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Record W1500609397 · doi:10.4212/cjhp.v53i5.766

Drug-Related Problems — Much Ado about Something

2000· article· en· W1500609397 on OpenAlexvenueno aff
James E. Tisdale

Bibliographic record

VenueThe Canadian Journal of Hospital Pharmacy · 2000
Typearticle
Languageen
FieldMedicine
TopicPharmaceutical Practices and Patient Outcomes
Canadian institutionsnot available
Fundersnot available
KeywordsDrugMedicinePharmacotherapyHealth careIntensive care medicinePublic healthDiseaseMedical emergencyPharmacologyPsychiatryNursingInternal medicine

Abstract

fetched live from OpenAlex

Adrug-related problem exists when a patient experiences a disease or symptoms related to drug therapy. 1 In their model of pharmaceutical care, Strand and colleagues 1 defined 8 categories of drug-related problems:  The patient has a medical condition requiring drug therapy (a drug indication) but is not receiving a drug for that indication.  The patient has a medical condition for which the wrong drug is being taken.  The patient has a medical condition for which too little of the correct drug is being taken.  The patient has a medical condition for which too much of the correct drug is being taken.  The patient has a medical condition resulting from an adverse drug reaction.  The patient has a medical condition resulting from a drug–drug, drug–food, or drug–laboratory interaction.  The patient has a medical condition as a result of not receiving the prescribed drug.  The patient has a medical condition as a result of taking a drug for which there is no indication. Drug-related problems have become a major public health issue in North America. They are responsible for staggering annual rates of morbidity and mortality and are associated with enormous costs to the health-care system. Which health-care professionals are in the best position to influence this important problem? Can pharmacists exert an impact on the magnitude of drug-related problems? Can hospital pharmacists make a difference?

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 machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.010
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.030
Threshold uncertainty score0.099

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.010
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0010.001
Science and technology studies0.0020.002
Scholarly communication0.0020.003
Open science0.0010.002
Research integrity0.0020.004
Insufficient payload (model declined to judge)0.0300.007

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 head0.060
GPT teacher head0.353
Teacher spread0.292 · 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 source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
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
Published2000
Admission routes1
Has abstractyes

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