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The Role of Technology in Reducing Unnecessary Duplicate Diagnostic Imaging Examinations

2015· article· en· W161189458 on OpenAlexaff
Janessa Griffith, Elizabeth M. Borycki, André Kushniruk

Bibliographic record

VenueStudies in health technology and informatics · 2015
Typearticle
Languageen
FieldMedicine
TopicRadiology practices and education
Canadian institutionsUniversity of Victoria
Fundersnot available
KeywordsRecallMedicineMedical emergencyMedical physicsHealth careElectronic health recordEXPOSEPsychologyCognitive psychology

Abstract

fetched live from OpenAlex

Unnecessarily repeating diagnostic imaging (DI) examinations can expose patients to additional radiation and place pressures on human and financial resources in healthcare. Through a qualitative study, non-radiologist physicians were interviewed about their ordering practices. This included questioning participants about how they would determine if a DI examination had already been performed or scheduled to take place. Participants described how they asked their patients about whether prior testing had been done or if future tests were scheduled. Participants also indicated that they consulted electronic systems to determine if prior DI examinations occurred. However, other research suggested that patients may not accurately recall their DI history. Meanwhile, using electronic systems such as decision support or computerized provider order entry could help to reduce duplicate ordering, although more research is necessary.

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)0.001
metaresearch head score (Gemma)0.005
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.686
Threshold uncertainty score0.581

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.005
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.001
Science and technology studies0.0000.001
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
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 head0.043
GPT teacher head0.387
Teacher spread0.343 · 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.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

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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