Table 1.
Relative importance of three key domains contributing to the timely recognition and effective management of complications in general surgical and elderly surgical populations
Domain | Potential Importance to Rescue | Heightened Importance in Rescue of Elderly Patients |
---|---|---|
Communication | Maintaining clear, concise flow of information across care team during “golden hours” of clinical deterioration | Time critical reporting of information across multiple providers within a shortened “golden hour” of deterioration |
Teamwork | Effective implementation of care protocols in setting of major complications and deference to expertise | Inter-professional management of multiple co-morbidities in conjunction with surgical management of complications |
Safety Culture | Demonstrating a strong commitment to resilience and preoccupation with failure in order to engage in proactive and pre-emptive analysis and discussion | Heightened awareness amongst team members for the need to adapt, act, and speak up in the setting of impending or on-going crisis given complexities in care of the elderly |