{"id":"W3040802235","doi":"10.1093/cid/ciaa921","title":"Improving Decision Making in Empiric Antibiotic Selection (IDEAS) for Gram-negative Bacteremia: A Prospective Clinical Implementation Study","year":2020,"lang":"en","type":"article","venue":"Clinical Infectious Diseases","topic":"Antibiotic Use and Resistance","field":"Immunology and Microbiology","cited_by":37,"is_retracted":false,"has_abstract":true,"ca_institutions":"Ottawa Hospital; Health Sciences Centre; University of Toronto; Sunnybrook Health Science Centre","funders":"Ontario Ministry of Health and Long-Term Care","keywords":"Medicine; Bacteremia; Tazobactam; Antimicrobial stewardship; Meropenem; Piperacillin; Empiric therapy; Piperacillin/tazobactam; Intensive care medicine; Antibiotic resistance; Ceftazidime; Carbapenem; Antibiotics; De-escalation; Internal medicine; Imipenem; Pseudomonas aeruginosa","routes":{"ca_aff":true,"ca_fund":true,"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":[0.0006609327,0.0002669646,0.0007050214,0.0001075725,0.0002871723,0.0000516995,0.0001683612,0.0003187667,0.0001079527],"category_scores_gemma":[0.003073048,0.0002327164,0.0003584186,0.0004471916,0.0002200898,0.0001901688,0.0001171293,0.0005722282,0.00009469028],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0001062232,"about_ca_system_score_gemma":0.0002151594,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.00006472245,"about_ca_topic_score_gemma":0.0007994773,"domain_scores_codex":[0.9966019,0.0006785257,0.001341606,0.0008936262,0.0000683231,0.0004160145],"domain_scores_gemma":[0.9967545,0.002299392,0.0004723742,0.0001893514,0.0001953995,0.00008898664],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.0009797588,0.001892618,0.9596786,0.00005484744,0.0002972301,0.000009046957,0.0003091606,0.000008038228,0.0002776372,0.00005708151,0.0007318899,0.0357041],"study_design_scores_gemma":[0.007497126,0.003865343,0.9850581,0.0001055061,0.0003630242,0.000002873109,0.001672707,0.000110982,0.0001995871,0.0007741044,0.00006860577,0.0002820085],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9904482,0.0003109643,0.005627907,0.00008319304,0.0009542498,0.002290493,0.00005844317,0.0001828118,0.00004370094],"genre_scores_gemma":[0.9988061,0.00006795652,0.0001310033,0.0005826846,0.0002853994,0.00004195885,0.00003441833,0.00003359389,0.00001686398],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.03542209,"threshold_uncertainty_score":0.9489898,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.04188007973578496,"score_gpt":0.4165677394361325,"score_spread":0.3746876597003476,"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."}}