Nicholas Stine|Dave A. Chokshi
Incorrect Terminology
New York City Health and Hospitals Corporation|New York University|New York City Health and Hospitals Corporation
reply dr zelicoff points several significant challenges development implementation successful riskbased quality measures including limitations existing risk calculator tools ability clinicians interpret communicate statistical riskwe share sentiment practical standardized validated approaches risk calculation communication significant research educational needas zelicoff effectively illustrates example frax tool osteoporosis best practice guidelines imperfectly applied groundperhaps risk calculation involvedyet operational challenges lead jettisoning best practicesrather systems policy solutions facilitate higher standard care soughtin way view application quality measures tool driving improvement promoting accountability rather merely common denominator assessmentmany guidelines moving direction multifactorial risk assessment american college cardiologyamerican heart association lipid guidelinesour concern ensuring quality measures keep pace sophisticated guidelineszelicoffs call particular attention integrity bedside tools statistical literacy clinicians important valuable addition conversation