Patient-reported missed nursing care correlated with adverse events

The aim of this study was to determine the extent and type of missed nursing care as reported by patients and the association with patient-reported adverse outcomes. A total of 729 inpatients on 20 units in 2 acute care hospitals were surveyed. The MISSCARE Survey-Patient was used to collect patient...

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Veröffentlicht in:American journal of medical quality Jg. 29; H. 5; S. 415
Hauptverfasser: Kalisch, Beatrice J, Xie, Boqin, Dabney, Beverly Waller
Format: Journal Article
Sprache:Englisch
Veröffentlicht: United States 01.09.2014
Schlagworte:
Cross-Sectional Studies
Female
Hospitals - statistics & numerical data
Humans
Inpatients - statistics & numerical data
Male
Medical Errors - nursing
Middle Aged
Midwestern United States
Nursing Service, Hospital - statistics & numerical data
Midwestern United States
missed care
nursing
errors of omission
acute care
quality
ISSN:1555-824X, 1555-824X
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Zusammenfassung:The aim of this study was to determine the extent and type of missed nursing care as reported by patients and the association with patient-reported adverse outcomes. A total of 729 inpatients on 20 units in 2 acute care hospitals were surveyed. The MISSCARE Survey-Patient was used to collect patient reports of missed care. Patients reported more missed nursing care in the domain of basic care (2.29 ± 1.06) than in communication (1.69 ± 0.71) and in time to respond (1.52 ± 0.64). The 5 most frequently reported elements of missed nursing care were the following: (a) mouth care (50.3%), (b) ambulation (41.3%), (c) getting out of bed into a chair (38.8%), (d) providing information about tests/procedures (27%), and (e) bathing (26.4%). Patients who reported skin breakdown/pressure ulcers, medication errors, new infections, IVs running dry, IVs infiltrating, and other problems during the current hospitalization reported significantly more overall missed nursing care.
Bibliographie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:1555-824X
1555-824X
DOI:10.1177/1062860613501715