{"id":"W2155865754","doi":"10.12927/hcq.2009.20421","title":"Sustaining Change: A Senior Leadership Perspective","year":2009,"lang":"en","type":"letter","venue":"Healthcare Quarterly","topic":"Organizational Learning and Leadership","field":"Business, Management and Accounting","cited_by":2,"is_retracted":false,"has_abstract":false,"ca_institutions":"St. Joseph’s Healthcare Hamilton","funders":"","keywords":"Perspective (graphical); Best practice; Public relations; Psychology; Nursing; Medical education; Management; Medicine; Political science; Computer science","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":[0.01168728,0.0007882175,0.001202569,0.001039262,0.01167301,0.01614339,0.002064734,0.08432495,0.009008693],"category_scores_gemma":[0.03866335,0.0007098051,0.0008758932,0.0008324324,0.01465043,0.01074885,0.00636693,0.05759943,0.002897025],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.008437376,"about_ca_system_score_gemma":0.01461296,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.009213122,"about_ca_topic_score_gemma":0.02429838,"domain_scores_codex":[0.9895782,0.004059532,0.001094305,0.0007096592,0.002582333,0.001976006],"domain_scores_gemma":[0.9656214,0.01561442,0.002249182,0.000877822,0.005829556,0.009807589],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"not_applicable","study_design_gemma":"not_applicable","study_design_scores_codex":[0.00002653731,0.00005378074,0.0008794884,0.0001128135,0.00001864642,0.001932685,0.001803238,0.0001115587,0.0001638737,0.0375692,0.9399937,0.01733441],"study_design_scores_gemma":[0.00007851301,0.0001530477,0.001808704,0.0008133416,0.00003573546,0.003268954,0.007902028,0.0006027916,0.0002187662,0.1061866,0.8788465,0.00008501449],"study_design_candidate":"not_applicable","study_design_consensus":"not_applicable","genre_codex":"commentary","genre_gemma":"commentary","genre_scores_codex":[0.0003328107,0.0009976288,0.0001932155,0.9888808,0.004668338,0.000004762092,0.000005280504,0.000009904514,0.004907383],"genre_scores_gemma":[0.01643749,0.001195265,0.0003130442,0.9574035,0.01689342,0.00002260221,0.000005934742,0.00001574008,0.007712882],"genre_candidate":"commentary","genre_consensus":"commentary","teacher_disagreement_score":0.08432495,"threshold_uncertainty_score":0.061809,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.0915999462917934,"score_gpt":0.2872539864920325,"score_spread":0.1956540402002391,"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."}}