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September 15, 2004

Pitfalls of Converting Practice Guidelines Into Quality Measures

Author Affiliations

Letters Section Editor: Robert M. Golub, MD, Senior Editor.

JAMA. 2004;292(11):1301. doi:10.1001/jama.292.11.1301-a

To the Editor: The article by Dr Walter et al1 illustrates why the implementation of quality measuring requires careful attention to sampling and target population. However, the issue raised in their article is not a problem of translating guidelines into measures, but rather one of implementing measures in practice. The use of a nonrandom sample of patients with severe chronic illness to examine performance on a screening measure is a problem.