{"id":"W2890183779","doi":"10.2196/11013","title":"Easier and Faster Is Not Always Better: Grounded Theory of the Impact of Large-Scale System Transformation on the Clinical Work of Emergency Medicine Nurses and Physicians","year":2018,"lang":"en","type":"article","venue":"JMIR Human Factors","topic":"Patient Safety and Medication Errors","field":"Health Professions","cited_by":12,"is_retracted":false,"has_abstract":true,"ca_institutions":"Western University","funders":"","keywords":"Workflow; Grounded theory; Work (physics); Scale (ratio); Health care; Nursing; Quality (philosophy); Psychology; Qualitative research; Medicine; Medical education; Computer science; Sociology","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":true,"about_ca":true,"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":[0.043258,0.001137358,0.0007927404,0.004457125,0.006215163,0.01006317,0.003727703,0.002043107,0.001288311],"category_scores_gemma":[0.02429933,0.0007096214,0.001051918,0.00387614,0.03424987,0.008250015,0.005602859,0.003912626,0.0001866916],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.03047781,"about_ca_system_score_gemma":0.02658731,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.01789449,"about_ca_topic_score_gemma":0.01720106,"domain_scores_codex":[0.9600272,0.03412616,0.0008017796,0.001309231,0.00244841,0.001287219],"domain_scores_gemma":[0.9439564,0.04967587,0.001437437,0.001632007,0.002279584,0.001018698],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"qualitative","study_design_gemma":"qualitative","study_design_scores_codex":[0.0001038406,0.0002698514,0.004488954,0.001556976,0.00007173686,0.0006213794,0.6784829,0.00390376,0.000873674,0.2675196,0.001510588,0.0405967],"study_design_scores_gemma":[0.0001473533,0.0002461629,0.004179244,0.005491757,0.0000942908,0.0002591122,0.6249312,0.01224315,0.001150756,0.328333,0.02283224,0.00009172752],"study_design_candidate":"qualitative","study_design_consensus":"qualitative","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.5374914,0.00488635,0.328717,0.04164753,0.0004473197,0.004796686,0.0005086986,0.000152813,0.08135207],"genre_scores_gemma":[0.9411173,0.0008754948,0.05549397,0.0008702205,0.00001546327,0.001027973,0.0001044155,0.00002227038,0.0004727207],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.043258,"threshold_uncertainty_score":0.2287729,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.1352153795420303,"score_gpt":0.4676038381471654,"score_spread":0.3323884586051351,"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."}}