{"id":"W2954253497","doi":"10.1111/jgs.16040","title":"The MedSafer Study: A Controlled Trial of an Electronic Decision Support Tool for Deprescribing in Acute Care","year":2019,"lang":"en","type":"article","venue":"Journal of the American Geriatrics Society","topic":"Pharmaceutical Practices and Patient Outcomes","field":"Medicine","cited_by":88,"is_retracted":false,"has_abstract":true,"ca_institutions":"University of Ottawa; University of Toronto; McGill University; McGill University Health Centre","funders":"","keywords":"Deprescribing; Medicine; Polypharmacy; Intervention (counseling); Beers Criteria; Hospital medicine; Pharmacist; Emergency medicine; Clinical pharmacy; Intensive care medicine; Family medicine; Nursing; Pharmacy","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":[0.003505468,0.001279552,0.002607733,0.000515152,0.0005314978,0.001112008,0.001043032,0.001921105,0.00558523],"category_scores_gemma":[0.005207404,0.0006422465,0.002125961,0.0004120006,0.001061329,0.001410201,0.0007614912,0.002485893,0.000488256],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0007304995,"about_ca_system_score_gemma":0.00127867,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0009968,"about_ca_topic_score_gemma":0.001641505,"domain_scores_codex":[0.9964101,0.00245377,0.0002714815,0.0004351127,0.0002194711,0.00021003],"domain_scores_gemma":[0.9966803,0.001232527,0.001037731,0.000247088,0.0001302905,0.0006721267],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"randomized_trial","study_design_gemma":"randomized_trial","study_design_scores_codex":[0.9664462,0.01722843,0.001207584,0.0008623847,0.001236274,0.00003171562,0.00006496362,0.0001284665,0.0004313869,0.0001159397,0.0004465286,0.01180017],"study_design_scores_gemma":[0.9015138,0.09379275,0.002968035,0.00007174187,0.0006812202,0.00001605108,0.00003267103,0.000261761,0.0001682488,0.00006703544,0.0004127894,0.00001385799],"study_design_candidate":"randomized_trial","study_design_consensus":"randomized_trial","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9884862,0.004185287,0.000528548,0.0007879995,0.0006155037,0.003253949,0.0006013087,0.00007705631,0.001464249],"genre_scores_gemma":[0.9849493,0.002306785,0.002524803,0.001065225,0.0009248237,0.006185802,0.0005733352,0.00001403612,0.001455992],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.00558523,"threshold_uncertainty_score":0.01868445,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.02807894839624946,"score_gpt":0.3826655508172371,"score_spread":0.3545866024209876,"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."}}