Data accessibility is a necessity in the health care system. “Data management is the process of controlling the collection, storage, retrieval, and use of data to optimize accuracy and utility while safeguarding integrity” (Hebda & Czar, 2013, p.65). Nursing informatics has changed the accessibility of data and decision-making process. Nursing Informatics is the "science and practice (that) integrates nursing, its information and knowledge, with management of information and communication technologies to promote the health of people, families, and communities worldwide" (IMIA Special Interest Group on Nursing Informatics 2009). Technology has changed the way information is collected and shared. Interoperability allows to entities computer or human to share data while not changing and maintaining the original meaning data. This paper will discuss how adverse trend may occur and why to investigate further. The data needed to collect, the source, and why that data is needed. List of description of data collections methods, how the data affects the adverse trend, explain how the use of technology is used, and a description of the regulatory factors.…