{"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":"codex-gemma-dda1882f352a","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.002114084,0.0001276619,0.0007555831,0.00004483722,0.00009994397,0.00002836621,0.0003476673,0.00003939752,0.000009839299],"category_scores_gemma":[0.0006329013,0.00006226311,0.0008403927,0.000385488,0.00006449681,0.0001501843,0.0000737926,0.0005025051,7.392606e-7],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0002227402,"about_ca_system_score_gemma":0.0005141555,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.00001865409,"about_ca_topic_score_gemma":0.000007066561,"domain_scores_codex":[0.9978874,0.0002357757,0.0008183538,0.0001309743,0.0006291321,0.0002984021],"domain_scores_gemma":[0.9961488,0.001747198,0.001405073,0.0003220918,0.0003014949,0.0000753941],"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":[0.7801222,0.001977242,0.1650177,0.00006694879,0.002295197,0.000009036858,0.006577963,0.0002893134,0.003182813,0.0000430504,0.001151868,0.03926665],"study_design_scores_gemma":[0.8576502,0.03816032,0.05424051,0.00007396823,0.004960423,0.00007982204,0.02538809,0.00494599,0.0005605754,0.0004089873,0.01313957,0.0003916055],"study_design_candidate":"randomized_trial","study_design_consensus":"randomized_trial","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9951,0.0002426714,0.0001675876,0.0009984185,0.0006617037,0.002787949,0.000004453825,0.000003508047,0.00003374282],"genre_scores_gemma":[0.9976924,0.0005878246,0.000881096,0.0005452899,0.0001977661,0.0000199178,8.571873e-7,0.00001720204,0.00005761736],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.1107772,"threshold_uncertainty_score":0.2539016,"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."}}