title: Towards evidence-based management: creating an informative database of nursing-sensitive indicators.
abstract: OBJECTIVE
  The purpose of this paper is to describe the creation, evolution, and implementation of a database of nursing-sensitive and potentially nursing-sensitive indicators, the Military Nursing Outcomes Database (MilNOD). It discusses data quality, utility, and lessons learned.
  
  
  METHODS
  Prospective data collected each shift include direct staff hours by levels (i.e., registered nurse, other licensed and unlicensed providers), staff categories (i.e., military, civilian, contract, and reservist), patient census, acuity, and admissions, discharges, and transfers. Retrospective adverse event data (falls, medication errors, and needle-stick injuries) were collected from existing records. Annual patient satisfaction, nurse work environment, and pressure ulcer and restraint prevalence surveys were conducted.
  
  
  CONCLUSIONS
  The MilNOD contains shift level data from 56 units in 13 military hospitals and is used to target areas for managerial and clinical performance improvement. This methodology can be modified for use in other healthcare systems.
  
  
  CONCLUSIONS
  As standard tools for evidence-based management, databases such as MilNOD allow nurse leaders to track the status of nursing and adverse events in their facilities.
authors.affiliation: The University of Alabama at Birmingham, School of Nursing, 1530 3rd Avenue S., Birmingham, AL 35294-1210, USA. ppatrici@uab.edu
authors.forename: Patricia A
authors.initials: PA
authors.lastname: Patrician
authors.forename: Lori
authors.initials: L
authors.lastname: Loan
authors.forename: Mary
authors.initials: M
authors.lastname: McCarthy
authors.forename: Laura R
authors.initials: LR
authors.lastname: Brosch
authors.forename: Kimberly S
authors.initials: KS
authors.lastname: Davey
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control / Q000706:statistics & numerical data; D003625:Data Collection; D016208:Databases, Factual / Q000592:standards / Q000706:statistics & numerical data; D055317:Evidence-Based Practice / Q000458:organization & administration; D006801:Humans; D008508:Medication Errors / Q000517:prevention & control / Q000706:statistics & numerical data; D008888:Military Nursing / Q000193:education / Q000458:organization & administration*; D016602:Needlestick Injuries / Q000453:epidemiology / Q000517:prevention & control; D015401:Nursing Administration Research / Q000458:organization & administration; D009741:Nursing Staff, Hospital / Q000193:education / Q000458:organization & administration; D010043:Outcome and Process Assessment, Health Care; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D010561:Personnel Staffing and Scheduling / Q000458:organization & administration; D003668:Pressure Ulcer / Q000453:epidemiology / Q000517:prevention & control; D015995:Prevalence; D016730:Program Development; D015397:Program Evaluation; D011446:Prospective Studies; D019984:Quality Indicators, Health Care / Q000458:organization & administration*; D012149:Restraint, Physical / Q000706:statistics & numerical data; D012189:Retrospective Studies; D014481:United States / Q000453:epidemiology