{"id":"W3082626164","doi":"10.1136/leader-2020-000238","title":"Staff perceptions of how changes occur in an emergency department: a qualitative study","year":2020,"lang":"en","type":"article","venue":"BMJ Leader","topic":"Primary Care and Health Outcomes","field":"Health Professions","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"Hospital for Sick Children; Institute for Christian Studies; University of Toronto","funders":"","keywords":"Scrutiny; Emergency department; Perception; Grounded theory; Qualitative research; Process (computing); Health care; Change management (ITSM); Value (mathematics); Nursing; Medicine; Business; Operations management; Medical emergency; Psychology; Political science; Marketing; Engineering; Computer science; Sociology","routes":{"ca_aff":true,"ca_fund":false,"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":["insufficient_payload"],"consensus_categories":[],"category_scores_codex":[0.0006393925,0.0001526779,0.0004260338,0.0001137828,0.0002062901,0.000003141126,0.0001796046,0.0001131345,0.00176008],"category_scores_gemma":[0.0001898678,0.0001348238,0.00005110143,0.0003489597,0.00003381661,0.0001741286,0.00008792684,0.0004178968,0.0001484351],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0001140445,"about_ca_system_score_gemma":0.0004391634,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0002004805,"about_ca_topic_score_gemma":0.009391353,"domain_scores_codex":[0.9968845,0.001576148,0.0005236994,0.0003002822,0.0002764855,0.0004389407],"domain_scores_gemma":[0.9989549,0.00020027,0.0002190806,0.0002724901,0.0001534288,0.000199858],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"qualitative","study_design_gemma":"qualitative","study_design_scores_codex":[0.000108216,0.0004266182,0.1982722,0.0004408144,0.00002766602,0.000009417739,0.7489954,8.567121e-7,0.0001611601,0.0003348105,0.05048674,0.0007361153],"study_design_scores_gemma":[0.000983397,0.000867434,0.1718137,0.00002224328,0.00002261786,1.418568e-7,0.8195554,0.0000144805,0.000004161424,0.00006806695,0.006500636,0.0001477208],"study_design_candidate":"qualitative","study_design_consensus":"qualitative","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.8875388,0.0001290629,0.00007708349,0.1078722,0.0002854474,0.002386875,0.0001322695,0.00006606437,0.001512247],"genre_scores_gemma":[0.9923494,0.00004263152,0.0001972838,0.005595711,0.0002831952,0.0005927864,0.00005427572,0.0000231516,0.0008615644],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.1048106,"threshold_uncertainty_score":0.9991524,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.2826098034687493,"score_gpt":0.5573883736193264,"score_spread":0.2747785701505771,"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."}}