{"id":"W4388932280","doi":"10.7759/cureus.49275","title":"Promoting Antibiotic Stewardship and Implementation of Sepsis Pathway in the Emergency Department: A Quality Improvement Initiative","year":2023,"lang":"en","type":"article","venue":"Cureus","topic":"Sepsis Diagnosis and Treatment","field":"Medicine","cited_by":1,"is_retracted":false,"has_abstract":true,"ca_institutions":"McMaster University","funders":"","keywords":"Medicine; Emergency department; PDCA; Antimicrobial stewardship; Checklist; Emergency medicine; Quality management; Triage; Surviving Sepsis Campaign; Sepsis; Audit; Nursing; Antibiotics; Severe sepsis; Internal medicine; Antibiotic resistance; Service (business); Septic shock","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":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.016091,0.0006974054,0.0003973617,0.001303123,0.001291762,0.003329467,0.001658392,0.001232002,0.002632295],"category_scores_gemma":[0.02459298,0.0003461978,0.0007745624,0.001517912,0.001079985,0.001836749,0.004077346,0.003017317,0.0003580404],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.004216187,"about_ca_system_score_gemma":0.03715181,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.009649014,"about_ca_topic_score_gemma":0.01140248,"domain_scores_codex":[0.9896353,0.004185291,0.0009115238,0.0008032333,0.00278993,0.001674722],"domain_scores_gemma":[0.9466785,0.005401384,0.01182504,0.001435993,0.007390026,0.02726896],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"design_other","study_design_gemma":"observational","study_design_scores_codex":[0.0002775897,0.007882927,0.2337369,0.002659657,0.0002279202,0.0002855005,0.00252714,0.001605,0.001857413,0.001953006,0.04325221,0.7037347],"study_design_scores_gemma":[0.0008985742,0.00583194,0.916164,0.003973885,0.0003121194,0.0005807666,0.005241857,0.002649965,0.002602233,0.00171896,0.05991095,0.0001147066],"study_design_candidate":"observational","study_design_consensus":null,"genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.6164871,0.01692121,0.02321357,0.2919968,0.00382149,0.006534667,0.001800512,0.001873785,0.03735088],"genre_scores_gemma":[0.8994212,0.01116748,0.06570712,0.01716865,0.001155605,0.00144584,0.001184547,0.00005625309,0.002693399],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.016091,"threshold_uncertainty_score":0.08509839,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.128075636383197,"score_gpt":0.4139913831002112,"score_spread":0.2859157467170143,"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."}}