Work

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

Year: 2018

Type: article

Abstract: 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.

Source: Journal of Nursing Care Quality

DOI: 10.1097/ncq.0000000000000378

Authors: Amanda J. Hessels, Mani Paliwal, Susan H. Weaver, Deeba Siddiqui, Theresa A. Wurmser

Institutions: Hackensack Meridian Health, Columbia University, United Nations

Language: English

Topic: Patient Safety and Medication Errors

Subfield: Emergency Medical Services

Field: Health Professions

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: green

Funder: National Institute for Occupational Safety and Health