{"id":"W2748598522","doi":"10.12927/hcq.2017.25231","title":"Strategic Change in Surgical Quality Improvement: The Ottawa Hospital Comprehensive Unit-Based Safety Program Experience","year":2017,"lang":"en","type":"article","venue":"Healthcare Quarterly","topic":"Healthcare Quality and Management","field":"Health Professions","cited_by":5,"is_retracted":false,"has_abstract":true,"ca_institutions":"Ottawa Hospital; University of Ottawa","funders":"","keywords":"Quality management; Patient safety; Unit (ring theory); Quality (philosophy); Best practice; Medicine; Operations management; Process management; Nursing; Business; Engineering; Health care; Psychology; Management; Political science; Management system","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":true,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":["metaepi_narrow","sts"],"consensus_categories":[],"category_scores_codex":[0.002922246,0.0004502304,0.0007531699,0.0001337951,0.004018149,0.0001344408,0.001110698,0.0004519527,0.0001785522],"category_scores_gemma":[0.0000869432,0.0003462287,0.0001726983,0.000271652,0.0004518777,0.0004413419,0.000138569,0.001704306,0.0001753415],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0004558746,"about_ca_system_score_gemma":0.0009308935,"about_ca_topic_candidate":true,"about_ca_topic_consensus":true,"about_ca_topic_score_codex":0.1113178,"about_ca_topic_score_gemma":0.06928494,"domain_scores_codex":[0.9911286,0.003567693,0.001881304,0.0008815562,0.0007917526,0.001749077],"domain_scores_gemma":[0.9948196,0.0008351686,0.001106921,0.002189873,0.0005043584,0.0005440742],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"design_other","study_design_gemma":"observational","study_design_scores_codex":[0.000565851,0.001031287,0.1013073,0.004097224,0.00004050308,0.0002341137,0.07787973,0.000001043446,0.000009892711,0.1300242,0.0002484758,0.6845603],"study_design_scores_gemma":[0.003893309,0.004013933,0.7024503,0.0007665564,0.00001213999,0.000001624143,0.1260065,0.0002821825,0.000003252502,0.001682761,0.1602188,0.0006686331],"study_design_candidate":"observational","study_design_consensus":null,"genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.867372,0.0003167324,0.00002762343,0.1175314,0.002015485,0.008672948,0.0001442278,0.0003123971,0.003607185],"genre_scores_gemma":[0.9870929,0.00008514235,0.0001551667,0.007252916,0.0006994483,0.004398129,0.0001065338,0.00004513959,0.0001646522],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.6838917,"threshold_uncertainty_score":0.999899,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.2279052005270018,"score_gpt":0.5120178476203724,"score_spread":0.2841126470933706,"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."}}