XXXX in care following cholecystectomy.

@entity1 @entity204 @entity942
INTRODUCTION: Failure To Rescue was first defined in @entity1 who died due to a complication following (open) cholecystectomy but research into the relevant factors has been scarce. This study was designed to determine a chronological sequence of deficiencies in care. METHODS: Adult @entity1 who died under the care of a surgeon following cholecystectomy in Queensland were identified from the Australian and New Zealand Audit of Surgical Mortality (ANZASM) database. RESULTS: Not unexpectedly, this is a high-risk @entity1 population: median age of the 48 @entity1 was 74.5 years and the median number of comorbidities and American Society of Anesthesiologists class was 4. @entity204 occurred on postoperative day 6. Most @entity204 occurred at the end of the week. Over 80% of @entity204 followed emergency cholecystectomy. In almost half the @entity1 , there were no deficiencies in care. Most common deficiency was during postoperative management (i.e. Failure To Rescue), however, significant @entity942 prior to surgical admission; choice and timing of intervention as well as intraoperative decision-making. CONCLUSION: Surgeons who perform cholecystectomy need to be aware of the levels at which deficiencies arise given that many may be preventable.
