Vnitr Lek 2020, 66(7):e31-e38 | DOI: 10.36290/vnl.2020.137

Rationed nursing care as one of the indicators of the occurrence of medication errors

Ilona Plevová1, Darja Jarošová1, Eva Janíková1,2, Renáta Zeleníková1, Eva Mynaříková2, Andrea Polanská2
1 Ústav ošetřovatelství a porodní asistence, Lékařská fakulta, Ostravská univerzita
2 Útvar ošetřovatelské péče, Fakultní nemocnice Ostrava

Aim: The aim was to analyze selected studies on rationed nursing care as one of the indicators that influence the occurrence of medication errors.

Methods: A descriptive review study. Articles and studies were searched in the following selected electronic databases: EBSCO (Academic Search Ultimate, Academic Search Complete), CINAHL Plus with Full Text, MEDLINE Complete, ScienceDirect and Central & Eastern European Academic Source. The search for relevant sources was based on the following English keywords: unfinished care, omitted care, rationing care, missed care, nursing care, medication errors.

Results: Total of 86 contributions found. After duplicit and irrelevant publications were the analysis comprised 8 primary studies and 2 systematic reviews. The studies were concerned with rationed or otherwise defined non-standard nursing care not merely related to medication errors. Each study described selected activities most frequently omitted by nurses with respect to medication: assessment of drug efficacy, medication errors, administration of incorrect drugs or doses, wrong time of administration, high-risk drug protocols and adhering to rules with each administration. The most frequently reported factor influencing the occurrence of missed care was understaffing and the related number of patients per nurse, resulting in a lack of time for selected patient activities.

Conclusion: Despite difference in methods, all studies consistently claimed that rationed, unfinished, missed or omitted nursing care has or may have a negative impact on both patients and nurses. Some of the recommendations were increasing the number of nurses, improving team collaboration and work organization including setting systemic and preventive measures.

Keywords: medication error, missed care, nursing care, omitted care, rationing care, unfinished care.

Published: November 3, 2020  Show citation

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Plevová I, Jarošová D, Janíková E, Zeleníková R, Mynaříková E, Polanská A. Rationed nursing care as one of the indicators of the occurrence of medication errors. Vnitr Lek. 2020;66(7):e31-38. doi: 10.36290/vnl.2020.137.
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    References

    1. Bragadóttir H, Kalisch BJ. Comparison of reports of missed nursing care: Registered Nurses vs. practical nurses in hospitals. Scand J Caring Sci. 2018; 32(3): 1227-1236. Go to original source... Go to PubMed...
    2. Uchmanowicz, I. Missed nursing care-what went wrong. CEJNM. 2017; 8(2): 609. Go to original source...
    3. Kalisch BJ. Missed nursing care: a qualitative study. J Nurs Care Qual. 2006; 21(4): 306-313. Go to original source... Go to PubMed...
    4. Kalisch BJ, Tschannen D, Lee KH. Do staffing levels predict missed nursing care? Int J Qual Health Care. 2011; 23(3): 302-308. Go to original source... Go to PubMed...
    5. Palese A, Ambrosi E, Prosperi L, Guarnier A, Barelli P, Zambiasi P, Allegrini E, Bazoli L, Casson P, Marin M, Padovan M, Picogna M, Taddia P, Salmaso D, Chiari P, Marognolli O, Canzan F, Gonella S, Saiani, L. Missed nursing care and predicting factors in the Italian medical care setting. Intern Emerg Med. 2015; 10(6): 693-702. Go to original source... Go to PubMed...
    6. McMullen SL, Kozik CA, Myers G, Keenan K, Wheelock M, Melanie Kalman. Improving nursing care: Examining errors of omission. Medsurg Nurs. 2017; 26(1): 9-15. Go to PubMed...
    7. Verrall C, Abery E, Harvey C, Henderson J, Willis E, Hamilton, P, Toffolo L, Blackman I. Nurses and midwives perceptions of missed nursing care - a South Australian study. Collegian. 2015; 22(4): 413-420. Go to original source... Go to PubMed...
    8. Winsett RP, Rottet K, Schmitt A, Wathen E, Wilson D. Medical surgical nurses describe missed nursing care tasks - Evaluating our work environment. Appl Nurs Res. 2016; 32: 128-133. Go to original source... Go to PubMed...
    9. Pokorná A, Búřilová P, Štrombachová V, Dolanová D. Centrální systém hlášení nežádoucích událostí. Nežádoucí událost MEDIKACE / IV ROZTOKY. Plná verze metodiky. Praha. ÚZIS, 2017. (cit. 2018-12-22). Dostupné z WWW: http://shnu.uzis.cz/res/file/metodicke_dokumenty/medikace_iv_roztoky_plna_verze_metodiky(1).pdf
    10. Machazcek KK, Whitfield M. Doporučené postupy v oblasti prevence a identifikace nežádoucích událostí v nemocnicích v České republice. 2012, 69 s. (cit. 2018-12-25). Dostupné z WWW: http://www.projecthope.cz/uploads/nil_nocere/PARTS-1-7-pouze%20postupy-Aug15,2012.pdf
    11. Coleman JJ, Hodson J, Brooks HL, Rosser D. Missed medication doses in hospitalised patients: a descriptive account of quality improvement measures and time series analysis. Int J Qual Health Care. 2013; 25(5): 564-572. Go to original source... Go to PubMed...
    12. Schubert M, Glass TR, Clarke SP, Aiken LH, Schaffert-Witvliet B, Sloane DM, De Geest S. Rationing of nursing care and its relationship to patient outcomes: the Swiss extension of the International Hospital Outcomes Study. Int J Qual Health Care. 2008; 20(4): 227-237. Go to original source... Go to PubMed...
    13. Schubert M, Clarke SP, Glass TR, Schaffert-Witvliet B, De Geest S. Identifying thresholds for relationships between impacts of rationing of nursing care and nurse- and patient-reported outcomes in Swiss hospitals: a correlational study. Int J Nurs Stud. 2009; 46(7): 884-893. Go to original source... Go to PubMed...
    14. Winters R, Neville S. Registered nurse perspectives on delayed or missed nursing cares in a New Zealand hospital. Nurs Prax N Z. 2012; 28(1): 19-28.
    15. Papastavrou E, Andreou P, Efstathiou G. Rationing of nursing care and nurse-patient outcomes: a systematic review of quantitative studies. Int J Health Plann Manage. 2014; 29(1): 3-25. Go to original source... Go to PubMed...
    16. Maloney S, Fencl JL, Hardin SR. Is nursing care missed? A comparative study of three North Carolina hospitals. Medsurg Nurs. 2015; 24(4): 229-235. Go to PubMed...
    17. Jones TL, Hamilton P, Murry N. Unfinished nursing care, missed care, and implicitly rationed care: State of the science review. Int J Nurs Stud. 2015; 52(6): 1121-1137. Go to original source... Go to PubMed...
    18. Tubbs-Cooley HL, Pickler RH, Mara CA, Othman M, Kovacs A, Mark BA. Hospital Magnet® designation and missed nursing care in meonatal intensive care units. J Pediatr Nurs. 2017; 34: 5-9. Go to original source... Go to PubMed...
    19. Cook MC. Nurses' six rights for safe medication administration. 1999 (cit. 2018-27-12). MNA © 2017. Dostupné z WWW: http://www.massnurses.org/nursing-resources/nursing-practice/articles/six-rights
    20. MZ ČR. Resortní bezpečností cíle. MZČR © 2010. (cit. 2018-29-12). Dostupné z WWW: http://www.mzcr.cz/KvalitaABezpeci/obsah/resortni-bezpecnostni-cile-_2922_29.html
    21. Rádce pacienta. MZČR. (cit. 2020-10-21). Dostupné z WWW: https://www.mzcr.cz/vychazi-ctvrte-vydani-brozury-radce-pacienta/
    22. Kalisch BJ, Landstrom G, Williams RA. Missed nursing care: errors of omission. Nurs Outlook. 2009; 57(1): 3-9. Go to original source... Go to PubMed...
    23. Vyhláška č. 99/2012 Sb., o požadavcích na minimální personální zabezpečení zdravotních služeb.
    24. Bragadóttir H, Kalisch BJ, Tryggvadóttir GB. Correlates and predictors of missed nursing care in hospitals. J Clin Nurs. 2017; 26(11-12): 1524-1534. Go to original source... Go to PubMed...
    25. Spot and prevent instances of missed nursing care. Case Management Monthly. 2015; 12(10): 6-8.
    26. Billstein-Leber M, Carrillo CJD, Cassano AT, Moline K, Robertson JJ. ASHP Guidelines on preventing medication errors in hospitals. Am J Health Syst Pharm. 2018; 75(19): 1493-1517. Go to original source... Go to PubMed...
    27. Klokočková Š. Magnetické nemocnice. Diplomová práce. Vedoucí práce: doc. PhDr. Zuzana Havrdová, CSc. Praha; 2016.
    28. Magnet status: What it is, what it is not, and what it could be. The Truth About Nursing. (cit. 2019-01-02). Dostupné z WWW: https://www.truthaboutnursing.org/faq/magnet.html
    29. Cho S-H, Kim Y-S, Yeon KN, You S-J, Lee ID. Effects of increasing nurse staffing on missed nursing care. Int Nurs Rev. 2015; 62(2): 267-274. Go to original source... Go to PubMed...

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