Table 1 Definitions of nursing-sensitive outcomes

As per Needleman et al. [9]

Pressure ulcer

Pressure ulcer (ICD² L89)

All medical and surgical inpatients

MDC9-skin conditions

LOS > =4 days

All diagnosis of hemiplegia, paraplegia,

paralysis; cerebral palsy; (ICD > =G80 and < =G84)

Pneumonia

Aspiration, post-operative, hypostatic, bacterial, broncho and unspecified pneumonias: (ICD > =J14. and < =J15.6, J15.8 J15.9 J18.0 J18.2 J18.8 J18.9 J69.0 J95.8, J95.9)

All medical and surgical inpatients

MDC4-respiratory conditions

Immunocompromised, AIDS; (ICD > =B20. and < =B24., > = D80. and < =D89.9, M35.9)

All diagnoses of probable community acquired pneumonia (ICD > =J10. and < =J10.8, > = J11. and < =J11.8, =J12. and < =J12.9, J13., J15.7, J16.8, > = J17. and < =J17.8)

Postoperative pneumonia [24]

Aspiration, post-operative, hypostatic, bacterial, viral, broncho pneumonias

All surgical inpatients

(ICD J12. and < =J12.9, J13., > = J14. and < =J15.6, J15.7, J15.8, J15.9, > = J17. and < =J17.8, J18.0, J18.1, J18.2, J18.8, J18.9, J69.0, J95.851, J95.9)

Surgical wound infection

Surgical wounds, including surgery post traumatic injury (ICD T79.3, T81.4 T81.41 T81.42)

All surgical inpatients

Total discharges only

Recommended paediatric algorithm

Pressure ulcer

Pressure ulcer (ICD L89)

All medical and surgical inpatients

All diagnosis of hemiplegia, paraplegia, paralysis; cerebral palsy; spina bifida. (ICD > =G80 and < =G84; > = Q05. and < =Q05.9 or > =Q07. and < =Q07.03)

LOS > =3 days

All diagnoses of paralysis found in look back period

Pneumonia

As per Needleman et al. plus J15.7, J18.1, J69.8

All medical and surgical inpatients

MDC4-respiratory conditions

All diagnoses of probable community acquired pneumonia (ICD as per Needleman et al.)

Aspiration pneumonia and epilepsy (ICD J69.0, 69.8, > = G40. and < =G40.9, > = G41. and < =G41.9)

All diagnosis of epilepsy found in look back period

Surgical wound infection

Surgical wounds, including surgery post traumatic injury plus those found in 30 day ’look forward period’ (ICD T79.3, T81.4 T81.41 T81.42)

All surgical inpatients

Total discharges only