Impact of Patient Safety Culture on Missed Nursing Care and Adverse Patient Events.
J Nurs Care Qual
; 34(4): 287-294, 2019.
Article
en En
| MEDLINE
| ID: mdl-30550496
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.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Calidad de la Atención de Salud
/
Administración de la Seguridad
/
Seguridad del Paciente
/
Personal de Enfermería en Hospital
Tipo de estudio:
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Límite:
Humans
Idioma:
En
Revista:
J Nurs Care Qual
Asunto de la revista:
ENFERMAGEM
Año:
2019
Tipo del documento:
Article