Through the use of these programs it is possible to evaluate, update care and compile data to forward to regulatory bodies. Some of the programs listed in our textbook are: (1) The Agency for Healthcare Research and Quality (AHRQ), this program provides patients, physicians, and others with evidence-based information to make informed decisions about health care through activities such as comparative effectiveness reviews conducted through AHRQ's Evidence-Based Practice Center (EPC). (2) The National Quality Forum (NQF), a national standards-setting organization for healthcare performance measurements. Performance measures of the NQF standards include reportable serious events and preferred practices (e.g., safe practices). These indicators are the first nationally standardized performance measures of nursing-sensitive outcomes in acute care hospitals and are designed to evaluate health care quality, patient safety, and a professional and safe work environment (Grove, Gray and Burns 2015). In 1994, the American Nurses Association launched a plan to identify indicators of quality of nursing practice and collect and analyze data using these indicators throughout the United States. The goal was to identify and/or develop nursing-sensitive quality measures (Grove, Gray, and Burns