Between-Hospital Variation in Failure to Rescue After Major Surgery
In this cross-sectional study of FTR, nearly 1 in 5 patients undergoing surgery who experienced serious complications died, with substantial between-hospital variation. Multilevel modeling indicated that institutional performance accounted for 1045 potentially avoidable deaths. These findings support FTR as an international patient safety indicator and highlight the need to investigate organizational determinants of variation to inform system-level improvement strategies.
Authors
- Michael M. Havranek (ORCID: https://orcid.org/0000-0001-5957-3899)
- Marcel Zwahlen (ORCID: https://orcid.org/0000-0002-6772-6346)
- David Schwappach
Institutions
- University of Bern (CH)
- University of Lucerne (CH)
- Institute of Social and Preventive Medicine (CH)
Publication Details
- Journal
- JAMA Network Open
- Published
- 2026-02-04
- DOI
- https://doi.org/10.1001/jamanetworkopen.2025.55855
- Primary Topic
- Sepsis Diagnosis and Treatment
- Type
- article
- Field-Weighted Citation Impact
- 0.00