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From theory to practice: an illustrative case for selecting evidence-based practices and building implementation capacity in three Canadian health jurisdictions

2014· article· en· W2323184464 on OpenAlexaffabout
Michelle A. Duda, Richard J. Riopelle, Jacquie Brown

Bibliographic record

VenueEvidence & Policy · 2014
Typearticle
Languageen
FieldHealth Professions
TopicHealth Policy Implementation Science
Canadian institutionsOntario Neurotrauma Foundation
Fundersnot available
KeywordsParticipatory action researchCapacity buildingQuality (philosophy)FidelityBusinessProcess managementBest practiceMedicineCitizen journalismKey (lock)Sustainable developmentNursingPublic relationsOperations managementKnowledge managementPolitical scienceEngineeringManagementComputer scienceEconomicsEconomic growth

Abstract

fetched live from OpenAlex

Using principles of Applied Implementation Science, this paper examines strategies for systematically selecting and operationalising National clinical practice guidelines and intentionally creating implementation supports to ensure high fidelity use and sustainable application and outcomes. In the spirit of participatory action research, key pan-Canadian stakeholders including funders, researchers, providers and patients were brought together around shared interests of optimal patient outcomes, improved provider performance, and continuous quality improvement of practices targeting the three most common secondary complications that patients with spinal cord injuries experience: pressure ulcers, bladder dysfunction and pain. Implementation capacity development at site and project levels will be described.

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 distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.018
metaresearch head score (Gemma)0.074
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch, Meta-epidemiology (narrow), Science and technology studies
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Qualitative · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.280
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0180.074
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.001
Science and technology studies0.0030.000
Scholarly communication0.0000.004
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

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 head0.666
GPT teacher head0.690
Teacher spread0.024 · 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 teacher head, not a consensus.

Study designQualitative
Domainnot available
GenreEmpirical

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

Citations7
Published2014
Admission routes2
Has abstractyes

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