{"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":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.01158942,0.0007009158,0.0006818066,0.001359586,0.0165308,0.005240032,0.003826986,0.02310818,0.0125087],"category_scores_gemma":[0.04551919,0.0005388768,0.001111204,0.001625584,0.007236624,0.004406698,0.003964787,0.03056428,0.002280414],"about_ca_system_candidate":true,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0902632,"about_ca_system_score_gemma":0.1859029,"about_ca_topic_candidate":true,"about_ca_topic_consensus":true,"about_ca_topic_score_codex":0.894209,"about_ca_topic_score_gemma":0.9384219,"domain_scores_codex":[0.9793195,0.002799231,0.0009691513,0.001046136,0.01191919,0.00394667],"domain_scores_gemma":[0.9545887,0.008284787,0.001650444,0.000823196,0.01515738,0.01949552],"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":[0.00002491456,0.00002921429,0.001961373,0.0001001598,0.00001286535,0.0005980025,0.0006093616,0.0001181508,0.0001357872,0.007412056,0.9618727,0.02712548],"study_design_scores_gemma":[0.00008726462,0.00008684254,0.01221298,0.0008431156,0.00003055136,0.001290022,0.003224985,0.001191337,0.0001767339,0.009358984,0.9713651,0.0001319808],"study_design_candidate":"not_applicable","study_design_consensus":"not_applicable","genre_codex":"commentary","genre_gemma":"commentary","genre_scores_codex":[0.000577569,0.001555844,0.0001049489,0.9915389,0.002799441,0.000007945699,0.00003375816,0.00002182779,0.003359645],"genre_scores_gemma":[0.03214018,0.004959179,0.001687948,0.93849,0.01267056,0.00007177893,0.000169155,0.00006857434,0.009742491],"genre_candidate":"commentary","genre_consensus":"commentary","teacher_disagreement_score":0.9097368,"threshold_uncertainty_score":0.6549084,"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."}}