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Guiding Principles for Quality Measures
- Compelling importance
- Clear relevance to improving care
- Reasonable administrative burden
establishes the extent and seriousness of the problem
clarifies the potential for prevention
lays the ground work for determining what directions needed in designing interventions
We believe this is a very conservative estimate—tip of the iceberg, because:
used medical record review—limits in quality of nursing home records
strictly information entered or reported by providers
high end homes rigid about definition of ADE—had to be strong evidence linking symptoms to drug
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