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Table 1 Instruction and validated 5-point scale given to physician raters to judge avoidability of ACSC* hospital admission for uncomplicated hypertension, using implicit judgment

From: ACSC Indicator: testing reliability for hypertension

After due consideration of the clinical details of the patient’s medical chart, rate, on a 5-point scale, your confidence in the evidence for avoidability of the hospitalization:
1. Virtually no evidence of avoidability of hypertension admission
2. Slight to modest evidence of avoidability of hypertension admission
3. Evidence of avoidability of hypertension admission is a “close call” (50/50)
4. Strong evidence of avoidability of hypertension admission
5. Virtually certain evidence of avoidability of hypertension admission
  1. *ACSC ambulatory care sensitive condition