{"id":"W2082293473","doi":"10.1016/j.jamcollsurg.2011.04.020","title":"The Impact of an Acute Care Emergency Surgical Service on Timely Surgical Decision-Making and Emergency Department Overcrowding","year":2011,"lang":"en","type":"article","venue":"Journal of the American College of Surgeons","topic":"Emergency and Acute Care Studies","field":"Medicine","cited_by":90,"is_retracted":false,"has_abstract":true,"ca_institutions":"Canadian Armed Forces; University of Toronto; Sunnybrook Health Science Centre; Health Sciences Centre","funders":"","keywords":"Medicine; Overcrowding; Emergency department; Emergency medicine; Perforation; Acute appendicitis; Appendicitis; General surgery; Surgery; Medical emergency","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":false,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.002216653,0.0002141181,0.0002074109,0.0004263336,0.0004181867,0.0008240839,0.0003792736,0.0003253325,0.002255422],"category_scores_gemma":[0.01607898,0.0001586875,0.0005029708,0.0004222444,0.0006997485,0.0007172275,0.001138513,0.000859479,0.0001294268],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.001135113,"about_ca_system_score_gemma":0.00201152,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.006305138,"about_ca_topic_score_gemma":0.005568082,"domain_scores_codex":[0.9974717,0.00115604,0.0002231097,0.0001428531,0.0004460873,0.0005601776],"domain_scores_gemma":[0.978783,0.008679478,0.006775713,0.000427104,0.001342763,0.003991941],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.000267788,0.0002645481,0.993722,0.00003634264,0.00005092336,0.0001006971,0.0002358502,0.0002795149,0.0001633821,0.00006640911,0.0001510711,0.00466144],"study_design_scores_gemma":[0.000008615493,0.0002718239,0.9985998,0.00001764416,0.00001399531,0.00009401835,0.0004036023,0.0003034698,0.00008072335,0.0000261158,0.0001760917,0.000004136117],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9991141,0.000137443,0.00004770924,0.0002544746,0.000008131724,0.000008257623,0.0000440555,0.000001119615,0.0003848197],"genre_scores_gemma":[0.9997353,0.00005309756,0.00006405851,0.00004931229,0.00001782294,0.000004987623,0.00003963284,8.488242e-7,0.00003490242],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.006305138,"threshold_uncertainty_score":0.01253688,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.01830429016492984,"score_gpt":0.3273187815703573,"score_spread":0.3090144914054274,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}