Nurse and nurse assistant perceptions of missed nursing care: what does it tell us about teamwork?

Beatrice J. Kalisch

Study

Nurse and nurse assistant perceptions of missed nursing care: what does it tell us about teamwork?

November 25, 2009

Kalisch BJ. J Nurs Adm. 2009;39(11):485-93.

View more articles from the same authors.

Suboptimal teamwork between nurses and nursing assistants was a major contributor to missed nursing care, according to this mixed-methods study.

PubMed citation

vailable at

Related Resources From the Same Author(s)

Interruptions and multitasking in nursing care.

March 3, 2010

Errors of omission: missed nursing care.

May 28, 2014

Improving nursing unit teamwork.

January 4, 2006

Overcoming barriers to patient safety.

July 5, 2006

The impact of teamwork on missed nursing care.

October 27, 2010

Nurse staffing levels and patient-reported missed nursing care.

October 14, 2015

Development and psychometric testing of a tool to measure missed nursing care.

June 3, 2009

An intervention to enhance nursing staff teamwork and engagement.

February 21, 2007

What does nursing teamwork look like? A qualitative study.

May 6, 2009

Do staffing levels predict missed nursing care?

June 29, 2011

Patient-reported missed nursing care correlated with adverse events.

October 30, 2013

Patient perceptions of missed nursing care.

April 4, 2012

Missed nursing care: a concept analysis.

July 8, 2009

A model framework for patient safety training in chiropractic: a literature synthesis.

September 9, 2009

Health care serial murder: a patient safety orphan.

March 31, 2010

Surgeon's narcissism, hostility, stress, bullying, meaning in life and work environment: a two-centered analysis.

September 27, 2023

Causes of use errors in ventilation devices--systematic review.

November 10, 2021

Patient and caregiver factors in ambulatory incident reports: a mixed-methods analysis.

November 24, 2021

Risk and pharmacoeconomic analyses of the injectable medication process in the paediatric and neonatal intensive care units.

May 12, 2010

Prevalence of preventable medication-related hospitalizations in Australia: an opportunity to reduce harm.

May 2, 2012

Near-miss events are really missed! Reflections on incident reporting in a department of pediatric surgery.

May 9, 2012

Experience of hospital-initiated medication changes in older people with multimorbidity: a multicentre mixed-methods study embedded in the OPtimising thERapy to prevent Avoidable hospital admissions in Multimorbid older people (OPERAM) trial.

December 7, 2022

Patient safety implications of wearing a face mask for prevention in the era of COVID-19 pandemic: a systematic review and consensus recommendations.

February 15, 2023

Accident analysis of large-scale technological disasters applied to an anaesthetic complication.

March 6, 2005

Early cost and safety benefits of an inpatient electronic health record.

February 23, 2011

The need for risk profiling in patient safety.

September 15, 2010

The quest to eliminate intrathecal vincristine errors: a 40-year journey.

March 31, 2010

Patient misidentification in laboratory medicine: a qualitative analysis of 227 root cause analysis reports in the Veterans Health Administration.

February 17, 2010

Reducing hospital errors: interventions that build safety culture.

February 6, 2013

Creating highly reliable accountable care organizations.

September 27, 2017

Disclosing medical errors: views from the United States and the United Kingdom.

May 21, 2014

March 6, 2005

Adverse events in hospitals: the patient's point of view.

April 14, 2010

Standards for patient monitoring during general anesthesia at Harvard Medical School.

March 6, 2005

Bad stars or guiding lights? Learning from disasters to improve patient safety.

May 12, 2010

Burnout in the neonatal intensive care unit and its relation to healthcare-associated infections.

June 14, 2017

A prospective, observational study of the effects of implementation strategy on compliance with a surgical safety checklist.

October 30, 2013

Electronic medical record alert associated with reduced opioid and benzodiazepine coprescribing in high-risk Veteran patients.

January 17, 2018

Time to listen: a review of methods to solicit patient reports of adverse events.

April 14, 2010

The introduction of a surgical safety checklist in a tertiary referral obstetric centre.

July 27, 2011

Effects of a multimodal program including simulation on job strain among nurses working in intensive care units: a randomized clinical trial.

November 7, 2018

November 4, 2009

Incidence, nature and impact of error in surgery.

August 3, 2011

Surgical checklists: a detailed review of their emergence, development, and relevance to neurosurgical practice.

March 14, 2012

Decision support for sensible dosing in electronic prescribing systems.

November 30, 2011

Benefactor or burden: exploring the professional identity of safety professionals.

October 24, 2018

Diagnostic stewardship—leveraging the laboratory to improve antimicrobial use.

August 16, 2017

Diagnostic stewardship to prevent diagnostic error.

March 15, 2023

Medical morbidity and mortality conferences: past, present and future.

December 21, 2016

Monitoring the anaesthetist in the operating theatre—professional competence and patient safety.

March 1, 2017

Beyond the organisational accident: the need for "error wisdom" on the frontline.

March 6, 2005

Fewer but better auditory alarms will improve patient safety.

June 29, 2005

When does quality improvement count as research? Human subject protection and theories of knowledge.

March 6, 2005

Human error and the problem of causality in analysis of accidents.

March 6, 2005

The role of error in organizing behaviour.

March 6, 2005

Human error: models and management.

March 27, 2005

Relationship between patient complaints and surgical complications.

February 15, 2006

The impact of a tele-ICU on provider attitudes about teamwork and safety climate.

May 26, 2010

Resident uncertainty in clinical decision making and impact on patient care: a qualitative study.

April 16, 2008

A simulation design for research evaluating safety innovations in anaesthesia.

January 28, 2009

Critical incident reports concerning anaesthetic equipment: analysis of the UK National Reporting and Learning System (NRLS) data from 2006-2008.

August 31, 2011

Teaching quality improvement and patient safety in residency education: strategies for meaningful resident quality and safety initiatives.

August 23, 2017

ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2017.

October 31, 2018

ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education—2015.

September 14, 2016

ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2014.

August 12, 2015

Wrong-site nerve blocks: 10 yr experience in a large multihospital health-care system.

May 6, 2015

Encouraging patients to ask questions: how to overcome "white-coat silence."

July 10, 2013

ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2010.

June 6, 2012

ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education—2009.

June 13, 2012

ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2011.

May 9, 2012

"Tech-check-tech": a review of the evidence on its safety and benefits.

October 5, 2011

ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2016.

September 20, 2017

Saving without compromising: teaching trainees to safely provide high value care.

April 17, 2019

ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2013.

July 23, 2014

ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2008.

May 20, 2009

How can never event data be used to reflect or improve hospital safety performance?

May 19, 2021

ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2007.

June 4, 2008

Inadvertent administration of magnesium sulfate through the epidural catheter: report and analysis of a drug error.

January 18, 2006

Using standardised patients in an objective structured clinical examination as a patient safety tool.

March 6, 2005

A human factors engineering paradigm for patient safety: designing to support the performance of the healthcare professional.

December 20, 2006

An analysis of major errors and equipment failures in anesthesia management: considerations for prevention and detection.

March 6, 2005

Human factor in cardiac surgery: errors and near misses in a high technology medical domain.

March 27, 2005

A retrospective audit of postoperative days alive and out of hospital, including before and after implementation of the WHO surgical safety checklist.

February 2, 2022

A randomised controlled trial of the effect of continuous electronic physiological monitoring on the adverse event rate in high risk medical and surgical patients.

December 6, 2006

Medical error disclosure among pediatricians: choosing carefully what we might say to parents.

October 15, 2008

Systems analysis of adverse drug events.

March 27, 2005

Readiness for organisational change among general practice staff.

April 28, 2010

Developing and deploying a patient safety program in a large health care delivery system: you can't fix what you don't know about.

October 21, 2015

Medication reconciliation at admission and discharge: an analysis of prevalence and associated risk factors.

September 23, 2015

Deviation from a preoperative surgical and anaesthetic care plan is associated with increased risk of adverse intraoperative events in major abdominal surgery.

December 5, 2012

The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues.

November 12, 2014

A comparison of voluntarily reported medication errors in intensive care and general care units.

March 24, 2010

Safety stop: a valuable addition to the pediatric universal protocol.

September 5, 2018

The "physician-led chart audit": engaging providers in fortifying a culture of safety.

March 19, 2014

Impact of the initial response to COVID-19 on long-term care for people with intellectual disability: an interrupted time series analysis of incident reports.

October 14, 2020

April 27, 2022

Hand-off communication: a requisite for perioperative patient safety.

November 19, 2008

Diagnostic errors in pediatric echocardiography: development of taxonomy and identification of risk factors.

June 18, 2008

Bearing witness to the ethics of practice: storying physicians' medical mistake narratives.

August 18, 2010

Physicians' beliefs about using EMR and CPOE: in pursuit of a contextualized understanding of health IT use behavior.

February 3, 2010

Related Resources

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Nurses' harm prevention practices during admission of an older person to the hospital: a multi-method qualitative study.

August 10, 2022

Communication disparities between nursing home team members.

July 20, 2022

WebM&M Cases

Preventable Transfer to the Hospital

July 8, 2022

Annual Perspective

Annual Perspective: Psychological Safety of Healthcare Staff

March 31, 2022

Strategies to prevent missed nursing care: an international qualitative study based upon a positive deviance approach.

May 12, 2021

Patient Safety Primers

Nursing and Patient Safety

April 21, 2021

Do safety briefings improve patient safety in the acute hospital setting? A systematic review.

June 5, 2019

Incivility and clinical performance, teamwork, and emotions: a randomized controlled trial.

May 22, 2019

Using incident reports to assess communication failures and patient outcomes.

April 17, 2019

A qualitative evaluation of healthcare professionals' perceptions of adverse events focusing on communication and teamwork in maternity care.

March 27, 2019

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

March 20, 2019

Debriefing in the OR: a quality improvement project.

March 13, 2019

Formative evaluation of the video reflexive ethnography method, as applied to the physician–nurse dyad.

February 6, 2019

Decreasing surgical site infections by developing a high reliability culture.

February 6, 2019

Balancing patient-centered and safe pain care for nonsurgical inpatients: clinical and managerial perspectives.

January 16, 2019

Nurse staffing, nursing assistants and hospital mortality: retrospective longitudinal cohort study.

January 9, 2019

Nurse Staffing Levels, Missed Vital Signs and Mortality in Hospitals: Retrospective Longitudinal Observational Study.

December 19, 2018

Association of nurse workload with missed nursing care in the neonatal intensive care unit.

November 21, 2018

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

October 17, 2018

Guideline implementation: team communication.

September 12, 2018

When bullying affects patient safety.

July 25, 2018

Speaking up about patient safety concerns: the influence of safety management approaches and climate on nurses' willingness to speak up.

July 18, 2018

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

July 11, 2018

A culture of civility: positively impacting practice and patient safety.

April 25, 2018

Perspective

Missed Nursing Care: A Key Measure for Patient Safety

March 1, 2018

Systems thinking and incivility in nursing practice: an integrative review.

February 14, 2018

Incorporating nursing complexity in reimbursement coding systems: the potential impact on missed care.

October 25, 2017

Missed nursing care in pediatrics.

July 12, 2017

Modifying head nurse messages during daily conversations as leverage for safety climate improvement: a randomised field experiment.

April 19, 2017

See More About The Topic

Communication between Providers

Nurse and nurse assistant perceptions of missed nursing care: what does it tell us about teamwork?

Nursing and Patient Safety

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Nurse and nurse assistant perceptions of missed nursing care: what does it tell us about teamwork?

Nursing and Patient Safety

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