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The commenter stated that the Overall Hospital Quality Star Rating system already oversimplifies hospital quality and that further emphasizing a single domain, particularly through penalties, risks distorting the meaning of the rating and diminishing its usefulness to patients

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It gets saved into one time programmable memory, so you will only have to do it once

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88,89 Patterson et al

Minor side effects such as injection site pain, redness, or temporary headache are common and usually self-limiting