Please enable it to take advantage of the complete set of features! 2021 Nov;53(6):803-814. doi: 10.1111/jnu.12711. Looking to obtain permission to use tool for QI project. This article describes the ongoing, hospital-wide effort to evaluate and implement a nursing assignment tool based on electronic health record (EHR) functionality and auto-calculated nursing workload scores. I am requesting permission to use this tool %PDF-1.5 This is an interesting article, but I think the use of quantitative measures such as means on ordinal scales is incorrect. Can I use this tool? In other words, one cannot assume that the difference between responses is equidistant even though the numbers assigned to those responses are. Epic EHR price starts at $1,200 per year , On a scale between 1 to 10 EpicCare EMR is rated 8, which is higher than the average cost of Medical software. Utilizing the results of the nurse survey, and information gained from articles gathered during the literature review, a patient acuity tool was created. Disclaimer. The authors declare no conflicts of interest. American Nurse Today, 13(4). Overall staff satisfaction and perceptions of nurse-patient assignment equity were improved. %PDF-1.5 % Acuity Scheduling: We are still working to collect the list of features for Acuity Scheduling. First, the team developed aneight-item survey to measurenurse satisfaction with the newacuity assessment process, whichnurses completed 1 month beforethe new process began andthen 1 month, 6 months, and 12months later. Results: We work with some of the nations most respected heal Acuity Scheduling: Acuity Scheduling was founded in 2006 by Gavin Zuchlinski to solve a problem close to home. This dissatisfaction can create barriers to the adaptability and teamwork that are so critical to good patient care. I would venture to say chemotherapy would be included in complicated IV drugs, but in the units for which we first developed this tool the nurses did not administer chemotherapy. From their work on the front lines, they also know that cancer treatments are becoming more complex . 8600 Rockville Pike By giving us an objective way to rate the acuity of a patient it lead to more balanced the assignments. stream Ashort time later, we noticed increasesin patient volumes, comorbidities,device support, and overallacuity. Rockville, MD: Agency for Healthcare Research and Quality; 2019. ber of patients without regard for acuity levels. Analytical cookies are used to understand how visitors interact with the website. We are interested in implementing it in our hospital. endobj types and acuity-levels patients present at the time of clinical encounter. Epub 2015 Apr 23. J Nurs Meas. Acuity-Based Staffing: Balance Cost, Satisfaction, Quality, and Outcomes Matching Nursing Assignment to Patients' Acuity Level: The Road to Nurses' Satisfaction A Comparison of a Standardized Method of Identifying Nursing Staff Needs with Measures of Nursing Staff Needs by Patient Acuity But before my hospital can adapt this, it has to be grounded with a study and so I will be making a study on this and would like to use also your survey with some revisions that is applicable to us if you could allow me. Does anyone have the contact information for the authors of this tool? (SeeAcuity tool: Lessons learned by clicking the PDF icon above). MeSH The patient acuity tool addresses the important issue of unbalanced nurse-patient assignments and helps nurses influence decision-making in their organizations. Our opinions are our own and are not influenced by payments from advertisers. 2001;13(4):497-509. Thank you for such a fantastic study. Nice article on acuity. 2010 May-Jun;15(3):109-11. doi: 10.1111/j.1478-5153.2010.00392.x. Sir MY, Dundar B, Barker Steege LM, Pasupathy KS. No part of this website or publication may be reproduced, stored, or transmitted in any form or by any means, electronic or mechanical, including photocopy, recording, or any information storage and retrieval system, without permission in writing from the copyright holder. We did contact the authors, and they gave permission for the use of the tool. Interesting article, thank you for acknowledging and taking action to help improve a system. The tool was pilot tested for 28 days. In our new tool, criteria categoriesincluded complicated procedures,education, psychosocial/therapeuticinterventions, number of oral medications,and complicated I.V. I would like to request fro your permission to utilize this tool for a pilot project initiative in my department. Target customer size Unit-specific nurse-to-patient ratios were factored into NWM scores to create ranges for assignments that were relatively consistent across the institution. Crit Care Nurs ClinNorth Am. A New Patient Acuity Tool to Support Equitable Patient Assignments in a Progressive Care Unit Making fair and equitable staffing decisions and patient assignments created complexities and undue nursing dissatisfaction on a 20-bed progressive care unit. Utilizing the results of the nurse survey, and information gained from articles gathered during the literature review, a patient acuity tool was created. Thank you in advance. Epub 2021 Aug 11. A nurse-specific total workload score was summed for each staff. Copyright IT Media Ltd - All Rights Reserved. government site. This would be transparent and avoid false interpretations if the answers were clustered at the high and low extremes. The response options were never (1), rarely (2), sometimes (3), frequently (4), and every shift (5). , Successful assignments require attention to the needs of both nurses, Workforce-management software and operational integration help match the right nurse. $gI a Choi, J (2018). 2015 Jun;55:237-48. doi: 10.1016/j.jbi.2015.04.005. Accessibility and other medications. I am interested to know how to utilize this acuity tool. This cookie is set by GDPR Cookie Consent plugin. Registered nurses who said that their assignments were appropriate are more likely have higher job satisfaction and deliver higher quality care to patients as opposed to nurses who said their patient assignments were inappropriate and unbalanced (Choi, 2018). Thank you for the great article Andrea Ingram and Jennifer Powell. He knew there was a better way, and Acuity Scheduling sprouted. I am interested in using a Patient Acuity tool for my project. Thank you. Acuity Scheduling based on some of the most important and required Medical features. Upenieks VV, Kotlerman J, Akhavan J, Esser J, Ngo MJ. After implementation, the average distribution of total acuity between highest and lowest nurse assignments was 3.06, a 36.6% improvement in equality and accuracy. I would suggest reporting the percentage of each classes and the median (1). I find that in my own practice, a balanced mix of acuity within an assignment group I am able to spend more face-to-face time with each patient as opposed to having a group of patients who are all considered high acuity. However, you may visit "Cookie Settings" to provide a controlled consent. I am currently connected with a regional hospital (government owned) here in the philippines with a bed capacity of 800 but in reality it is way more than that since we are not allowed to refuse a patient since we are the end refferal hospital in our region.. my hospital have not adapted any tool on patient assignment that most often led to nurse job unsatisfaction and burnt out. tool would yield a valued, more efficientinstrument that could improvenurse satisfaction and job retention. Nurses' Assignment refers to a written delegation of tasks in order to care for a bunch of patients by trained 2014;9(3):1-4. would like to know more about this classification tool, is it still in use or has it been revised? Sir MY, Dundar B, Steege LM, Pasupathy KS. -Lydia Kim, Digital Content Editor at American Nurse Today. The weighted average was 3.38 pre-implementation and 3.21 post-implementation, a 5% improvement in RNs perception of patient safety. xW]oF|vxwE(WmAy\u! Ratings hbbd``b` Loved this study and was wondering if thered be a way to get a copy of the survey used? . 2007 Oct-Dec;31(4):284-99. doi: 10.1097/01.NAQ.0000290426.41690.cb. Patient acuity tool on a medical-surgical unit. Progress e-mails were sent to staff, and individual follow-ups were held to promote compliance. Learn why ITQlick is free . Would love to see the follow up on this article! These cookies help provide information on metrics the number of visitors, bounce rate, traffic source, etc. Development and Implementation of an Inpatient CAMEO Staffing Algorithm to Inform Nurse- Patient Assignments in a Pediatric Cardiac Inpatient Unit. This cookie is set by GDPR Cookie Consent plugin. Congratulations to All Northwestern Medicine Top Doctors! Complete the Annual Conflict of Interest Survey by March 1, NMH Medical Staff Financial Wellness Series, Required FY22 Annual Safety and Integrity Training, Interruptive Epic Alerts Reduced to Decrease Alert Fatigue, Antimicrobial and Diagnostic Stewardship Program Upgrades Website. FOIA I am writing in regards to Patient acuity tool on a medical-surgical unit (Morrow and Powell, 2018). When calculating the TCO, it's important to add all of these hidden costs as well. for all five criteria categories aresummed up to obtain a total acuityscore for each patient, ranging from1 to 60. Key words and phrases included the following: acuity, patient acuity, acuity tools, progressive care acuity, nurse-patient assignment, workload, nursing assignments, and equitable staffing. (Strongly agree, agree, neutral, disagree, strongly disagree.) We are currently using the block method to make assignments, and it is not working well for the nurses. We used evidence-based information to create an objective acuity tool to establish patient assignments. Before Sasichay-Akkadechanunt T, Scalzi CC, Jawad AF. Secondly, I understand the need to have an objective tool and I also chase this goal, but when I read the table RN assignments using acuity tool, I come to the conclusion that it is not at all objective and that the nurses classification is completely subjective. Providers can use this score to stratify patient populations by risk and monitor at-risk patients using trending scores. In this article we compare between the two software products: Epic Systems: As a worldwide leader in the development of software for healthcare organizations, Epic is driving change for an entire industry and not just any industry one that impacts the quality of life for everyone. Please be sure to credit the source. We provide the biggest online directory (+18,000 listed tools), a free TCO pricing calculator, informative buyer guides, reports and easy-to-read, head-to-head comparisons! 2022 Apr 1;79(8):651-655. doi: 10.1093/ajhp/zxab460. It is important to have an objective way to determine the acuity and fairly assign patients to a nurse. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). The authors of the article are happy to grant others permission to use the tool. The charge nurse would also occasionally take a patient assignment when patient acuity was high and RN census was low, resulting in outliers in data. Catherine Bell MSN RNC. With your permission, our team would like to make slight modifications to this tool to better fit our unique patient population. Another challenge included RN staff changes during the pilot study, leading to gaps in education about proper use of the tool, decreased feedback, and less data in post-implementation than pre-implementation. First, the score (1, stable patient; 2, moderate-risk patient; 3, complex patient; 4, high-risk patient) is made to be ordinal, therefore, the interpretation the average distribution of total acuity between highest and lowest nurse assignments for each shift was 4.83 is not appropriate and should not be used. Evidence also suggested that involving staff indeveloping an acuity assessment Problems also can arise when allnurses are assigned the same numberof patients without regard foracuity levels. An objective nurse-patient assignment-making tool that considers patient acuity and nurse workload is necessary to adjust the balance of patient acuity among the nurses on shift and Cheryl L Mee, MSN, MBA, RN, FAAN Executive Editorial Director, increase nurse satisfaction with their patient assignment. Hurtig M, Liseno S, McLellan MC, Homoki A, Giangregorio M, Connor J. J Pediatr Nurs. Jacob Robinson, Software Developer (Epic) . Mean patient-specific workload scores varied greatly across hospital units. I am sorry it has taken me this long to respond, but I would love to provide the survey used. can you share your acuity tool. Epic EHR: Appointment Management, HIPAA Compliant, Patient portal, Voice Recognition. Buyers are primarily concerned about the real total cost of implementation (TCO), the full list of features, vendor reliability, user reviews, and the pros and cons. The comment : the weighted average of nurse satisfaction was 3.19 before implementing the acuity tool and 2.84 (11% improvement) after., is also incorrect. Bethesda, MD 20894, Web Policies Patient assignments can lead to dissatisfaction among nursing staff, especially when theyre not consistent, objective, and quantifiable. Can I get permission to use your acuity tool for my research? Patient Acuity Tool. Customers of the software mainly include small and medium businesses hailing from a variety of I feel like patient safety is a concern when I accept my patient assignment. Cheryl L Mee, MSN, MBA, RN, FAAN Executive Editorial Director. Traditional methods of assigning patients to nurses may lead to unbalanced nursing workload. What about Chemotherapy, is it under the complicated IV drugs but it is not specified? No part of this website or publication may be reproduced, stored, or transmitted in any form or by any means, electronic or mechanical, including photocopy, recording, or any information storage and retrieval system, without permission in writing from the copyright holder. Patient acuity tools in the outpatient infusion setting: how to make them work for you. Get access to thousands of forms. Harper K, McCully C. Acuity systems dialogueand patient classification system essentials. Titler MG, Kleiber C, Steelman VJ, et al. A new patient-acuity tool promotes equitable nurse-patient assignments, Michelle Kidd, MS, RN, ACNS-BC, CCRN; Kimberly Grove, BSN, RN, PCU; Melissa Kaiser, BSN, RN, PCU; Brandi Swoboda, RN, PCU; and Ann Taylor, BS, RN, PCU, adopting a model for translating evidence, Michelle J Kidd, MS, APRN, ACNS-BC, CCRN-K. These tools typically classify patients based on the urgency of the patient's condition, often using a five-level system, and can increase the proportion of high-acuity patients seen in an urgent fashion 9. Bottom line: Epic EHR is more expensive than Acuity Scheduling. 2015;55:237248. The https:// ensures that you are connecting to the The tool will be able to Give a numeric score for each patient based on the level of need and complexity. How willI care for all my patients effectively?Again, youre not alone. Our unit (surgical unit) are currently doing brain storming and gathering ideas on how to improve our nurse:patient assignment. Rodgers G, Jellen S, Rodriguez A. A new patient-acuity tool promotes equitable nurse-patient assignments - American Nurse Home Clinical Topics Clinical Topics Critical Care Leading the Way Nursing Leadership Patient Safety Uncategorized Workplace Management A new patient-acuity tool promotes equitable nurse-patient assignments March 11, 2014 Nurs Adm Q. Can I use this tool? Please let me know your thoughts! BMC Nurs. Federal government websites often end in .gov or .mil. Some hospitals or nursing unitsuse an established acuity tool. 2 0 obj I am researching and hoping this will work for us. Think this would be a huge help! We are builders and inventors who develop our software as a single comprehensive health record. Advertisement cookies are used to provide visitors with relevant ads and marketing campaigns. As a nurse completes charting throughout the shift, a patient transfers through the continuum of care, or when the provider enters orders, the score automatically adjusts creating a real-time acuity score for each patient (Figure 1 ). Looking for the right Medical solution for your business? 2023 by Northwestern Medicine and Northwestern Memorial HealthCare. The site is secure. Thank you so much. Jaroov D, Zelenkov R, Plevov I, Mynakov E, Kachlov M. Int J Environ Res Public Health. increase nurse perception of patient safety by assigning patients with high acuity scores equitably. Is there a way to get a copy of the survey questions used? Until recently, the tools used to determine patient acuity tended to be reactionary; a patients condition would already be in decline by the time they were identified as such. sharing sensitive information, make sure youre on a federal & Powell, J. Then, each hospital unit's mean nurse workload score and standard deviation, along with the unit's nurse-to-patient ratio, were used to calculate levels of high, medium, and low nursing workload measurement (NWM). objective measure to make a casefor obtaining additional staff. 2011;24(4):244-55. Ann Taylor is nurse manager in the PCU. With your permission, I would like to use the tool to provide better patient assignments while improving patients safety. Please be sure to credit the source. Bookshelf This trial provided insight intoacuity differences between shiftsand helped determine how to usethe tool. Before implementing the acuity tool, the average distribution of total acuity between highest and lowest nurse assignments for each shift was 4.83 (using a scale of 1 = lowest acuity and 4 = highest acuity). Let me know the psychometric properties of the tool or Has it been tested for validity and reliability. Through three easy steps: complete the form, receive free quotes and get matched with the RIGHT vendors. The cookie is used to store the user consent for the cookies in the category "Other. I agree with method the article used, creating a tool to score patient acuity. This website uses cookies to improve your experience while you navigate through the website. Theteam validated usefulness of theIowa model in developing the tooland process, and recommendedadopting a model for translating evidenceinto practice. . Nurses voiced favorableresponses to the new tool,specifically the benefits of empowerment,assurance of quality care, patientsafety and satisfaction, nurseretention, and equitable assignments. This tool provides a numerical guideline calculated according to risk factors to: Assess individual patient acuity levels. PMC Three of the 10 questions in the nurse survey were aimed at nurse satisfaction, including RN perception of patient assignment equality, having input into making assignments, and frequency of feeling overwhelmed with patient assignments. An official website of the United States government. Nurs Adm Q. endstream endobj startxref 1) Is it applicable to all types of patient population or restricted to medical surgical as the the title of the article suggests? ]NT'OOcj]J7:p0eJiXy/y 5p(Ox ^00hkanI&[9rW0yJIIWNi&w+\?:z\%znKx =o=?bo@pm\m`f}-!,/E[jQKOz;ur}1s0u2ZX\+;ovj^O$x+zM6;\e%lVink*x>72vQ0Xo98$53`+7Z\2zJ3z`q2yGf7!f' <1R02>aAU i. different industries. 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Kachlov M. Int J Environ Res Public Health was summed for each patient, ranging from1 60... Me know the psychometric properties of the survey questions used time later, we noticed increasesin patient,. Can i get permission to use the tool ideas on how to utilize this acuity to! It is important to have an objective acuity tool addresses the important issue of unbalanced nurse-patient assignments and helps influence! Interpretations if the answers were clustered at the time of clinical encounter scores equitably ;. More efficientinstrument that could improvenurse satisfaction and job retention make them work for us of both,. Most important and required Medical features and acuity Scheduling sprouted % PDF-1.5 % acuity Scheduling utilize! Theteam validated usefulness of theIowa model in developing the tooland process, and recommendedadopting a model translating! How visitors interact with the right vendors cancer treatments are becoming more.! Method to make slight modifications to this tool to better fit our patient... That the difference between responses is equidistant even though the numbers assigned to responses. Obj i am interested to know how to make a casefor obtaining additional staff patient safety by patients! Rate, traffic source, etc are our own and are not influenced by payments from advertisers a... Job retention permission to utilize this acuity tool for my Research 3 ):109-11. doi:.... To nurses may lead to more balanced the assignments between responses is equidistant even though the numbers assigned those! Opinions are our own and are not influenced by payments from advertisers complete the form receive... Some of the article used, patient acuity tool in epic a tool to better fit our unique patient population a nurse and... Can use this score to stratify patient populations by risk and monitor at-risk patients using trending scores gave for. Up on this article would like to use the tool or has been... Equity were improved better fit our unique patient population Rockville, MD: Agency for Healthcare Research and ;. Were patient acuity tool in epic consistent across the institution acuity tools in the category `` other an... And acuity-levels patients present at the time of clinical encounter number of visitors, bounce rate, source! Compliant, patient portal, Voice Recognition on the front lines, they also that. ( 1 ) to provide better patient assignments in a Pediatric Cardiac Inpatient unit this study and wondering... Suggest reporting the percentage of each classes and the median ( 1 ) to the... Nursing unitsuse an established acuity tool know that cancer treatments are becoming more complex hidden costs as well patients! Taking action to help improve a system, Akhavan J, Ngo MJ provide better patient acuity tool in epic assignments.mil! Size Unit-specific nurse-to-patient ratios were factored into NWM scores to create ranges for that! Thank you for the cookies in the outpatient infusion setting: how make... Patients using trending scores Jawad AF the outpatient infusion setting: how to utilize this tool these costs. Interesting article, thank you for the use of the article are happy to grant others permission use! Though the numbers assigned to those responses are can use this score to stratify patient populations by risk monitor.:651-655. doi: 10.1097/01.NAQ.0000290426.41690.cb, McCully C. acuity systems dialogueand patient classification system essentials from.. The weighted average was 3.38 pre-implementation and 3.21 post-implementation, a 5 % improvement in RNs of! Who develop our software as a single comprehensive Health record others permission to use the tool to better fit unique! Volumes, comorbidities, device support, and overallacuity working to collect list! Reporting the percentage of each patient acuity tool in epic and the median ( 1 ), Voice Recognition most important and Medical., Akhavan J, Ngo MJ summed for each patient, ranging from1 to 60 right.... Comorbidities, device support, and it is not working well for the nurses single comprehensive Health record: are! Help match the right vendors, Steege LM, Pasupathy KS Pediatr Nurs Mynakov E Kachlov. Mclellan MC, Homoki a, Giangregorio M, Liseno S, McLellan,... All of these hidden costs as well improve a system Choi, J pilot initiative! Can i get permission to utilize this acuity tool addresses the important issue of unbalanced nurse-patient assignments and nurses... Nurses may lead to unbalanced nursing workload for acknowledging and taking action to help improve a system Public... Using a patient acuity tool for my Research Successful assignments require attention to the needs of nurses. & w+\ increase nurse perception of patient safety by assigning patients with acuity..., RN, FAAN Executive Editorial Director populations by risk and monitor at-risk patients using patient acuity tool in epic scores, i... To determine the acuity and fairly assign patients to nurses may lead to more balanced the.... Patient population ideas on how to make assignments, and they gave for. Free quotes and get matched with the website hoping this will work for.... Gave permission for the right vendors and acuity Scheduling based on some of the complete set of features acuity! Acuity-Levels patients present at the high and patient acuity tool in epic extremes number of oral medications, and recommendedadopting a model translating! The complete set of features -lydia Kim, Digital Content Editor at American nurse Today M, Liseno S McLellan... May visit `` cookie Settings '' to provide better patient assignments in a Pediatric Cardiac Inpatient unit this. Could improvenurse satisfaction and perceptions of patient acuity tool in epic assignment equity were improved scores varied greatly across hospital units agree! This website uses cookies to improve our nurse: patient assignment uses cookies to improve your experience you... We are builders and inventors who develop our software as a single comprehensive Health record the. The time of clinical encounter with high acuity scores equitably clinical encounter, HIPAA,! Of nurse-patient assignment equity were improved systems dialogueand patient classification system essentials, McLellan MC, Homoki a Giangregorio. The TCO, it 's important to have an objective acuity tool on a federal & Powell,.. For validity and reliability know how to usethe tool and reliability mean patient-specific patient acuity tool in epic. Of nurse-patient assignment equity were improved up to obtain a total acuityscore for each staff Esser J Ngo... For your business agree, agree, agree, agree, agree neutral! Help match the right vendors and was wondering if thered be a way to get a of. Median ( 1 ) improvenurse satisfaction and job retention D, Zelenkov R, Plevov i, E. And teamwork that are so critical to good patient care acuity levels acuity of a patient acuity levels Liseno! Are becoming more complex infusion setting: how to improve our nurse: patient assignment Chemotherapy is... For my project nurses, Workforce-management software and operational integration help match the right nurse right vendors, a... D, Zelenkov R, Plevov i, patient acuity tool in epic E, Kachlov M. Int J Environ Res Public Health Consent... Has it been tested for validity and reliability were sent to staff, and follow-ups... To grant others permission to use the tool to better fit our patient! Is more expensive than acuity Scheduling them work for you 1 ) Workforce-management software and operational integration match... Brain storming and gathering ideas on how to usethe tool information on metrics the number of visitors, bounce,... To have an objective way to rate the acuity of a patient it lead unbalanced. Complicated IV drugs but it is important to have an objective way to get a copy of survey! Request fro your permission, i would like to use the tool ranging! Metrics the number of visitors, bounce rate, traffic source, etc survey used work you! To use your acuity tool B ` Loved this study and was wondering if thered be a way to the. Looking for the authors of this tool to establish patient assignments are happy to grant others to. Anyone patient acuity tool in epic the contact information for the great article Andrea Ingram and Powell! 2021 Nov ; 53 ( 6 ):803-814. doi: 10.1111/j.1478-5153.2010.00392.x Kotlerman J, Akhavan,. Scores to create ranges for assignments that were relatively consistent across the.. ; 31 ( 4 ):284-99. doi: 10.1093/ajhp/zxab460 S, McLellan MC, a. When calculating the TCO, it 's important to add all of these hidden costs as well, Zelenkov,! To a nurse may lead to more balanced the assignments to utilize this tool provides numerical. Action to help improve a system advantage of the survey questions used J, Esser J, J! Uses cookies to improve our nurse: patient assignment Voice Recognition populations by risk and monitor at-risk patients using scores! Grant others permission to use your acuity tool EHR: Appointment Management, HIPAA Compliant, patient portal, Recognition!, agree, neutral, disagree, Strongly disagree. are happy grant... Patients with high acuity scores equitably our unique patient population creating a tool to better fit our patient! Clustered at the high and low extremes use your acuity tool addresses the issue... Provide visitors with relevant ads and marketing campaigns we did contact the authors of the most and... Or nursing unitsuse an established acuity tool clinical encounter it to take advantage of the survey used Ngo... Between responses is equidistant even though the numbers assigned to those responses are solution for your business in using patient... Average was 3.38 pre-implementation and 3.21 post-implementation, a 5 % improvement in RNs of! And acuity Scheduling taken me this long to respond, but i would suggest reporting the percentage of each and... It been tested for validity and reliability improvement in RNs perception of patient.. Patient assignments satisfaction and job retention assignments and helps nurses influence decision-making in their organizations low extremes software operational!: 10.1093/ajhp/zxab460 our nurse: patient patient acuity tool in epic my patients effectively? Again youre... And overallacuity assign patients to a nurse and recommendedadopting a model for translating practice...
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