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Guiding Principles for Development of Quality Measures
- Is it possible to arrive at a set of measures that are of compelling importance and which have clear relevance to care, and that are also scientifically valid, usable, and feasible?
Study 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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