SACAD: John Heinrichs Scholarly and Creative Activity Days


“Failure to rescue (FTR) is failure or delay in recognizing and responding to a hospitalized patient experiencing complications from a disease process or medical intervention” (Hall et al., 2020, Background section). It is viewed in three parts: failure to recognize, failure to report, and failure to treat. The first two of these are dependent on nursing.

The use of simulation training can increase confidence in recognizing a change in patient condition. This is a first step in preventing Failure To Rescue deaths, as well as other adverse outcomes.

The use of an effective communication tool like I-PASS can increase confidence in reporting a change in patient condition. I-PASS stands for Illness severity, Patient summary, Action list, Situation awareness, and Synthesis by the receiver. Training for RNs on the use of the I-PASS tool should increase their confidence in its use, and increase the incidence and quality of reporting a change in patient condition to a provider.

While there is limited research examining the effect of I-PASS usage on outcomes, very little of the research is focused on nursing, and none found examined the use of I-PASS as a communication tool for RN communicating a change in patent condition to a provider. Given that FTR has a strong nursing component, one specifically related to reporting a change in patient condition, it is important to determine if the use of I-PASS can decrease failure to communicate.

Faculty Advisor

Christine Hober PhD



Submission Type

online only poster




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