title: Patient-reported missed nursing care correlated with adverse events.
abstract: The aim of this study was to determine the extent and type of missed nursing care as reported by patients and the association with patient-reported adverse outcomes. A total of 729 inpatients on 20 units in 2 acute care hospitals were surveyed. The MISSCARE Survey-Patient was used to collect patient reports of missed care. Patients reported more missed nursing care in the domain of basic care (2.29 ± 1.06) than in communication (1.69 ± 0.71) and in time to respond (1.52 ± 0.64). The 5 most frequently reported elements of missed nursing care were the following: (a) mouth care (50.3%), (b) ambulation (41.3%), (c) getting out of bed into a chair (38.8%), (d) providing information about tests/procedures (27%), and (e) bathing (26.4%). Patients who reported skin breakdown/pressure ulcers, medication errors, new infections, IVs running dry, IVs infiltrating, and other problems during the current hospitalization reported significantly more overall missed nursing care.
authors.affiliation: University of Michigan, Ann Arbor, MI bkalisch@umich.edu.
authors.forename: Beatrice J
authors.initials: BJ
authors.lastname: Kalisch
authors.affiliation: University of Michigan, Ann Arbor, MI.
authors.forename: Boqin
authors.initials: B
authors.lastname: Xie
authors.affiliation: University of Michigan, Ann Arbor, MI.
authors.forename: Beverly Waller
authors.initials: BW
authors.lastname: Dabney
mesh_terms: D003430:Cross-Sectional Studies; D005260:Female; D006761:Hospitals / Q000706:statistics & numerical data; D006801:Humans; D007297:Inpatients / Q000706:statistics & numerical data; D008297:Male; D019300:Medical Errors / Q000451:nursing*; D008875:Middle Aged; D015146:Midwestern United States; D009738:Nursing Service, Hospital / Q000706:statistics & numerical data*
keywords: acute care; errors of omission; missed care; nursing; quality