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Record W2103329578 · doi:10.12927/hcpap..16930

Patient Safety: Cultural Changes, Ethical Imperatives

2001· review· en· W2103329578 on OpenAlexvenueno aff
Jean M. Reeder

Bibliographic record

VenueA Nudge Too Far? A Nudge at All? On Paying People to Be Healthy · 2001
Typereview
Languageen
FieldHealth Professions
TopicPatient Safety and Medication Errors
Canadian institutionsnot available
Fundersnot available
KeywordsBlamePatient safetyShameOrganizational cultureHealth careSilenceCulture changeSafety cultureRetributive justicePublic relationsPsychologyNursingMedicineSocial psychologyPolitical scienceManagementSociologyLawEconomic Justice

Abstract

fetched live from OpenAlex

One essential aspect to improve patient safety and reduce medical errors focuses on the need for healthcare organizations to promote a patient-safety culture, and to banish the blame and shame culture and "conspiracy of silence"--traditional approaches within organizations when reacting to medical errors. Culture change arises when physicians, pharmacists, nurses and other self-regulated professionals are encouraged and expected to report errors without fear of retribution. A culture of patient safety will evolve in healthcare organizations and regulatory agencies only if top leaders demonstrate their commitment to change by making this a personal priority by assimilating new knowledge about medical errors and human behavior. Leaders must also promote strategies to integrate patient safety into every process that supports the system of patient-care delivery.

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)0.010
metaresearch head score (Gemma)0.018
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: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.010
Threshold uncertainty score0.053

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0100.018
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0020.004
Science and technology studies0.0020.010
Scholarly communication0.0060.007
Open science0.0010.004
Research integrity0.0050.006
Insufficient payload (model declined to judge)0.0020.001

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 head0.226
GPT teacher head0.496
Teacher spread0.271 · 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
GenreReview

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

Citations8
Published2001
Admission routes1
Has abstractyes

Explore more

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