{"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":"codex-gemma-dda1882f352a","candidate_categories":["sts","insufficient_payload"],"consensus_categories":[],"category_scores_codex":[0.01829556,0.0001904929,0.000512251,0.00009730048,0.001347483,0.00001588924,0.0004149482,0.0002019349,0.0002886055],"category_scores_gemma":[0.002475543,0.0001664007,0.000115076,0.0003258485,0.00006502066,0.0005420277,0.0001374655,0.0002576971,0.001398096],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0009777452,"about_ca_system_score_gemma":0.0009523135,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.003618401,"about_ca_topic_score_gemma":0.0004900551,"domain_scores_codex":[0.9923247,0.002827134,0.002824518,0.0004445691,0.0005092943,0.001069813],"domain_scores_gemma":[0.9929591,0.004515419,0.0009312635,0.0007196435,0.0004615919,0.0004129958],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"theoretical_or_conceptual","study_design_gemma":"not_applicable","study_design_scores_codex":[0.0007049969,0.00005639456,0.02153762,0.02112573,0.00004907211,0.000006629773,0.1414814,2.0252e-7,0.0001257307,0.7597361,0.03753049,0.01764562],"study_design_scores_gemma":[0.004655237,0.0002352888,0.2371394,0.001861177,0.00005429243,0.0000105947,0.3009809,0.0004032774,0.0001206149,0.0002719259,0.4534672,0.0008000475],"study_design_candidate":"theoretical_or_conceptual","study_design_consensus":null,"genre_codex":"other","genre_gemma":"empirical","genre_scores_codex":[0.2239666,0.0001506886,0.2384361,0.05589626,0.02103362,0.0853445,0.01069556,0.005237235,0.3592394],"genre_scores_gemma":[0.9745821,0.000006086435,0.005078974,0.01197814,0.001417898,0.005972108,0.00004811836,0.00003889315,0.0008777258],"genre_candidate":"empirical","genre_consensus":null,"teacher_disagreement_score":0.7594642,"threshold_uncertainty_score":0.9999526,"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."}}