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Appropriateness was measured using validated tools, including the Medication Appropriateness Index, Beers' criteria and Screening Tool of Older Person's Prescriptions (STOPP / Screening Tool to Alert doctors to Right Treatment (START).
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24 Intervention effect was measured using validated assessment tools of prescribing appropriateness (eg, summated MAI, Beers' criteria).
Organizational appropriateness was measured retrospectively using the Italian version of the Appropriateness Evaluation Protocol to analyze a random sample of medical records for each clinical unit.
MEASUREMENTS: Medication prescribing appropriateness was measured with the MAI, a reliable method that employs 10 implicit criteria.
Appropriateness of health service use was measured by a validated tool [ 16] which included the frequency of presentations to emergency department, hospital outpatient department, GP or community health centre in the previous 4 months and type of clinician seen.
Appropriateness of hospital admission was measured by applying an appropriateness protocol combined with physician judgment based on chart review.
There was fair-to-moderate agreement, measured using the κ-statistic, between Delphi panel members on the appropriateness of interventions for the set of hypothetical patients (prostatectomy 0.31, radiotherapy 0.44, watchful waiting 0.18).
Appropriateness will be measured by an instrument based on the Medication Appropriateness Index and current guidelines for treatment of neuropsychiatric symptoms.
Catheter appropriateness was determined using the criteria of Nickel [ 3].
One of the limitations in this study is that the appropriateness of the visits could not be measured.
Seven validated measures of prescribing appropriateness were used in the included studies, either alone or in combination.
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