{"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":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.002487036,0.0002168197,0.0002303564,0.0003501407,0.000331459,0.001251393,0.0005017627,0.0003902179,0.0004635539],"category_scores_gemma":[0.01075803,0.0001204563,0.0003061704,0.0004788456,0.000481414,0.000536838,0.00043916,0.0005550684,0.0000540097],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.001786038,"about_ca_system_score_gemma":0.004761936,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.02967416,"about_ca_topic_score_gemma":0.04063651,"domain_scores_codex":[0.9981851,0.0006559552,0.0001524956,0.0001743239,0.000562448,0.000269586],"domain_scores_gemma":[0.9926459,0.00202544,0.003651665,0.0001891247,0.0007249885,0.0007629755],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.0001648045,0.0001380801,0.9894493,0.00002447919,0.00003866377,0.00006872249,0.00006879396,0.0001887229,0.0001125007,0.00003329683,0.0001462759,0.009566402],"study_design_scores_gemma":[0.00003706433,0.0004197064,0.9976469,0.00003691275,0.00003245424,0.0001273545,0.0002290174,0.0009976871,0.000132202,0.00006859361,0.0002655233,0.000006547305],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9982616,0.0003987303,0.0001709586,0.00057997,0.00001447859,0.0000393371,0.000073246,0.000003635293,0.0004580224],"genre_scores_gemma":[0.9992812,0.0001827587,0.0002712794,0.0001242384,0.00002863654,0.00001050584,0.00006742529,8.406591e-7,0.00003320298],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.02967416,"threshold_uncertainty_score":0.05900288,"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."}}