Database

Abstract

CABG mortality rates vary directly with FTR, but complication rates have little relation to death. FTR rates derived from The Society of Thoracic Surgeons data can serve as national benchmarks. Predicted FTR rates may facilitate patient counseling, and FTR O/E ratios have promise as valuable quality metrics.

Variation in hospital mortality after pancreatoduodenectomy is related to failure to rescue rather than major complications: a nationwide audit

“…1,2 FTR has shown to be more responsible for differences in mortality rates between hospitals following various surgical procedures, compared to differences in complication rates. [3][4][5][6][7][8] FTR is an indicator of the management of complications and may distinguish a high-mortality from a low-mortality hospital. The association of various factors with the occurrence of FTR has therefore been investigated and includes mainly hospital structural factors such as patient volume, staffing levels, and technology status.…”

The Society of Thoracic Surgeons Adult Cardiac Surgery Database: 2017 Update on Research

“…A recent study by Edwards and colleagues [19] analyzed the outcomes of 604,154 patients in the ACSD undergoing isolated CABG from 2010 to 2014 at 1,105 centers to calculate rates of FTR and develop a model predictive of FTR after CABG. The investigators defined FTR as death after stroke, renal failure, reoperation, and prolonged ventilation.…”

“…This article reviews the major research efforts utilizing the ACSD that were published in 2016. Two studies analyzed patient outcomes in the ACSD to evaluate national trends in clinical practice [13,14], three studies assessed the effect of several risk factors on postoperative morbidity and mortality [15][16][17], and two studies developed new models to evaluate quality of care [18,19].…”

Failure to Rescue Contributes to Center-Level Differences in Mortality After Lung Transplantation

“…The FTR metric was first used in 1992 in health care administration analyses, but it has only recently gained traction in procedural fields where there is an increasing body of literature highlighting its value in the realm of surgical quality improvement. [9][10][11][12][13][14][15] Indeed, this metric is now being promoted by the Agency for Healthcare Research and Quality and the Centers for Medicare & Medicaid Services as a key concept in patient safety and as a necessary part of quality improvement efforts in surgical specialties. 8,16,17 Previous studies have not applied FTR metrics to lung transplantation.…”