Hospital Variation in Missed Nursing Care

被引：212
作者：
Kalisch, Beatrice J. [1 ]
Tschannen, Dana [1 ]
Lee, Hyunhwa [2 ]
Friese, Christopher R. [1 ]
机构：
[1] Univ Michigan, Sch Nursing, Ann Arbor, MI 48109 USA
[2] NINR, NIH, Bethesda, MD 20892 USA
来源：
AMERICAN JOURNAL OF MEDICAL QUALITY | 2011年 / 26卷 / 04期
关键词：
nursing; safety; quality; errors of omission; EARLY MOBILIZATION; PATIENT OUTCOMES; STAFFING LEVELS; ERRORS; MEDICATION; AMBULATION; WORKLOAD; QUALITY; NURSES; RISK;
D O I：
10.1177/1062860610395929
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
Quality of nursing care across hospitals is variable, and this variation can result in poor patient outcomes. One aspect of quality nursing care is the amount of necessary care that is omitted. This article reports on the extent and type of nursing care missed and the reasons for missed care. The MISSCARE Survey was administered to nursing staff (n = 4086) who provide direct patient care in 10 acute care hospitals. Missed nursing care patterns as well as reasons for missing care (labor resources, material resources, and communication) were common across all hospitals. Job title (ie, registered nurse vs nursing assistant), shift worked, absenteeism, perceived staffing adequacy, and patient work loads were significantly associated with missed care. The data from this study can inform quality improvement efforts to reduce missed nursing care and promote favorable patient outcomes.
引用
收藏
页码：291 / 299
页数：9
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