{"id":"W2319837306","doi":"10.1093/pch/21.3.e17","title":"Barriers to and facilitators of implementing shared decision making and decision support in a paediatric hospital: A descriptive study","year":2016,"lang":"en","type":"article","venue":"Paediatrics & Child Health","topic":"Patient-Provider Communication in Healthcare","field":"Health Professions","cited_by":45,"is_retracted":false,"has_abstract":true,"ca_institutions":"Ottawa Hospital; Children's Hospital of Eastern Ontario; University of Ottawa","funders":"","keywords":"Facilitator; Stakeholder; Thematic analysis; Decision support system; R-CAST; Focus group; Nursing; Business decision mapping; Qualitative research; Psychology; Knowledge management; Medicine; Medical education; Public relations; Social psychology; Computer science; Business","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":["metaepi_narrow"],"consensus_categories":[],"category_scores_codex":[0.003236503,0.0003331504,0.0007466078,0.001199007,0.001202716,0.00001893583,0.0004305528,0.0001935791,0.0001035685],"category_scores_gemma":[0.006336377,0.0002705367,0.00006446281,0.001402289,0.00006164935,0.0003441171,0.001277844,0.0006562888,0.00002159867],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0008674851,"about_ca_system_score_gemma":0.001256946,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.001151522,"about_ca_topic_score_gemma":0.002462218,"domain_scores_codex":[0.993826,0.001160596,0.002256663,0.0008430672,0.0007128312,0.00120085],"domain_scores_gemma":[0.9926857,0.004143112,0.0009524426,0.0008485463,0.0003979078,0.0009723004],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.0001567515,0.00007215945,0.8301908,0.0002308149,0.000009179601,0.000002241268,0.06848463,0.000001213969,0.000001207504,0.00009956574,0.001122882,0.09962853],"study_design_scores_gemma":[0.003868892,0.001418205,0.9168857,0.0008899897,0.00002143759,0.000001431379,0.07343321,0.00005535938,5.310059e-7,0.001597783,0.001507787,0.0003196072],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9844718,0.004456456,0.001348199,0.003270512,0.0005145624,0.005395974,0.0003698016,0.00007746051,0.00009522295],"genre_scores_gemma":[0.9851558,0.001662219,0.011545,0.001058313,0.0001098304,0.0004020261,0.000009001286,0.0000520755,0.000005711743],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.09930892,"threshold_uncertainty_score":0.9999747,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.0638787028339592,"score_gpt":0.3933495971756811,"score_spread":0.3294708943417219,"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."}}