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2021;5(1):rkab015.doi:10.1093/rap/rkab015

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In pernicious anaemia, an autoimmune condition, the immune system attacks cells that produce this substance

the first stage would be a narrow but focused transitional step to promptly address the most pressing concern that hospitals in the lowest-performing quartile of the Safety of Care measure group achieve the highest possible Overall Hospital Quality Star Rating while allowing hospitals and interested parties more time to prepare for the second stage, which will increase the impact of the Safety of Care measure group across all hospitals more broadly