{"id":"W2102523754","doi":"10.1136/bmjqs-2011-000482","title":"System tools for system change","year":2011,"lang":"en","type":"article","venue":"BMJ Quality & Safety","topic":"Health Policy Implementation Science","field":"Health Professions","cited_by":43,"is_retracted":false,"has_abstract":true,"ca_institutions":"Vancouver Coastal Health Research Institute; University of British Columbia; Vancouver Coastal Health","funders":"","keywords":"General partnership; Context (archaeology); Panacea (medicine); Knowledge management; Negotiation; Value (mathematics); Transformative learning; Change management (ITSM); Management science; Medicine; Computer science; Process management; Sociology; Political science; Operations management","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":[0.04755588,0.002541286,0.00166899,0.01037643,0.003439655,0.01604673,0.004245937,0.005162091,0.05596879],"category_scores_gemma":[0.06466377,0.001110072,0.003178057,0.007639111,0.01483374,0.01655005,0.0127885,0.007636588,0.0118643],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.008569185,"about_ca_system_score_gemma":0.0138133,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.003219707,"about_ca_topic_score_gemma":0.002276133,"domain_scores_codex":[0.9589703,0.03111059,0.003125309,0.002030785,0.004046672,0.0007163375],"domain_scores_gemma":[0.9215483,0.0563376,0.002703771,0.01127565,0.006656585,0.001478096],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"theoretical_or_conceptual","study_design_gemma":"theoretical_or_conceptual","study_design_scores_codex":[0.00001834999,0.0000292766,0.0002106524,0.0008681301,0.00004508533,0.0000668968,0.002449828,0.002530205,0.0001280762,0.9428836,0.01486943,0.03590053],"study_design_scores_gemma":[0.00002952934,0.00004442596,0.0001759838,0.001508056,0.00003078024,0.00008679321,0.001440549,0.004741714,0.0002226978,0.6524748,0.3392128,0.00003193446],"study_design_candidate":"theoretical_or_conceptual","study_design_consensus":"theoretical_or_conceptual","genre_codex":"methods","genre_gemma":"empirical","genre_scores_codex":[0.001504706,0.004101519,0.8078161,0.03928098,0.002618392,0.001182097,0.001801962,0.00414406,0.1375502],"genre_scores_gemma":[0.07490636,0.00479803,0.8934933,0.003180713,0.001115278,0.004469145,0.002073927,0.0008687392,0.01509456],"genre_candidate":"empirical","genre_consensus":null,"teacher_disagreement_score":0.05596879,"threshold_uncertainty_score":0.2515025,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.9438821864438576,"score_gpt":0.73677283261376,"score_spread":0.2071093538300975,"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."}}