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

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.

SUBMITTER: Hessels AJ 

PROVIDER: S-EPMC6561834 | biostudies-literature | 2019 Oct/Dec

REPOSITORIES: biostudies-literature