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Record W1197560832 · doi:10.1177/1084822315599954

Understanding Audit and Feedback to Support Falls Prevention and Pain Management in Home Health Care

2015· article· en· W1197560832 on OpenAlexaff
Wendy Gifford, Barbara Davies, Margo Rowan, Mary Egan, Nancy Lefebre, Jamie Brehaut

Bibliographic record

VenueHome Health Care Management & Practice · 2015
Typearticle
Languageen
FieldHealth Professions
TopicHealth Policy Implementation Science
Canadian institutionsOttawa HospitalUniversity of Ottawa
Fundersnot available
KeywordsAuditContext (archaeology)Multidisciplinary approachNursingHealth careMedicineFront lineMeaning (existential)PsychologyBusiness

Abstract

fetched live from OpenAlex

Audit and feedback (A&F) is commonly used to improve health care; yet enormous variability exists in effectiveness and little is known about A&F in home health care. This article explores A&F as a strategy to support evidence-based care for falls prevention and pain management. We use interviews to describe how A&F is currently used and explore how it can support patient care. Thirteen interviews were conducted with a multidisciplinary sample and descriptively analyzed. Findings showed that data were audited by frontline staff but were inconsistently fed back to the front line, and the meaning of data depended on the context and participants’ roles. Findings suggest A&F should include indicators to benchmark patient outcomes, target actionable processes of care, and be tailored to provider groups.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.015
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Qualitative · Consensus signal: Qualitative
GenreCandidate signal: Commentary · Consensus signal: none
Teacher disagreement score0.615
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0150.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0010.001
Science and technology studies0.0010.000
Scholarly communication0.0000.001
Open science0.0000.001
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.465
GPT teacher head0.598
Teacher spread0.133 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designQualitative
Domainnot available
GenreCommentary

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2015
Admission routes1
Has abstractyes

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