{"id":"W4403836945","doi":"10.1186/s12877-024-05446-8","title":"The impact of patient-facility language discordance on potentially inappropriate prescribing of antipsychotics in long-term care home in Ontario, Canada: a retrospective population health cohort study","year":2024,"lang":"en","type":"article","venue":"BMC Geriatrics","topic":"Geriatric Care and Nursing Homes","field":"Health Professions","cited_by":7,"is_retracted":false,"has_abstract":true,"ca_institutions":"University of Waterloo; University of Ottawa; Bruyère; University of Manitoba; Ottawa Hospital; Institut du Savoir Montfort; Université de Moncton; Institute for Clinical Evaluative Sciences","funders":"University of Ottawa","keywords":"Medicine; Retrospective cohort study; Long-term care; Health care; Term (time); Psychiatry; Cohort; Population; Polypharmacy; Cohort study; Family medicine; Medical emergency; Environmental health; Intensive care medicine","routes":{"ca_aff":true,"ca_fund":true,"ca_venue":false,"about_ca":true,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[{"model":"gemma","categories":[],"domain":null,"study_design":"observational","genre":"empirical","about_ca_system":false,"about_ca_topic":true,"confidence":"low","status":"direct model label, unvalidated"},{"model":"gpt","categories":[],"domain":null,"study_design":"observational","genre":"empirical","about_ca_system":false,"about_ca_topic":true,"confidence":"low","status":"direct model label, unvalidated"}],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.0008631314,0.0002044998,0.0005475153,0.0002458851,0.0001810069,0.00001878045,0.0001787418,0.00009876181,0.00001015767],"category_scores_gemma":[0.0001445055,0.0001506334,0.0001109447,0.0008560605,0.0000244117,0.00008263561,0.00006748767,0.0006434007,0.000001439382],"about_ca_system_candidate":true,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.004408252,"about_ca_system_score_gemma":0.003563459,"about_ca_topic_candidate":true,"about_ca_topic_consensus":true,"about_ca_topic_score_codex":0.9851033,"about_ca_topic_score_gemma":0.995946,"domain_scores_codex":[0.996983,0.0006099322,0.001031996,0.0004034497,0.0005078011,0.0004638233],"domain_scores_gemma":[0.9986145,0.0002446482,0.0004330915,0.0004776154,0.000157893,0.00007227487],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.0005146613,0.0001783731,0.9710636,0.0004061761,0.00002910041,0.00001444623,0.02572485,0.0003602454,0.00001141122,0.0000181056,0.0001658737,0.001513223],"study_design_scores_gemma":[0.0006219076,0.0005562489,0.9877805,0.0003048573,0.00002356955,5.128666e-7,0.01051285,0.00002730033,0.000003390677,0.00004165421,0.000002031565,0.0001252012],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.994455,0.001216568,0.00005567752,0.00003067969,0.00143088,0.002578797,0.0001742113,0.00002250275,0.00003566195],"genre_scores_gemma":[0.9996055,0.00004847394,0.00006071202,0.000004817322,0.00004485629,0.00004548761,0.000125275,0.00001873406,0.00004609989],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.01671694,"threshold_uncertainty_score":0.9994137,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.01856950096591212,"score_gpt":0.3437803932995934,"score_spread":0.3252108923336813,"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."}}