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Healthcare Association, for dissemination and collection of questionnaires and for providing assistance and input throughout the study. The authors extend sincere appreciation to the hospital administrators and staff who completed and returned the questionnaires. Thanks are given to Shelly Swandal for document preparation and to our colleagues for reviewing this manuscript. Funding for this study was provided by the North Dakota Healthcare Association. We express our appreciation for their support. The authors assume responsibility for any errors of omission, logic, or otherwise. We would be happy to provide a single copy of this publication free of charge. You ca