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Record W2016124947 · doi:10.12927/hcpap.2013.23345

Go with the FLO? A Novel Approach to Quality and Safety

2013· letter· en· W2016124947 on OpenAlexvenueaboutno aff
Jonny Taitz

Bibliographic record

VenueA Nudge Too Far? A Nudge at All? On Paying People to Be Healthy · 2013
Typeletter
Languageen
FieldHealth Professions
TopicInterprofessional Education and Collaboration
Canadian institutionsnot available
Fundersnot available
KeywordsMindsetAccreditationContext (archaeology)Quality (philosophy)Patient safetyFront lineStandardizationBusinessPublic relationsWork (physics)Safety cultureOperations managementHealth careNursingMarketingMedicineMedical educationComputer scienceEngineeringManagementPolitical scienceEconomics

Abstract

fetched live from OpenAlex

In their paper "Front-Line Ownership: Generating a Cure Mindset for Patient Safety," Zimmerman and her colleagues introduce us to the novel concept of FLO - front-line ownership - within the quality and safety arena. Based on their 18-month study of nosocomial infections within five Canadian hospitals, the authors highlight the benefits of allowing front-line staff to own and manage patient safety problems as opposed to imposing programs on them that were created by leaders who did not consult them in developing appropriate solutions.Their paper highlights many of the benefits of FLO, particularly around social networking, interdisciplinary team work and clinician engagement. But how does FLO measure up in the context of other more technical methods of managing adverse events within healthcare organizations? What are the benefits and weakness of FLO? Is FLO consistent with external accreditation requirements and the drive for greater standardization? Will its necessarily longer time frame consign it to a few small-scale research projects or is there real potential to use FLO techniques for other quality and safety problems beyond nosocomial infections?

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)0.016
metaresearch head score (Gemma)0.047
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 score0.068
Threshold uncertainty score0.092

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0160.047
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0010.001
Science and technology studies0.0150.030
Scholarly communication0.0120.025
Open science0.0040.011
Research integrity0.0680.083
Insufficient payload (model declined to judge)0.0060.002

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 head0.104
GPT teacher head0.422
Teacher spread0.318 · 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

Citations0
Published2013
Admission routes2
Has abstractyes

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