Unveiling the Layers of Failure to Rescue in Maternal Care: A Concept Analysis

Wendy Post

Missouri Child Psychiatry Access Project Executive Director, University of Missouri-Columbia, USA

^*Correspondance to: Wendy Post 

 PDF  Full Text Research Article | Open Access

Abstract:

This manuscript provides an in-depth analysis of "Failure to Rescue" (FTR) in U.S. obstetric care, identifying ten defining characteristics, outcomes, and empirical referents. FTR is defined as a significant shortfall in healthcare, characterized by the inability to prevent, identify, and manage complications in pregnant and postpartum women, leading to severe outcomes or death. It highlights systemic failures in early distress recognition, response, and adequate intervention. A model case of Kira Johnson illustrates FTR through delayed recognition, systemic inadequacies, and resultant maternal death. A related case of Serena Williams discusses complications and obstetric racism, touching on FTR aspects. A contrasting case demonstrates effective obstetric care without FTR traits. Empirical referents like mortality and morbidity rates, response times, and guideline compliance provide measurable indicators of FTR. The study emphasizes FTR as a systemic issue in maternity care, advocating for systemic reforms, improved surveillance, and addressing racial disparities. It suggests system-level interventions, such as enhanced communication, standardized protocols, and equitable care access, to mitigate FTR risks and improve maternal health. The conclusion calls for urgent action on FTR in obstetric care, emphasizing the role of nursing professionals, patient-centered approaches, and robust FTR prevention strategies for systemic improvement in maternity care quality and mother health protection. It acknowledges limitations and urges further research and policy development to tackle FTR in various healthcare contexts.

Keywords:

Failure to rescue; FTR; Maternal safety; Maternal morbidity and mortality; Maternal care

Cite the Article:

Wendy Post. Unveiling the Layers of Failure to Rescue in Maternal Care: A Concept Analysis. Clin Oncol. 2024;9:2070..