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When multiple measures were used, along with better documentation of care, it was easier to assess the impact of the initiative on patient outcomes.93 Investigators from one initiative put forth the notion that hospital administrators should encourage more evaluations of initiatives and that the evaluations should focus on comprehensive models that
The high occurrence of cross-sectional studies does not allow us to clearly define the relationship’s direction between psychological distress and problem gambling. It is difficult to establish whether the former is a risk factor or an outcome of the latter. For example, it is unclear whether a high level of psychological distress is a consequenc