Preventing Missed Nursing Care is mission critical for strategic objective attainment in healthcare organizations

Hospitals in the U.S. face a constant struggle to avoid any missed opportunity to meet organizational and clinical outcome expectations. This error of omission, or missed care, may come in the form of an unmet patient need that leads to an adverse event or dissatisfaction. It can lead to or be the result of inefficient use of the nurse’s time, or missed communication among team members and with patients.

Missed care in responding to patient demands is caused by gaps in labor resources, communication, and physical resources such as technology (Kalisch, 2006). These factors ultimately can affect the patient’s hospital course or home care success.

This concept of missed care — an error of omission of required patient care — was initially identified in 2006 by Kasich’s qualitative study, describing nine elements of nursing care regularly missed: ambulation, turning, delayed or missed feedings, patient teaching, discharge planning, emotional support, hygiene, intake and output documentation and surveillance (Kalisch, 2006, p. 307-309).

Missing any of these elements of care can have a significant impact on the patient outcomes experienced.

Industry leaders and nurses are being forced to leverage limited available resources to prevent this missed nursing care and still achieve acute care quality, safety, and financial expectations.

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