{"id":"W4411125242","doi":"10.1007/s43678-025-00911-8","title":"Discussions about goals of care in the emergency department: a qualitative study of emergency physicians’ opinions using the normalization process theory","year":2025,"lang":"en","type":"article","venue":"Canadian Journal of Emergency Medicine","topic":"Hospital Admissions and Outcomes","field":"Medicine","cited_by":2,"is_retracted":false,"has_abstract":false,"ca_institutions":"Centre Intégré de Santé et Services Sociaux de Chaudière-Appalache; Université du Québec à Rimouski; Centre intégré de santé et de services sociaux de Chaudière-Appalaches; Université Laval; Centre de Recherche en Sciences Animales de Deschambault; Université de Sherbrooke","funders":"Fonds de Recherche du Québec - Santé; Canadian Institutes of Health Research; Faculté de Médecine, Université Laval","keywords":"Medicine; Normalization (sociology); Emergency department; Medical emergency; Qualitative research; Process (computing); Nursing; Computer science; Sociology","routes":{"ca_aff":true,"ca_fund":true,"ca_venue":false,"about_ca":false,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":["insufficient_payload"],"consensus_categories":[],"category_scores_codex":[0.001218667,0.0002240021,0.0006535594,0.0005372326,0.0002759214,0.000001908638,0.0004483166,0.00006523306,0.001281301],"category_scores_gemma":[0.00120143,0.0001096974,0.0002176866,0.001947138,0.0001205058,0.0001279058,0.00002038058,0.0003333935,4.756681e-7],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.00007914015,"about_ca_system_score_gemma":0.0008028735,"about_ca_topic_candidate":true,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.002683179,"about_ca_topic_score_gemma":0.02012746,"domain_scores_codex":[0.9966674,0.000596876,0.001748074,0.0001729161,0.0005009218,0.0003137421],"domain_scores_gemma":[0.997546,0.000111146,0.000773686,0.0003961833,0.0009288195,0.0002441196],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"qualitative","study_design_gemma":"qualitative","study_design_scores_codex":[0.0002090614,0.0007236212,0.2809261,0.0007676699,0.0005883171,0.00003878852,0.7011437,0.0003546513,0.0003011482,0.006150922,0.006971615,0.001824382],"study_design_scores_gemma":[0.001451819,0.001646246,0.1657599,0.001632019,0.0008020274,0.00000447389,0.8242345,0.0000489891,0.00007407665,0.002558344,0.001641452,0.0001460933],"study_design_candidate":"qualitative","study_design_consensus":"qualitative","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9801046,0.008960339,0.0003685709,0.003684547,0.003536372,0.001020821,0.00005517769,0.000003325043,0.002266265],"genre_scores_gemma":[0.99855,0.0007026365,0.0000176222,0.00006778248,0.0002351343,0.00001963146,0.00002433174,0.00001684066,0.0003660101],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.1230908,"threshold_uncertainty_score":0.9996316,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.06066020868892306,"score_gpt":0.4338063511755075,"score_spread":0.3731461424865845,"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."}}