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In this procedure, how many scale grades regarding the originally proposed PVFS scale had been decreased and explanations for the grades had been enhanced. After these modifications, a consensus ended up being achieved on the number/definitions associated with the grades, and method/timing of the scale evaluation. The relevance and potential impact regarding the scale was confirmed in three focus groups totaling 18 VTE clients, which advised additional changes into the handbook, but not into the scale it s
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