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Changes in Patient Health Outcomes from Admission to Discharge in Acute Care

McGillis Hall, Linda PhD, RN, FAAN, FCAHS; Wodchis, Walter P. PhD; Ma, Xiaomu MSc; Johnson, Stacey MN, RN

doi: 10.1097/NCQ.0b013e3182665dab

Clinical databases comprising data that are available at a national level provide the opportunity to explore the relationships between nursing interventions and patient health outcomes. This research examined baseline and changes in patient health outcomes between admission and discharge using data from 59 157 acute-care hospital-based patient records at 44 hospitals in Canada. Statistically significant improvements in all of the health outcomes were noted, with the exception of pressure ulcers. The standardized indicators offer a mechanism for evaluating the effectiveness and quality of nursing care interventions.

Lawrence S. Bloomberg Faculty of Nursing (Dr Hall and Ms Johnson); Institute for Clinical Evaluative Sciences (Drs Hall and Wodchis and Ms Ma); and Department of Health Policy, Management and Evaluation (Dr Wodchis), University of Toronto; and Toronto Rehabilitation Institute (Dr Wodchis), Toronto, Ontario, Canada.

Correspondence: Linda McGillis Hall, RN, PhD, FAAN, FCAHS, Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, 155 College Street, Suite 130, Toronto, Ontario M5T 1P8, Canada (

This study was funded by the Ontario Ministry of Health and Long-Term Care.

The authors declare no conflict of interest.

Accepted for publication: June 25, 2012

Published online before print: July 20, 2012

Copyright © 2013 Wolters Kluwer Health, Inc. All rights reserved