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Updated: May 16, 2026

Inverse Probability of Treatment Weighting (Propensity Score) using the Military Health System Data Repository and National Death Index
Published on: January 8, 2020
Staffing matters-every shift: data from the Military Nursing Outcomes Database can be used to demonstrate that the
Gordon West1, Patricia A Patrician, Lori Loan
1Uniformed Services University of the Health Sciences USUHS, Graduate School of Nursing, Bethesda, MD, USA. gordon.west@us.army.mil
Overview:
Data from the Military Nursing Outcomes Database (MilNOD) project demonstrate that inadequately staffed shifts can increase the likelihood of adverse events, such as falls with injury, medication errors, and needlestick injuries to nurses. Such evidence can be used to show that it takes not only the right number of nursing staff on every shift to ensure safe patient care, but also the right mix of expertise and experience. Based on findings from the MilNOD project, the authors present realistic scenarios of common dilemmas hospitals face in nurse staffing, illustrating the potential hazards for patients and nurses alike.
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