More than one-third of hospitals aren't meeting National Database of Nursing Quality Indicators performance metrics, a new Ohio State University study on chief nurse executives finds. At the same time, it showed that evidence-based practice – a care-delivery approach that integrates problem solving, best practices, clinician expertise and patient preferences – is a low priority across the United States. Although multiple studies show evidence-based practice results in high-quality care, improved patient outcomes and lower costs, and nurse executives recognize its effectiveness, implementation is relatively low. While the majority of surveyed nurses placed quality and safety as top priorities, EBP was ranked at the bottom.