{"id":"W3001044016","doi":"10.1503/cmaj.200008","title":"The challenge of achieving continuous quality improvement in Canadian pediatric care","year":2020,"lang":"en","type":"letter","venue":"Canadian Medical Association Journal","topic":"Child and Adolescent Health","field":"Health Professions","cited_by":4,"is_retracted":false,"has_abstract":true,"ca_institutions":"University of Calgary","funders":"","keywords":"Enthusiasm; Quality management; Quality (philosophy); Key (lock); Scale (ratio); Computer science; Medicine; Process management; Operations management; Business; Psychology; Computer security; Engineering; Social psychology","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":"codex-gemma-dda1882f352a","candidate_categories":["sts","research_integrity","insufficient_payload"],"consensus_categories":["research_integrity"],"category_scores_codex":[0.004228833,0.0002637122,0.0007015188,0.0003798621,0.001563086,0.00004038786,0.0006697544,0.001838082,0.001046338],"category_scores_gemma":[0.005041302,0.0002084006,0.0001966578,0.0003313213,0.00003883009,0.00005308017,0.0000457793,0.01459369,0.0001034047],"about_ca_system_candidate":true,"about_ca_system_consensus":true,"about_ca_system_score_codex":0.009379285,"about_ca_system_score_gemma":0.05002366,"about_ca_topic_candidate":true,"about_ca_topic_consensus":true,"about_ca_topic_score_codex":0.7048218,"about_ca_topic_score_gemma":0.9878625,"domain_scores_codex":[0.9921904,0.001919082,0.001881599,0.0003047189,0.001811997,0.001892174],"domain_scores_gemma":[0.9936587,0.001196016,0.001440927,0.0002375881,0.0006497435,0.002817025],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"not_applicable","study_design_gemma":"not_applicable","study_design_scores_codex":[0.00000335078,0.000004848462,0.1291424,0.0004056551,0.00003183127,0.0004187417,0.003287904,1.15944e-7,6.038569e-8,0.00006067813,0.8555763,0.01106809],"study_design_scores_gemma":[0.0007198879,0.00005030382,0.03156339,0.0004419868,0.00002595122,0.000002705493,0.003761155,0.000004097077,3.19654e-8,0.00007569388,0.9631631,0.0001916549],"study_design_candidate":"not_applicable","study_design_consensus":"not_applicable","genre_codex":"commentary","genre_gemma":"commentary","genre_scores_codex":[0.005102172,0.002133349,9.145399e-7,0.9840748,0.0034713,0.0006837492,0.0003674717,0.00001222714,0.004154017],"genre_scores_gemma":[0.1213051,0.00295627,0.000004643955,0.846764,0.02832666,0.000009536815,0.000122363,0.00004773682,0.0004637181],"genre_candidate":"commentary","genre_consensus":"commentary","teacher_disagreement_score":0.2830407,"threshold_uncertainty_score":0.9998668,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.02522249791807449,"score_gpt":0.3436493907896075,"score_spread":0.318426892871533,"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."}}