Variation in mortality after high-risk cancer surgery: failure to rescue.
Surgical mortality with oncologic surgery varies widely in the United States. Patients, providers, and payers are paying closer attention to these variations and a way of reducing them. Although different hospital and surgical technologies and processes of care may account for some of this variation, there is an increasing awareness of the role of hospital safety culture. There is a growing body of evidence suggesting the importance of reducing mortality rates after major complications as a means to reducing the disparate mortality rates with oncologic surgery.
Evidence-based practice is the adopted theoretical and methodological framework and the integrative literature review was the research method used for this study. This study aimed to search and evaluate evidence available in literature about scientific knowledge on nursing care to adult patients submitted to liver transplantation during the perioperative period. Lilacs, Medline and Cinahl were used for the search, which resulted in a sample of 20 scientific papers. The results evidenced publications on nursing care to prepare the patient, prevent injuries, on the importance of a documentation system, prevention and early detection of complications, as well as education on immunosuppressive therapeutics, patient education and nursing activities in the pre, intra and postoperative periods, and the nurses’ role in providing nutritional and emotional support to patients and family members.