{"id":"W4406235020","doi":"10.1080/10903127.2025.2451217","title":"Stuck in Transition: Clinical and Patient Factors Behind Prolonged Paramedic to Emergency Department Transfer of Care","year":2025,"lang":"en","type":"article","venue":"Prehospital Emergency Care","topic":"Emergency and Acute Care Studies","field":"Medicine","cited_by":2,"is_retracted":false,"has_abstract":true,"ca_institutions":"Health Sciences Centre; Sunnybrook Health Science Centre; University of Toronto; Associated Medical Services; Toronto Public Health","funders":"","keywords":"Medicine; Emergency department; Medical emergency; Emergency medicine; Emergency medical services; Patient care; Nursing","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":[0.0005102475,0.00023571,0.0002706249,0.0007230066,0.000720632,0.001207963,0.0003858736,0.0004485683,0.002641266],"category_scores_gemma":[0.005271776,0.0002062138,0.0004396598,0.001237722,0.0004020218,0.0008470427,0.0008627003,0.0009568772,0.0002687287],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0007173472,"about_ca_system_score_gemma":0.001079864,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.01530498,"about_ca_topic_score_gemma":0.01362246,"domain_scores_codex":[0.9995199,0.00007027927,0.00007382729,0.00009553178,0.00007916849,0.0001612959],"domain_scores_gemma":[0.9969268,0.0003552469,0.001755545,0.00007252912,0.000198524,0.0006913499],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.000039821,0.00001446486,0.9993219,0.00000334046,0.000007216268,0.00008204234,0.00006114694,0.00001361044,0.00002902108,0.000008733507,0.00005608558,0.0003627025],"study_design_scores_gemma":[0.000003227105,0.00006180254,0.998431,0.00001657216,0.00001018322,0.000352623,0.0008107433,0.0001601903,0.00002346733,0.00002711035,0.00009935202,0.000003606177],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9991286,0.0002090373,0.00004820962,0.0001482814,0.00001066729,0.00001007352,0.0001781557,0.000003301417,0.000263635],"genre_scores_gemma":[0.9997036,0.0000644318,0.00003241015,0.00002398261,0.000008637873,0.000003459747,0.0001181602,0.000001004086,0.000044472],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.01530498,"threshold_uncertainty_score":0.03043181,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.01334062177518069,"score_gpt":0.3197015464321853,"score_spread":0.3063609246570046,"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."}}