Impact of Patient Safety Culture on Missed Nursing Care and Adverse Patient Events

Details

• Personal Author:
  Hessels AJ ; Paliwal M ; Siddiqui D ; Weaver SH ; Wurmser TA
• Description:
  Background: A strong patient safety culture (PSC) may be associated with improved patient outcomes in hospitals. The mechanism that explains this relationship is underexplored; missed nursing care may be an important link. Purpose: The purpose of this study was to describe relationships among PSC, missed nursing care, and 4 types of adverse patient events. Methods: This cross-sectional study employed primary survey data from 311 nurses from 29 units in 5 hospitals and secondary adverse event data from those same units. Analyses include analysis of variance and regression models. Results: Missed nursing care was reported to occur at an occasional level (M = 3.44, SD = 0.24) across all 29 units. The PSC dimensions explained up to 30% of the variance in missed nursing care, 26% of quality of care concerns, and 15% of vascular access device events. Missed care was associated with falls (P < .05). Conclusions: Prioritized actions to enhance PSC should be taken to reduce missed nursing care and adverse patient outcomes. [Description provided by NIOSH]
• Subjects:
  Delivery Of Health Care Health Personnel Occupational Health Quality Control Safety
• Keywords:
  Cross Sectional Studies Health Care Workers Medical Care Nurses Nursing Quality Control Safety Culture
• ISSN:
  1057-3631
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  New Jersey ; New York ; OSHA Region 2
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  287-294
• Volume:
  34
• Issue:
  4
• NIOSHTIC Number:
  nn:20054183
• Citation:
  J Nurs Care Qual 2019 Oct/Dec; 34(4):287-294
• Contact Point Address:
  Amanda J. Hessels, PhD, MPH, RN, CIC, CPHQ, FAPIC, Columbia University, School of Nursing, 630 West 168th St, Mail Code 6, New York, NY 10032
• Email:
  Amanda.Hessels@HackensackMeridian.org
• Federal Fiscal Year:
  2020
• Performing Organization:
  Columbia University Health Sciences - New York
• Peer Reviewed:
  True
• Start Date:
  20160901
• Source Full Name:
  Journal of Nursing Care Quality
• End Date:
  20190831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:7a0b24c43a72d3ee166ae76e0c2283f5926b39b93026bebaa75707d5dd2bfc678fcacd75ff319c83523153ca0748c69aed5e66afb1abb52fddd289231df46436
• Download URL:
  https://stacks.cdc.gov/view/cdc/216796/cdc_216796_DS1.pdf
• File Type:
  [PDF - 145.23 KB ]