Omissions of Care in Nursing Home Settings: A Narrative Review

The impact of “missed nursing care” or “care not done” on adults in health care: A rapid review for the Consensus Development Project

“…Three papers demonstrated a statistical link between mortality outcomes and missed care (Ball et al., 2018 ; Schubert et al., 2012 ; Tesoro et al., 2018 ) with two other studies finding no statistical links (Brooks‐Carthon et al., 2016 ; Lucero et al., 2010 ). Three literature reviews reported on mortality rates, citing some of the papers listed above, but the authors came to varying conclusions; Recio‐Saucedio et al reported on the differences across studies, while Mandal and Ogletree concluded the evidence supported a link (Mandal et al., 2020 ; Ogletree et al., 2020 ; Recio‐Saucedo et al., 2018 ). For example, Schubert et al examined the association between explicit rationing and hospital mortality in medical, surgical and gynaecological wards demonstrating that patients treated at hospitals with the highest rates of missed care have a 51% increase in mortality (Schubert et al., 2012 ).…”

“…In coining the term “failure to maintain,” Bail is deliberately linking it to failure to rescue (death following a hospital‐acquired adverse event). Ogletree et al, identified cognitive and functional decline, delirium and weight loss resulting from missed care (Ogletree et al., 2020 ) and Kalánková et al. ( 2020 ) in functional capacity.…”

“…Less research has been done within the care homes for older people. As Ogletree et al, noted in their systematic review, studies are inconsistent in reporting adverse events with some noting potential, but few providing direct evidence (Ogletree et al., 2020 ). Despite this caveat, Ogletree et al, define 14 outcomes as adverse events, although the study source is not identified.…”

Factors Associated With Missed Nursing Care in Nursing Homes: A Multicentre Cross-sectional Study

“…13 However, because missed nursing care was only recently defined, 14 few studies have focused on this phenomenon in nursing homes. The studies that do exist have included samples of nurse aides 15,16 or both RNs and nurse aides. [17][18][19] Only one study examined a sample exclusively composed of RNs; it identified a relationship between burnout, job dissatisfaction, and the occurrence of missed nursing care in nursing homes.…”

Perceptions and experiences of risk management by managers of residential aged care facilities: a qualitative study from Hunan Province, China

“…However, the reality is that older adults often receive sub-standard care owing to workforce shortages (Stone, 2017 ), high staff turnover (Wiener et al, 2018 ), and stressful environments (Bondevik et al, 2017 ), resulting in various types of harm, increased rates of morbidity and mortality and higher costs for care (Levinson, 2014 ). Studies reported that a large number of older people are affected or die because of defects in care delivery in RACFs (Ogletree et al, 2020 ; Song et al, 2020 ). For example, Castle et al ( 2011 ) found that from 2000 to 2007, as much as 16% of RACFs had at least one actual or potential incidence of death/serious injury according to the records during the Medicare certification process.…”