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Identifying paediatric nursing-sensitive outcomes in linked administrative health data

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Open access
Authors
Wilson, Sally
Bremner, A.
Hauck, Yvonne
Finn, J.
Date
2012
Type
Journal Article

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Wilson, Sally and Bremner, Alexandra P. and Hauck, Yvonne and Finn, Judith. 2012. Identifying paediatric nursing-sensitive outcomes in linked administrative health data. BMC Health Services Research. 12: Article ID 209.
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Biomed Central Complementary and Alternative Medicine
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This article is published under the Open Access publishing model and distributed under the terms of the Creative Commons Attribution License http://creativecommons.org/licenses/by/2.0/ Please refer to the licence to obtain terms for any further reuse or distribution of this work

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Abstract

There is increasing interest in the contribution of the quality of nursing care to patient outcomes. Due to different casemix and risk profiles, algorithms for administrative health data that identify nursing-sensitive outcomes in adult hospitalised patients may not be applicable to paediatric patients. The study purpose was to test adult algorithms in a paediatric hospital population and make amendments to increase the accuracy of identification of hospital acquitted events. The study also aimed to determine whether the use of linked hospital records improved the likelihood of correctly identifying patient outcomes as nursing sensitive rather than being related to their pre-morbid conditions. Algorithm for nursing-sensitive outcomes used in adult populations have to be amended before application to paediatric populations. Using unlinked individual hospitalisation records to estimate rates of nursing-sensitive outcomes is likely to result in inaccurate rates.