Association of clinical nursing work environment with quality and safety in maternity care in the United States.

Rebecca R. S Clark; Eileen T. Lake

Study

Association of clinical nursing work environment with quality and safety in maternity care in the United States.

November 11, 2020

Clark RRS, Lake ET. MCN: Am J Maternal Child Nurs. 2020;45(5):265-270.

View more articles from the same authors.

Reducing maternal harm is an ongoing safety goal. Survey results from 1,165 nurses working on maternity units from four states found that nurses in the majority of hospitals felt that their units do not provide excellent quality care and have a less than optimal safety climate. Nurses commonly reported communication challenges, fears related to challenging authority, and that their mistakes are held against them.

PubMed citation

Available at

Related Resources From the Same Author(s)

Using simulation to teach nursing students and licensed clinicians obstetric emergencies.

November 7, 2012

A system-wide initiative to prevent retained vaginal sponges.

September 14, 2011

Care quality, patient safety, and nurse outcomes at hospitals serving economically disadvantaged patients: a case for investment in nursing.

January 19, 2022

Factors differentiating nursing homes with strong resident safety climate: a qualitative study of leadership and staff perspectives.

February 15, 2023

Analysis of hospital-level readmission rates and variation in adverse events among patients with pneumonia in the United States.

June 22, 2022

The association of nursing home characteristics and quality with adverse events after a hospitalization.

April 28, 2021

Associations between safety outcomes and communication practices among pediatric nurses in the United States.

January 19, 2022

The impact of nursing work environments on patient safety outcomes: the mediating role of burnout engagement.

June 14, 2006

Impact of state nurse practitioner regulations on potentially inappropriate medication prescribing between physicians and nurse practitioners: a national study in the United States.

December 8, 2021

A new index for obstetrics safety and quality of care: integrating cesarean delivery rates with maternal and neonatal outcomes.

June 1, 2022

Adverse medication events related to hospitalization in the United States: a comparison between adults with intellectual and developmental disabilities and those without.

February 5, 2020

Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study.

November 16, 2022

Fall prevention with the Smart Socks System reduces hospital fall rates.

September 7, 2022

Interprofessional team collaboration and work environment health in 68 US intensive care units.

November 30, 2022

Patient errors in use of injectable antidiabetic medications: a need for improved clinic-based education.

November 4, 2020

Nurse work environment and its impact on reasons for missed care, safety climate, and job satisfaction: a cross-sectional study.

April 21, 2021

The power of collaboration with patient safety programs: building safe passage for patients, nurses, and clinical staff.

January 3, 2007

A concept analysis of undergraduate nursing students speaking up for patient safety in the patient care environment.

August 3, 2016

Work environment and operational failures associated with nurse outcomes, patient safety, and patient satisfaction.

January 25, 2023

Nurse burnout syndrome and work environment impact patient safety grade.

August 25, 2021

Burnout and secondary traumatic stress in health-system pharmacists during the COVID-19 pandemic.

June 30, 2021

Description and factors associated with missed nursing care in an acute care community hospital.

October 17, 2018

Association of patient and family reports of hospital safety climate with language proficiency in the US.

June 29, 2022

The impact of the COVID-19 pandemic on Emergency Department visits and patient safety in the United States.

August 26, 2020

Staffing, teamwork and scope of practice: analysis of the association with patient safety in the context of rehabilitation.

December 15, 2021

Assessing patient safety in the United States: challenges and opportunities.

April 3, 2005

Safety climate associated with adverse events in nursing homes: a national VA study.

August 26, 2020

Using the ecological systems theory to understand black/white disparities in maternal morbidity and mortality in the United States.

August 26, 2020

Challenges and strategies for patient safety in primary care: a qualitative study.

September 28, 2022

Association of inappropriate outpatient pediatric antibiotic prescriptions with adverse drug events and health care expenditures.

June 8, 2022

Routine multidisciplinary review of severe maternal morbidity is associated with a reduction in preventable cases of severe maternal morbidity.

March 30, 2022

Analysis of the interprofessional clinical learning environment for quality improvement and patient safety from perspectives of interprofessional teams.

March 16, 2022

Omissions of care in nursing homes: a uniform definition for research and quality improvement.

November 18, 2020

Factors associated with missed nursing care and nurse-assessed quality of care during the COVID-19 pandemic.

February 23, 2022

Maternal and neonatal health care worker well-being and patient safety climate amid the COVID-19 pandemic.

March 31, 2021

Identifying safety practices perceived as low value: an exploratory survey of healthcare staff in the United Kingdom and Australia.

March 8, 2023

The impact of introducing automated dispensing cabinets, barcode medication administration, and closed-loop electronic medication management systems on work processes and safety of controlled medications in hospitals: a systematic review.

April 7, 2021

Hospital computerized provider order entry adoption and quality: an examination of the United States.

January 5, 2011

Association of implementation and social network factors with patient safety culture in medical homes: a coincidence analysis.

September 2, 2020

The association between nurse staffing and omissions in nursing care: a systematic review.

July 11, 2018

Linking patient safety climate with missed nursing care in labor and delivery units: findings from the LaborRNs survey.

April 12, 2023

The effects of leadership curricula with and without implicit bias training on graduate medical education: a multicenter randomized trial.

May 18, 2022

Patient safety and quality improvement adaptation during the COVID-19 pandemic.

April 21, 2021

Engaging patients in the use of real-time electronic clinical data to improve the safety and reliability of their own care.

May 4, 2022

The relationship between patient safety culture and the intentions of the nursing staff to report a near-miss event during the COVID-19 crisis.

April 5, 2023

Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative.

May 18, 2022

Application of human factors methods to ensure appropriate infant identification and abduction prevention within the hospital setting.

August 18, 2021

Cost of health care-associated infections in the United States.

March 23, 2022

What contributes to diagnostic error or delay? A qualitative exploration across diverse acute care settings in the United States.

May 26, 2021

The impact of "missed nursing care" or "care not done" on adults in health care: a rapid review for the Consensus Development Project.

April 13, 2022

Implementing the clinical occurrence reporting and learning system: a double-loop learning incident reporting system in long-term care.

March 24, 2021

Impact of SARS-CoV-2 on hospital acquired infection rates in the United States: predictions and early results.

November 25, 2020

The association of acute COVID-19 infection with Patient Safety Indicator-12 events in a multisite healthcare system.

May 25, 2022

Rates of adverse events in hospitalized patients after summer-time resident changeover in the United States: is there a July effect?

August 25, 2021

How timely is diagnosis of lung cancer? Cohort study of individuals with lung cancer presenting in ambulatory care in the United States.

January 11, 2023

Reporting of hazards and near-misses in the ambulatory care setting.

October 19, 2011

Nursing turbulence in critical care: relationships with nursing workload and patient safety.

May 27, 2020

Validation of the second victim experience and support tool-revised in the neonatal intensive care unit.

January 12, 2022

Perspectives on patient and family engagement with reduction in harm: the forgotten voice.

August 15, 2018

Improving patient safety and efficiency of medication reconciliation through the development and adoption of a computer-assisted tool with automated electronic integration of population-based community drug data: the RightRx project.

January 10, 2018

Improving communication and response to clinical deterioration to increase patient safety in the intensive care unit.

October 19, 2022

The role of bias in clinical decision-making of people with serious mental illness and medical co-morbidities: a scoping review.

February 22, 2023

Repurposing clinical decision support system data to measure dosing errors and clinician-level quality of care.

November 11, 2020

Organizational safety climate and job enjoyment in hospital surgical teams with and without crew resource management training,

January 26, 2022

Inequities in quality and safety outcomes for hospitalized children with intellectual disability.

March 16, 2022

Cracking the code for quality: the interrelationships of culture, nurse demographics, advocacy, and patient outcomes.

March 11, 2020

Implementing root cause analysis and action: integrating human factors to create strong interventions and reduce risk of patient harm.

July 20, 2022

Computerized physician order entry with clinical decision support in long-term care facilities: costs and benefits to stakeholders.

November 7, 2007

Implementing standardized reporting and safety checklists.

June 1, 2011

Surgical patient safety officers in the United States: negotiating contradictions between compliance and workplace transformation.

February 24, 2021

Examination of maternal near-miss experiences in the hospital setting among Black women in the United States.

December 14, 2022

A longitudinal study of clinical peer review's impact on quality and safety in US hospitals.

November 27, 2013

Effects of nursing rounds on patients' call light use, satisfaction, and safety.

September 20, 2006

ASHP Guidelines on Preventing Diversion of Controlled Substances.

December 14, 2022

The perception of patient safety in an alternate site of care for elective surgery during the first wave of the novel coronavirus pandemic in the United Kingdom: a survey of 158 patients.

March 24, 2021

The Swiss Cheese Conference: integrating and aligning quality improvement education with hospital patient safety initiatives.

February 27, 2019

Nursing bedside clinical handover—an integrated review of issues and tools.

November 12, 2014

Linking patient safety culture to quality ratings in the nursing home setting.

December 9, 2020

Situation awareness and the mitigation of risk associated with patient deterioration: a meta-narrative review of theories and models and their relevance to nursing practice.

December 1, 2021

Critical care clinicians' experiences of patient safety during the COVID-19 pandemic.

November 30, 2022

Communication in health care: impact of language and accent on health care safety, quality, and patient experience.

August 4, 2021

How does workplace violence-reporting culture affect workplace violence, nurse burnout, and patient safety?

December 7, 2022

Understanding situation awareness in nursing work: a hybrid concept analysis.

April 4, 2012

Medication reconciliation in the acute care setting: opportunity and challenge for nursing.

May 4, 2005

Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention in a nursing home.

February 17, 2021

The top patient safety strategies that can be encouraged for adoption now.

March 13, 2013

When doctors share visit notes with patients: a study of patient and doctor perceptions of documentation errors, safety opportunities and the patient–doctor relationship.

June 15, 2016

Hospital-acquired conditions reduction program, racial and ethnic diversity, and Magnet designation in the United States.

October 12, 2022

Analysis of iatrogenic and in-hospital medication errors reported to United States poison centers: a retrospective observational study.

June 24, 2020

Root cause analyses of reported adverse events occurring during gastrointestinal scope and tube placement procedures in the Veterans Health Association.

March 25, 2020

Impact of patient safety culture on missed nursing care and adverse patient events.

March 20, 2019

The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical learning environment.

July 14, 2021

The Critical Care Safety Study: the incidence and nature of adverse events and serious medical errors in intensive care.

August 24, 2005

Patient safety in primary care: conceptual meanings to the health care team and patients.

November 25, 2020

Association between limiting the number of open records in a tele-critical care setting and retract-reorder errors.

July 21, 2021

CDC Clinical Practice Guideline for Prescribing Opioids for Pain - United States, 2022.

November 16, 2022

'Care left undone' during nursing shifts: associations with workload and perceived quality of care.

August 14, 2013

Patient safety culture in assisted living: staff perceptions and association with state regulations.

November 30, 2022

The quality of hospital work environments and missed nursing care is linked to heart failure readmissions: a cross-sectional study of US hospitals.

March 4, 2015

Advancing the science of patient safety.

May 25, 2011

Related Resources

"Black Women Should Not Die Giving Life": The lived experiences of Black women diagnosed with severe maternal morbidity in the United States.

April 17, 2024

Communication and birth experiences among Black birthing people who experienced preterm birth.

February 14, 2024

The intersection of traumatic childbirth and obstetric racism: a qualitative study.

February 7, 2024

Factors influencing second victim experiences and support needs of OB/GYN and pediatric healthcare professionals after adverse patient events.

January 17, 2024

Respectful Maternity Care: Dissemination and Implementation of Perinatal Safety Culture to Improve Equitable Maternal Healthcare Delivery and Outcomes.

January 10, 2024

'Nobody cared': Women who have reported mistreatment while giving birth say CDC report validates their trauma. Advocates call for systemic change in treatment of pregnant people.

December 6, 2023

Advancing Diagnostic Excellence for Maternal Health Care: Proceedings of a Workshop–in Brief.

November 15, 2023

Vital signs: maternity care experiences — United States, April 2023.

September 6, 2023

Dangers and deaths around black pregnancies seen as a ‘completely preventable’ health crisis.

September 6, 2023

WebM&M Cases

Prolonged DKA in Pregnancy: A Case of Communication Breakdown.

August 30, 2023

Quality and safety practices among academic obstetrics and gynecology departments.

August 30, 2023

Toolkits To Reduce Hypertension in Pregnancy and Obstetric Hemorrhage.

August 16, 2023

Investigating racial and ethnic disparities in maternal care at the system level using patient safety incident reports.

August 9, 2023

Interdisciplinary and interprofessional communication intervention: how psychological safety fosters communication and increases patient safety.

July 26, 2023

‘I felt like I was dying’: how women with postpartum depression fall through the cracks of U.S. health care.

July 5, 2023

Black women's maternal health: insights from community based participatory research in Newark, New Jersey.

June 29, 2023

A call for safety: anticipating and mitigating risk across an obstetrics and gynecology service line.

June 21, 2023

The Ohio Maternal Safety Quality Improvement Project: initial results of a statewide perinatal hypertension quality improvement initiative implemented during the COVID-19 pandemic.

June 7, 2023

Care Post-Roe: Documenting Cases of Poor-quality Care Since the Dobbs Decision.

June 7, 2023

Why do so many Black women die in pregnancy? One reason: doctors don't take them seriously.

May 31, 2023

Psychosocial processes in healthcare workers: how individuals' perceptions of interpersonal communication is related to patient safety threats and higher-quality care.

May 31, 2023

Attitudes of clinicians and patient safety culture before and after the ARRIVE trial.

May 24, 2023

Racial and ethnic disparities in obstetric and gynecologic care and role of implicit biases.

May 18, 2023

The time is now: addressing implicit bias in obstetrics and gynecology education.

May 17, 2023

Tools for establishing a sustainable safety culture within maternity services: a retrospective case study.

April 26, 2023

Strengthening open disclosure after incidents in maternity care: a realist synthesis of international research evidence.

April 12, 2023

Linking patient safety climate with missed nursing care in labor and delivery units: findings from the LaborRNs survey.

April 12, 2023

The impact of an intervention to improve intrapartum maternal vital sign monitoring and reduce alarm fatigue.

April 12, 2023

Perspective

Maternal Safety and Perinatal Mental Health

March 29, 2023

Journal Article

Study

Pilot implementation of a health equity checklist to improve the identification of equity-related adverse events.

March 29, 2023

See More About The Topic

Labor and Delivery

Quality and Safety Professionals

Obstetrics

Obstetrical Nursing

Psychological and Social Complications

Association of clinical nursing work environment with quality and safety in maternity care in the United States.

Pilot implementation of a health equity checklist to improve the identification of equity-related adverse events.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Association of clinical nursing work environment with quality and safety in maternity care in the United States.

Pilot implementation of a health equity checklist to improve the identification of equity-related adverse events.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site