{"id":"W4399457140","doi":"10.1016/j.clinbiochem.2024.110777","title":"Effective stewardship strategies to enhance appropriateness of refer-out test requests in a Canadian tertiary centre laboratory","year":2024,"lang":"en","type":"article","venue":"Clinical Biochemistry","topic":"Clinical Laboratory Practices and Quality Control","field":"Medicine","cited_by":2,"is_retracted":false,"has_abstract":true,"ca_institutions":"Dalhousie University","funders":"","keywords":"Test (biology); Stewardship (theology); Institution; Tertiary care; Medical education; Psychology; Medicine; Family medicine; Political science","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":true,"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":[0.02308448,0.0006449834,0.0004841997,0.003905788,0.005462561,0.005027035,0.00401893,0.001234115,0.005108007],"category_scores_gemma":[0.0710649,0.0005231161,0.0007357138,0.003995402,0.002182111,0.00191057,0.005255515,0.001456936,0.0006165994],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.07117952,"about_ca_system_score_gemma":0.2067217,"about_ca_topic_candidate":true,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.7938433,"about_ca_topic_score_gemma":0.8781796,"domain_scores_codex":[0.9688522,0.01021133,0.002034146,0.001794775,0.01089663,0.006210938],"domain_scores_gemma":[0.9204845,0.01002629,0.01500128,0.002774954,0.03011474,0.02159837],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.0006642947,0.001250486,0.5936853,0.001803645,0.0002106116,0.001391035,0.01047181,0.00307387,0.004537376,0.003546521,0.06748205,0.3118829],"study_design_scores_gemma":[0.0001443272,0.0009196176,0.9162361,0.001331885,0.000165522,0.0007427994,0.01256228,0.005602641,0.003387809,0.001146589,0.05752984,0.0002306103],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.8548643,0.006400549,0.01205993,0.06662294,0.0004497633,0.004869044,0.002384132,0.001625419,0.05072396],"genre_scores_gemma":[0.9711775,0.001449722,0.0171878,0.006240296,0.0001443849,0.0004193228,0.0005862978,0.00008199624,0.002712647],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.7938433,"threshold_uncertainty_score":0.516446,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.02373499862950152,"score_gpt":0.4165988795557847,"score_spread":0.3928638809262832,"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."}}