@article{650, author = {Amanda J. Hessels and Mani Paliwal and Susan H. Weaver and Deeba Siddiqui and Theresa A. Wurmser}, title = {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.

}, year = {2019}, journal = {J Nurs Care Qual}, volume = {34}, pages = {287-294}, month = {12/2019}, issn = {1550-5065}, doi = {10.1097/NCQ.0000000000000378}, language = {eng}, }