{"id":"W2464766859","doi":"10.1016/s1549-3741(03)29070-5","title":"What Does It Take? A Case Study of Radical Change Toward Patient Safety","year":2003,"lang":"en","type":"article","venue":"The Joint Commission Journal on Quality and Safety","topic":"Occupational Health and Safety Research","field":"Health Professions","cited_by":25,"is_retracted":false,"has_abstract":false,"ca_institutions":"University of Toronto","funders":"","keywords":"Blame; Punctuated equilibrium; Patient safety; Shame; Psychological intervention; Resistance (ecology); Behavior change; Psychology; Business; Social psychology; Medicine; Political science; Nursing","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":[0.010682,0.0007713307,0.0005549254,0.001312943,0.02887065,0.006254087,0.004023865,0.01727182,0.005254501],"category_scores_gemma":[0.02775253,0.0007927676,0.001297863,0.001500897,0.01047279,0.004777169,0.007049939,0.01528212,0.0007295085],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.006032793,"about_ca_system_score_gemma":0.007908739,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0125369,"about_ca_topic_score_gemma":0.03537113,"domain_scores_codex":[0.9889625,0.007207188,0.0002595767,0.0004660969,0.001024303,0.002080359],"domain_scores_gemma":[0.9811711,0.009896887,0.001697878,0.0007941083,0.001278973,0.005161055],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"qualitative","study_design_gemma":"qualitative","study_design_scores_codex":[0.0002731488,0.002762421,0.01685612,0.0003677578,0.00007223502,0.1254859,0.7497399,0.000784527,0.001607633,0.0428151,0.0155795,0.04365562],"study_design_scores_gemma":[0.0001297202,0.0008616845,0.005944758,0.0004594846,0.00005841253,0.04334607,0.8587341,0.0010816,0.00115594,0.008352154,0.07973626,0.0001398004],"study_design_candidate":"qualitative","study_design_consensus":"qualitative","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.8630778,0.001020976,0.004877152,0.08454511,0.0008847052,0.0003283037,0.00005381079,0.00008594029,0.0451262],"genre_scores_gemma":[0.9813647,0.0008574217,0.00345086,0.006223155,0.0001799394,0.00013331,0.00002264333,0.00005268297,0.007715346],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.02887065,"threshold_uncertainty_score":0.05649251,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.3682633521617357,"score_gpt":0.5148337956638582,"score_spread":0.1465704435021225,"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."}}