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Towards evidence-based management: creating an informative database of nursing-sensitive indicators
Patricia A Patrician1, Lori Loan, Mary McCarthy
1The University of Alabama at Birmingham, School of Nursing, 1530 3rd Avenue S., Birmingham, AL 35294-1210, USA. ppatrici@uab.edu
Summary
The Military Nursing Outcomes Database (MilNOD) tracks nursing-sensitive indicators and adverse events across military hospitals. This database supports evidence-based management and performance improvement initiatives in nursing.
Area of Science:
- Nursing Informatics
- Healthcare Management
- Data Science in Healthcare
Background:
- Nursing-sensitive indicators are crucial for evaluating patient care quality.
- Effective data management is essential for evidence-based nursing practice.
- The development of specialized databases aids in tracking healthcare performance.
Purpose of the Study:
- To describe the creation, evolution, and implementation of the Military Nursing Outcomes Database (MilNOD).
- To detail the data quality, utility, and lessons learned from establishing MilNOD.
- To present a model for nursing outcome databases in healthcare systems.
Main Methods:
- Prospective data collection included staff hours, patient census, acuity, and patient movement.
- Retrospective data on adverse events (falls, medication errors, needle-stick injuries) were gathered.
- Annual surveys assessed patient satisfaction, nurse work environment, pressure ulcers, and restraint use.
Main Results:
- The MilNOD database incorporates shift-level data from 56 units across 13 military hospitals.
- Data collected are utilized for targeted managerial and clinical performance improvement.
- The methodology demonstrates utility for other healthcare systems.
Conclusions:
- Databases like MilNOD serve as standard tools for evidence-based management in nursing.
- Nurse leaders can leverage MilNOD to monitor nursing status and adverse events.
- The implementation of MilNOD facilitates continuous quality improvement in military healthcare settings.
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