{"id":"W4402999834","doi":"10.1016/j.cjco.2024.09.010","title":"Implementation of a High-sensitivity Troponin Assay for Adult Patients Who Present to the Emergency Department With Chest Pain: The Role of Clinical Decision Support","year":2024,"lang":"en","type":"article","venue":"CJC Open","topic":"Acute Myocardial Infarction Research","field":"Medicine","cited_by":2,"is_retracted":false,"has_abstract":true,"ca_institutions":"Alberta Health Services; Alberta Hospital Edmonton; Alberta Health; University of Alberta","funders":"Canadian Institutes of Health Research; University Hospital Foundation; University of Alberta","keywords":"Emergency department; Medical emergency; Sensitivity (control systems); Medicine; Troponin; Emergency medicine; Internal medicine; Nursing; Myocardial infarction; Engineering","routes":{"ca_aff":true,"ca_fund":true,"ca_venue":false,"about_ca":true,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.003997405,0.0001041714,0.0003691616,0.00004967417,0.00007985149,0.0000309186,0.0002201896,0.00004566294,0.0002400971],"category_scores_gemma":[0.0007025522,0.00005141998,0.0001323321,0.0002491453,0.00006055242,0.00008896969,0.0002763218,0.0001361538,0.00001890671],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.00005406928,"about_ca_system_score_gemma":0.0002471224,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.00131468,"about_ca_topic_score_gemma":0.0004676696,"domain_scores_codex":[0.9979005,0.0004419461,0.0005959576,0.000277658,0.0005876491,0.000196293],"domain_scores_gemma":[0.9978245,0.0007840638,0.0001234328,0.000439428,0.0007223837,0.0001061986],"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":[0.003227888,0.000443213,0.1189777,0.00009642587,0.000760884,0.00000897489,0.0009411035,0.0000359416,0.0002458541,0.001044084,0.3272205,0.5469974],"study_design_scores_gemma":[0.00290752,0.005133692,0.5863792,0.0001434105,0.0002764846,0.000005726183,0.002005295,0.002154891,0.007975248,0.0002550913,0.3926328,0.0001306111],"study_design_candidate":"not_applicable","study_design_consensus":null,"genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.937727,0.0000658494,0.0116658,0.03838706,0.0004580511,0.01002565,0.0004881223,0.00001997552,0.001162521],"genre_scores_gemma":[0.9968734,0.00005328279,0.001200891,0.0007999305,0.0001815841,0.0004544607,0.000126633,0.00002118932,0.0002886697],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.5468668,"threshold_uncertainty_score":0.2628894,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.03713945786004835,"score_gpt":0.4238917154056498,"score_spread":0.3867522575456014,"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."}}