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Sterile water lacks preservatives and is single-use only (high contamination risk if reused)

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When there is no face-to-face counseling to the patient/family and only vaccine administration to a patient over 18 years of age you report 90471-90474

A few commenters suggested alternatives to blanket penalties in public reporting, proposing the use of performance flags or annotations to highlight poor Safety of Care scores without reducing hospitals' Overall Hospital Quality Star Rating, thereby providing meaningful safety information while preserving rating comparability