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. 2018 Nov 12;173(1):44–51. doi: 10.1001/jamapediatrics.2018.3619

Table 3. Distributions of Missed Care When Item Was Applicable to an Infant's Care.

Missed Care Item No. of Applicable Nurse-Infant Shifts Response, No. (%) of Shifts
Rarely Missed Occasionally Missed Frequently Missed Missed
Hourly IV site assessment 5224 869 (16.6) 173 (3.3) 24 (0.5) 1066 (20.4)
Adherence to central venous catheter infection prevention bundle 4476 582 (13.0) 95 (2.1) 18 (0.4) 695 (15.5)
Oral feedings 4278 240 (5.6) 57 (1.3) 23 (0.5) 320 (7.5)
Patient assessment 10 397 643 (6.2) 78 (0.8) 30 (0.3) 751 (7.2)
Obtain laboratory samples 2838 163 (5.7) 28 (1.0) 8 (0.3) 199 (7.0)
Parent involvement 5662 303 (5.4) 54 (1.0) 22 (0.4) 379 (6.7)
Adherence to ventilator-associated respiratory infection prevention bundle 2978 131 (4.4) 20 (0.7) 8 (0.3) 159 (5.3)
Thorough handoff 10 301 303 (2.9) 19 (0.2) 24 (0.2) 346 (3.4)
Verification of 6 rights during medication administration 8564 240 (2.8) 20 (0.2) 19 (0.2) 279 (3.2)
Double-check of high-risk medications 3090 88 (2.8) 7 (0.2) 5 (0.2) 100 (3.2)
Standard safety checks of equipment and alarms 10 351 141 (1.4) 23 (0.2) 25 (0.2) 188 (1.8)

Abbreviation: IV, intravenous.