Opportunities to Improve the Capacity to Rescue: Intraoperative and Perioperative Tools

Anesthesiol Clin. 2020 Dec;38(4):775-787. doi: 10.1016/j.anclin.2020.08.007. Epub 2020 Oct 14.

Abstract

Postoperative complications, which occur in approximately 23% of surgeries, are a major source of patient mortality. Some of these deaths may be preventable. This article explores factors and contexts during the intraoperative period, in the postanesthesia care unit, perioperatively, and after discharge that may represent opportunities to intervene and prevent mortality after a potentially treatable complication. Tools to improve the identification and response to life-threatening complications in these unique care settings are discussed.

Keywords: Anesthesiology; Crisis management; Failure to rescue; Information technology; Perioperative medicine; Postoperative care; Quality improvement.

Publication types

  • Review

MeSH terms

  • Humans
  • Postoperative Complications* / prevention & control