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

Hessels, Amanda; Paliwal, Mani; Weaver, Susan H.; Siddiqui, Deeba; Wurmser, Theresa A.

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

Published Date:

2019 Oct/Dec

Source:

J Nurs Care Qual. 34(4):287-294

Language:

English

[PDF-313.11 KB]

Details:

Alternative Title:

J Nurs Care Qual

Personal Author:

Hessels, Amanda ; Paliwal, Mani ; Weaver, Susan H. ; Siddiqui, Deeba ; Wurmser, Theresa A. ;

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.

Subject:

[+]

Pubmed ID:

30550496

Pubmed Central ID:

PMC6561834

Document Type:

Journal Article

Funding:

K01 OH011186/OH/NIOSH CDC HHS/United States ; K01OH011186/ACL HHS/United States ;

Collection(s):

CDC Public Access

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	NIHMS1509646-supplement-SDC_Table_2.docx	application/vnd.openxmlformats-officedocument.wordprocessingml.document
	NIHMS1509646-supplement-SDC_Table_3.docx	application/vnd.openxmlformats-officedocument.wordprocessingml.document

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