{"id":"W2995643282","doi":"10.1186/s13012-019-0959-2","title":"Sustainment, Sustainability, and Spread Study (SSaSSy): protocol for a study of factors that contribute to the sustainment, sustainability, and spread of practice changes introduced through an evidence-based quality-improvement intervention in Canadian nursing homes","year":2019,"lang":"en","type":"article","venue":"Implementation Science","topic":"Health Policy Implementation Science","field":"Health Professions","cited_by":63,"is_retracted":false,"has_abstract":true,"ca_institutions":"University of British Columbia; Athabasca University; Mount Saint Vincent University; Centre for Advancing Health Outcomes; St. Paul's Hospital; University of Calgary; University of Manitoba; Manitoba Health; Alzheimer Society of Canada; University of Alberta; University of British Columbia, Okanagan Campus; York University; Public Health Ontario; University of Toronto","funders":"Canadian Institutes of Health Research","keywords":"Sustainability; Health administration; Medicine; Scope (computer science); Quality management; Nursing; Evidence-based practice; Nursing research; Health care; Process management; Environmental resource management; Public health; Business; Political science; Marketing; Computer science; Service (business)","routes":{"ca_aff":true,"ca_fund":true,"ca_venue":false,"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":[0.1345116,0.003865076,0.00439442,0.004620849,0.01600133,0.00576603,0.00614142,0.006346371,0.04201206],"category_scores_gemma":[0.09663983,0.00380016,0.004550354,0.005952053,0.007489206,0.004225793,0.004621836,0.0104505,0.008222823],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.05666301,"about_ca_system_score_gemma":0.2251393,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.1693966,"about_ca_topic_score_gemma":0.3048999,"domain_scores_codex":[0.9270412,0.03901485,0.01181644,0.00507332,0.0115495,0.005504629],"domain_scores_gemma":[0.9063642,0.01991792,0.01102168,0.01297272,0.04041323,0.009310267],"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":[0.1954765,0.03520768,0.01059551,0.05004346,0.001734754,0.001059438,0.02808996,0.005542261,0.007939452,0.03584617,0.2696515,0.3588133],"study_design_scores_gemma":[0.2484395,0.02545162,0.08356689,0.02983342,0.001111757,0.0002444116,0.008805536,0.004231711,0.006284055,0.01343739,0.5773912,0.001202464],"study_design_candidate":"observational","study_design_consensus":null,"genre_codex":"protocol","genre_gemma":"protocol","genre_scores_codex":[0.000976123,0.00007567117,0.001143701,0.0002425275,0.0001113832,0.9945974,0.001589034,0.00004398259,0.001220153],"genre_scores_gemma":[0.0008214646,0.00004283588,0.002257446,0.00007225567,0.0000131211,0.9963451,0.0002253359,0.000003114004,0.0002192064],"genre_candidate":"protocol","genre_consensus":"protocol","teacher_disagreement_score":0.1693966,"threshold_uncertainty_score":0.7113739,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.4064168369009449,"score_gpt":0.6845600853941207,"score_spread":0.2781432484931758,"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."}}