{"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":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.03985546,0.0007086263,0.0006705975,0.0006979742,0.001190294,0.002213915,0.001040078,0.001389836,0.002694487],"category_scores_gemma":[0.08008227,0.0009680326,0.001218355,0.0009877288,0.001528405,0.002328516,0.002096382,0.002551323,0.0003540085],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.002209021,"about_ca_system_score_gemma":0.007486078,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.002934377,"about_ca_topic_score_gemma":0.002908128,"domain_scores_codex":[0.971963,0.02328488,0.001165744,0.00111963,0.001215557,0.001251206],"domain_scores_gemma":[0.9299275,0.04277145,0.01542584,0.003079551,0.003639349,0.005156237],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.01556286,0.06560731,0.8431066,0.0006687741,0.0008011073,0.0001602121,0.008403119,0.001927373,0.0002260224,0.0007754334,0.001337158,0.06142413],"study_design_scores_gemma":[0.008376262,0.1296294,0.824851,0.0007365061,0.0009805211,0.0002443973,0.01012096,0.01990717,0.0006688071,0.001539726,0.002732935,0.0002122703],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.997815,0.0001499398,0.0005401989,0.0003656891,0.00001687042,0.0006355912,0.00005687026,0.000008555115,0.000411171],"genre_scores_gemma":[0.9969458,0.0001426357,0.001831097,0.0001596543,0.00002256451,0.0007138431,0.00007158016,0.000003300106,0.0001094349],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.03985546,"threshold_uncertainty_score":0.2107784,"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."}}