The National Database

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The nation’s largest nursing registry that meets the Centers for Medicare and Medicaid Services’s new voluntary reporting requirement for nursing sensitive care.


About The Database

The National Database of Nursing Quality Indicators (NDNQI®), a repository for nursing-sensitive indicators, is a program of NCNQ®. NDNQI is the only database containing data collected at the nursing unit level. As you peruse this site, you will be able to obtain information on its history, a menu of NDNQI nursing-sensitive indicators, NDNQI enrollment procedures, samples of quarterly reports to participating facilities, and examples from facility nurse liaisons of how NDNQI reports have been used to improve care.

NDNQI is a dynamic program. New nursing-sensitive indicators are added to the database; new projects are initiated; and new facilities join regularly. The guiding forces behind NDNQI are constantly trying to determine how this program can be enhanced to better serve the participating facilities and the nursing profession better, therefore, the dynamic nature of the project.

NDNQI History

In 1994, the American Nurses Association (ANA) launched the Safety & Quality Initiative to explore and identify the empirical linkages between nursing care and patient outcomes. The Nursing Care Report Card for Acute Care (ANA, 1995) proposed 21 measures of hospital performance with an established or theoretical link to the availability and quality of nursing services in acute care settings. In 1997, ANA issued a call for organizations to submit proposals to develop and maintain the NDNQI. Midwest Research Institute (MRI) and the University of Kansas School of Nursing (KUSON) were selected by ANA to take on this task because of their expertise in database programming and outcomes research. From 1997 - 2000, a series of pilot studies were funded by ANA to test selected indicators: definitions, data collection methodology and instrument development. Selected state nursing associations (Arizona, ANA/California, Minnesota, North Dakota, Ohio, Texas, and Virginia) were involved in the pilot projects. See below for a listing of publications that were created as a result of this work.

Additional publications (See Resources below) are available for review and were also generated as part of this work. NDNQI has grown both in terms of the number of participating hospitals and in the number of indicators. NDNQI began accepting data from hospitals in 1998 and to charge for the process of data submission and comparison reports in 2001. The database eventually moved from MRI to the University of Kansas School of Nursing in 2001.

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