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Impact of Patient Safety Culture on Missed Nursing Care and Adverse Patient Events
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2019 Oct/Dec
Source: J Nurs Care Qual. 34(4):287-294
[PDF-313.11 KB]
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Alternative Title:J Nurs Care Qual
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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 includes ANOVA 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. 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.
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Source:
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Pubmed ID:30550496
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Pubmed Central ID:PMC6561834
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