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Record W2080009557 · doi:10.12927/hcpap..16864

Grasping the Opportunity to Improve the Safety of Care

2004· letter· en· W2080009557 on OpenAlexvenueaboutno aff
David C. Classen

Bibliographic record

VenueA Nudge Too Far? A Nudge at All? On Paying People to Be Healthy · 2004
Typeletter
Languageen
FieldHealth Professions
TopicPatient Safety and Medication Errors
Canadian institutionsnot available
Fundersnot available
KeywordsHealth carePublic healthEquity (law)Population healthPublic policyHealth equityPolitical scienceLibrary scienceSociologyMedicinePublic relationsNursing

Abstract

fetched live from OpenAlex

Clearly a wakeup call for the healthcare industry, the IOM report of 2000 To Err Is Human now appears to have been a sentinel event, at least in the United States (Institute of Medicine 1999). Given that the practice of medicine in the United States is, in many ways, very similar to that in Canada--for example, our physician trainees are educated and evaluated using similar models--it is unfortunate that the IOM report was not also a wakeup call for Canada. Four years have passed, and apparently Canadians have only recently woke up to front-page newspaper headlines that point out that Canadians, like Americans, are being harmed and killed as a result of medical errors.

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)0.015
metaresearch head score (Gemma)0.050
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 score0.126
Threshold uncertainty score0.113

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0150.050
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0010.002
Bibliometrics0.0010.001
Science and technology studies0.0160.019
Scholarly communication0.0140.022
Open science0.0040.012
Research integrity0.1260.098
Insufficient payload (model declined to judge)0.0320.012

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 head0.101
GPT teacher head0.398
Teacher spread0.297 · 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
Published2004
Admission routes2
Has abstractyes

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