Nursing documentation is an important proxy of the quality of care, and quality indicators in nursing assessment can be used to assess and improve the quality of care in health care institutions. The study aims to evaluate the completeness and the accuracy of nursing assessment, analyzing the compilation of pain assessment and nutritional status (body mass index (BMI)) in computerized nursing records, and how it is influenced by four variables: nurse to patient ratio, diagnosis related group weight (DRG), seniority of charge nurse, and type of ward (medical, surgical or other). The observational ecological pilot study was conducted between September and October 2018 in an Italian Tertiary-Level Teaching Hospital. The nursing documentation analyzed for the ‘Assessment’ phase included 12,513 records, 50.4% concerning pain assessment, and 45% BMI. The nurse–patient ratio showed a significant direct association with the assessment of nutritional status (p = 0.032). The average weight DRG has a negative influence on pain and BMI assessment; the surgical units positively correlate with the compilation of nursing assessment (BMI and pain). The nursing process is an essential component for the continuous improvement in the quality of care. Nurses need to be accountable to improve their knowledge and skills in nursing documentation.

Adverse events associated with healthcare services in hospitalised patients represent a growing burden, generating significant costs for individuals, healthcare facilities and society. Their clinical and economic impact is particularly critical in the context of haematopoietic stem cell transplantation (HSCT) and chimeric antigen receptor (CAR)-T therapy. A positive safety culture is widely recognised as a crucial factor in reducing hospital errors. This study aimed to evaluate the perception of ‘Patient Safety Culture’ (PSC) among professionals working in the HSCT and CAR-T therapy fields. A multicentre, cross-sectional observational study was conducted by GITMO. The sample included healthcare professionals (physicians, nurses and others) who had been part of the Transplant Programme for at least 2 years. To assess PSC perception, the validated Italian version of the Hospital Survey on Patient Safety (SOPS V.2.0) from the Agency for Healthcare Research and Quality was used. The survey was completed by 166 professionals from 47 centres (54% participation rate). Binary logistic regression showed that haematologists reported higher PSC perceptions compared with nurses with positive responses exceeding 75%, particularly in dimensions such as ‘Teamwork’ (nurse OR=0.306, p=0.009), ‘Organizational Learning—Continuous Improvement’ (nurse OR=0.332, p=0.011), ‘Response to Error’ (nurse OR=0.360, p=0.024), ‘Supervisor Support’ (nurse OR=0.160, p<0.001), ‘Communication About Error’ (nurse OR=0.152, p=0.001) and ‘Global Instrument’ (nurse OR=0.150, p<0.001). The findings highlight the need for targeted interventions to address discrepancies in PSC perceptions across professional roles, age groups and regions. Enhancing staffing levels and promoting the use of incident reporting systems are critical strategies to strengthen safety culture in HSCT and CAR-T therapy settings.