Bibliographic record
Abstract
Resume Objectif : Faciliter les voies de communication lors du transfert d’un patient hospitalise vers un autre milieu lorsque l’on a instaure un traitement a la methadone a visee analgesique. Mise en contexte : Un medecin de l’equipe du soulagement de la douleur prescrit de la methadone a son patient hospitalise. Lorsque vient le moment de signer le conge, plusieurs scenarios peuvent se presenter : le medecin assume le suivi, un changement de medecin est assure, le patient est transfere dans un autre milieu de soins. Les deux dernieres situations impliquent la possibilite que le medecin de relais ne detienne pas l’exemption obligatoire pour prescrire la methadone. Effective - ment, un medecin ne peut s’improviser prescripteur de methadone sans obtenir au prealable une autorisation de prescrire de la methadone (exemption) aupres de Sante Canada. Au Centre hospitalier universitaire de Sherbrooke, nous avons mis sur pied un outil afin que le transfert du patient dans un autre environnement se fasse le plus aisement possible. Conclusion : Ce projet se veut un moyen facilitant la diffusion de l’information. Il explique le bien-fonde de l’ordonnance, les facons de faire pour obtenir les autorisations, les caracteristiques particulieres du medicament. Les proprietes therapeutiques de la methadone meritent d’etre exploitees, et ce, meme si sa prescription est reglementee. Abstract Objective: To facilitate communication between healthcare settings upon transfer of a hospitalized patient who has been initiated on methadone for analgesic purposes. Context: A physician from pain control service prescribes methadone to a hospitalized patient. Upon discharge of the patient, many scenarios are possible: the prescribing physician follows up with the patient, a different physician takes charge, or the patient is transferred to another healthcare setting. In the latter two of these situations, there is a possibility that the new physician in charge is not an authorized methadone prescriber. As it is, a physician cannot prescribe methadone without first obtaining authorization or an exemption from Health Canada. At the Centre Hospitalier Universitaire de Sherbrooke (CHUS), we have implemented a working tool to ensure that the transfer of patients to another setting is done as easily as possible. Conclusion: This project was meant to facilitate the diffusion of information. It justifies the prescription, it explains the steps to be taken to obtain authorization, and it explains the medication specific characteristics. Although methadone prescribing is regulated, methadone’s therapeutic properties should nonetheless be exploited. Key Words: cancer, pain, drug interactions, methadone, opiates, opiate rotation, Health Canada.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot 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.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.183 | 0.189 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.002 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.003 | 0.004 |
| Scholarly communication | 0.007 | 0.005 |
| Open science | 0.003 | 0.005 |
| Research integrity | 0.006 | 0.008 |
| Insufficient payload (model declined to judge) | 0.017 | 0.007 |
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.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
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".