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Record W2187441136 · doi:10.4187/respcare.03480859

Moving Toward Evidence-Based Practice

2003· article· en· W2187441136 on OpenAlexaff

Bibliographic record

VenueRespiratory Care · 2003
Typearticle
Languageen
FieldHealth Professions
TopicHealth Sciences Research and Education
Canadian institutionsSt. Joseph’s Healthcare HamiltonSt. Joseph's Hospital
Fundersnot available
KeywordsMedicineGeneralizability theoryBest evidenceAsk priceBest practiceClinical PracticeEvidence-based practiceEvidence-based medicineMedical educationNursingAlternative medicinePsychologyLaw

Abstract

fetched live from OpenAlex

"Evidence-based practice" involves applying the best available evidence to the care of individuals. Explicit, systematic methods have developed for determining what is the best available evidence. However, often even the highest-level evidence is not thoroughly or effectively used in practice, even if it is widely known. We must rigorously and critically analyze study results to understand their strengths, limitations, and generalizability, and bear in mind that our knowledge will evolve and thereby change our practice. The clinical question is not always how to apply the evidence but whether the available evidence applies to a particular patient. We should always ask whether the right provider is doing the right thing for the right patient at the right time in the right setting with the right resources.

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)0.421
metaresearch head score (Gemma)0.572
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Theoretical or conceptual · Consensus signal: none
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.421
Threshold uncertainty score0.714

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.4210.572
Meta-epidemiology (narrow)0.0030.003
Meta-epidemiology (broad)0.0100.006
Bibliometrics0.0140.008
Science and technology studies0.0050.021
Scholarly communication0.0270.025
Open science0.0170.023
Research integrity0.0380.055
Insufficient payload (model declined to judge)0.0090.008

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 head0.325
GPT teacher head0.544
Teacher spread0.219 · 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.

Study designTheoretical or conceptual
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

Citations12
Published2003
Admission routes1
Has abstractyes

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