{"id":"W3134723620","doi":"10.1136/bmjopen-2020-044116","title":"Staying ahead of the curve: Navigating changes and maintaining gains in patient safety culture - a mixed-methods study","year":2021,"lang":"en","type":"article","venue":"BMJ Open","topic":"Patient Safety and Medication Errors","field":"Health Professions","cited_by":19,"is_retracted":false,"has_abstract":true,"ca_institutions":"McMaster University; Impact","funders":"Deanship of Scientific Research, King Saud University; King Saud University","keywords":"Patient safety; Staffing; Teamwork; Medicine; Safety culture; Organizational culture; Nursing; Openness to experience; Health care; Quality management; Quality (philosophy); Focus group; Perception; Family medicine; Psychology; Social psychology; Operations management; Public relations","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":[],"consensus_categories":[],"category_scores_codex":[0.003868307,0.0001091645,0.0003055204,0.00002365385,0.0005356134,0.000003805828,0.0002566895,0.00009617636,0.00005806351],"category_scores_gemma":[0.002036295,0.00007638973,0.00002615108,0.0003962905,0.00004736403,0.0000963732,0.00114865,0.0006031629,0.000002449209],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.00009236777,"about_ca_system_score_gemma":0.0003855501,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.000258417,"about_ca_topic_score_gemma":0.002587691,"domain_scores_codex":[0.9949883,0.003616643,0.0006024598,0.0002581352,0.0002566104,0.0002778293],"domain_scores_gemma":[0.9983468,0.0005352627,0.0005190436,0.0003910664,0.0001299656,0.00007784965],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"qualitative","study_design_scores_codex":[0.0001353241,0.0003096657,0.5414284,0.0003104822,0.00004264344,0.00001700408,0.3697115,0.0001033584,0.0005976819,0.001038695,0.0003740705,0.08593115],"study_design_scores_gemma":[0.001952389,0.0001557335,0.4186507,0.003378023,0.00002331347,0.00000417863,0.5603267,0.0002883561,0.0002880804,0.0002232647,0.01453841,0.0001708124],"study_design_candidate":"observational","study_design_consensus":null,"genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.975082,0.0001521334,0.0008178605,0.007391443,0.0007237766,0.01000856,0.00002942443,0.00001828215,0.005776567],"genre_scores_gemma":[0.9914533,0.00002559206,0.005378078,0.001449934,0.00004353133,0.001116306,0.00002390418,0.00001456899,0.0004947194],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.1906152,"threshold_uncertainty_score":0.411956,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.1848128545721461,"score_gpt":0.568568869169458,"score_spread":0.3837560145973119,"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."}}