News Brief: Missed nursing care is common in neonatal ICUs and leads to worse outcomes in very-low-birth-weight infants.

Missed nursing care is common in neonatal ICUs and leads to worse outcomes in very-low-birth-weight infants, according to a study of over 7,500 infants from 190 U.S. hospitals published online January 24 in Medical Care Research and Review. Information on missed care was obtained from neonatal ICU nurses' responses on the 2016 and 2017 National Database of Nursing Quality Indicators RN Survey. Twenty-five percent of nurses reported missing a clinical care activity on their prior shift, including adequate surveillance, on-time medication administration, treatments or procedures, central line care, and on-time oral feedings. Missed nursing care was associated with 50% greater odds of a bloodstream infection and 2.73 days longer length of stay in infants.

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