title: A clinical evaluation of evidence-based maternity care using the Optimality Index.
abstract: The Optimality Index-US (OI-US) reflects the use of evidence-based practices in obstetrics. This paper's objective is to apply the OI-US to a "typical" nurse-midwifery service data set to demonstrate its use outside of a research context. The OI-US score for the sample practice was 80%. The OI-US can be used by obstetric and gynecologic nurse clinicians to demonstrate the relationship of various care practices to optimal outcomes.
authors.affiliation: University of Michigan, School of Nursing, Ann Arbor, MI 48109, USA. kanelow@med.umich.edu
authors.forename: Lisa Kane
authors.initials: LK
authors.lastname: Low
authors.forename: Janis
authors.initials: J
authors.lastname: Miller
mesh_terms: D019985:Benchmarking; D003627:Data Interpretation, Statistical; D019317:Evidence-Based Medicine / Q000458:organization & administration*; D005260:Female; D006801:Humans; D016389:Maternal-Child Nursing / Q000592:standards*; D016294:Models, Nursing; D009721:Nurse Midwives / Q000592:standards*; D015403:Nursing Evaluation Research; D010043:Outcome and Process Assessment, Health Care / Q000458:organization & administration*; D018743:Perinatal Care / Q000592:standards; D011247:Pregnancy; D011256:Pregnancy Outcome; D019984:Quality Indicators, Health Care / Q000458:organization & administration*; D012189:Retrospective Studies; D012307:Risk Factors; D017749:Total Quality Management