Measuring outcomes is a critical step toward improving quality of patient care. For example, inpatient deaths following elective surgery are rare, but measuring them is an important first step to find ways to prevent them. One could further argue that, in a well-designed and well-run system, these deaths should never happen. Elective surgery should be offered selectively, and postoperative care should be adequate to rescue patients having minor complications from progressing to major events such as death. If measurement is an important component of quality improvement and deaths from elective surgery are a highly undesirable event, pairing these consensus-held beliefs is both sensical and meaningful for optimizing patient care.
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Leeds IL, Kachalia A, Haut ER. Rescuing Failure to Rescue—Patient Safety Indicator 04 on the Brink of Obsolescence. JAMA Surg. Published online October 07, 2020. doi:10.1001/jamasurg.2020.2971
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