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Failure to Rescue as the Conceptual Basis for Nursing Clinical Peer Review

Thielen, Jackie MSN, RN, APRN-NP

Journal of Nursing Care Quality:
doi: 10.1097/NCQ.0b013e3182a8df96

It is incumbent for health care professionals to identify and reduce risk of harm. Left unchecked, minor risk may progress to increased care needs and subsequent morbidity. Recognizing nursing's front-line impact, a nursing clinical peer review committee was developed in an acute care hospital to analyze retrospectively select patient cases for opportunities to reduce risk in future similar situations. Risk-adjusted mortality and code blue calls decreased.

Author Information

Performance Improvement, Nebraska Methodist Hospital, Omaha, Nebraska.

Correspondence: Jackie Thielen, MSN, RN, APRN-NP, Performance Improvement, Nebraska Methodist Hospital, 8303 Dodge St, Omaha, NE 68114 (

The author declares no conflict of interest and no disclosures.

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Accepted for publication: August 12, 2013

Published ahead of print: October 10, 2013

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins