Paging Patterns: A Nurse's View

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To the Editor: As the head nurse of one of the units involved in the study of paging patterns by Drs. Katz and Schroeder (Dec. 15 issue),* I would like to respond to some of their conclusions. As the authors acknowledged, the classification of the pages was based entirely on the interns' subjective judgment, which is an important limitation. Interrater reliability was never established, accuracy was never validated, and important opinions were ignored. The perspectives of the nurses and the patients differ from those of the house staff, and their evaluation might appropriately have reflected different priorities. This does not . . .

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