MétaCan
Menu
Back to cohort
Record W2162783794 · doi:10.12927/hcpap.2004.16862

The Electronic Health Record: A Leap Forward in Patient Safety

2004· letter· en· W2162783794 on OpenAlexaffvenueabout
Richard Alvarez

Bibliographic record

VenueA Nudge Too Far? A Nudge at All? On Paying People to Be Healthy · 2004
Typeletter
Languageen
FieldHealth Professions
TopicElectronic Health Records Systems
Canadian institutionsCanada Health Infoway
Fundersnot available
KeywordsPublic healthHealth carePopulation healthEquity (law)Health equityEpidemiologyHealth policyMedicineLibrary sciencePolitical scienceNursing

Abstract

fetched live from OpenAlex

In his review of patient safety issues in the Canadian healthcare system, Dr. Matthew Morgan states that "coordinated national EHR initiatives will cost less, save lives and prevent harm when compared to the status quo." Canada Health Infoway is spearheading this initiative in Canada. Infoway's No. 1 guiding principle for investment is that projects undertaken must "enhance the quality of patient care, healthcare services and patient safety." They must also support the development and adoption of pan-Canadian interoperable EHR solutions. Infoway is working in seven major areas to improve electronic access to accurate and timely health information in order to reduce errors, facilitate accurate diagnoses and speed treatment. These areas include the building blocks of the EHR: infostructure, registries, digital imaging systems, and drug and laboratory information systems. Infoway is also developing and expanding telehealth networks to increase the scope of the Canadian healthcare system. Infoway was recently mandated to develop a public health surveillance system for infectious diseases to give healthcare providers a tool for tracking and managing disease outbreaks in the Canadian population. These systems will improve safety, quality, accessibility, cost-efficiency and the sustainability of the healthcare system. Patient safety is a cornerstone of Infoway's activities.

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)0.021
metaresearch head score (Gemma)0.069
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 score0.184
Threshold uncertainty score0.367

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0210.069
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0010.002
Bibliometrics0.0020.003
Science and technology studies0.0130.016
Scholarly communication0.0130.020
Open science0.0050.005
Research integrity0.1020.059
Insufficient payload (model declined to judge)0.0160.007

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.

Opus teacher head0.047
GPT teacher head0.378
Teacher spread0.332 · 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

Citations18
Published2004
Admission routes3
Has abstractyes

Explore more

Same venueA Nudge Too Far? A Nudge at All? On Paying People to Be HealthySame topicElectronic Health Records SystemsFrench-language works237,207