Affiliations: Director (Ms Paulson), Regional Adult Patient Care Services, Kaiser Permanente, Northern California Patient Care Services; Clinical Practice Consultant (Dr Scruth), Clinical Effectiveness Team, Regional Quality and Regulatory Services, Kaiser Permanente, Oakland, California.

The authors report no conflicts of interest.

Correspondence: Elizabeth Scruth, PhD, MPH, RN, CCNS, CCRN, FCCM, Clinical Effectiveness Team, Regional Quality and Regulatory Services, 14th fl (144 W11), Bayside, 1950 Franklin St, Oakland, CA 94612 ([email protected]).