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Record W2735814059 · doi:10.1111/anae.13996

Cognitive aids, checklists and mental models – a reply

2017· letter· en· W2735814059 on OpenAlexaff
Tobias Everett

Bibliographic record

VenueAnaesthesia · 2017
Typeletter
Languageen
FieldHealth Professions
TopicPatient Safety and Medication Errors
Canadian institutionsUniversity of Toronto
Fundersnot available
KeywordsSuspectCognitionMedicineCognitive psychologyPriming (agriculture)Mental modelPresentation (obstetrics)Point (geometry)Vigilance (psychology)Applied psychologyPsychologyCognitive science

Abstract

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On behalf of my co-authors, I thank Dr. Webster for his observations and suggestions about our paper on the impact of critical event checklists in simulated operating room emergencies in an ambulatory setting 1. As research in this field emerges, I agree that our work highlights what we have yet to learn, as well as what we are incrementally learning. The notion of memory priming was not one we had considered as an alternative explanation for our observed data. In this case, we suspect that the precise nature of the orientation and familiarisation phase would not have been adequate to induce memory priming. The participants were given an overview of the cognitive aid (by slide presentation), then a opportunity to handle the binder and browse the checklists – sufficient to absorb the format and layout of the checklists but not enough time to digest each list in a point-by-point fashion. We wondered whether independent preparation and hyper-vigilance on the first encounter was replaced by a more relaxed attitude on the second encounter when performance without the checklists was then demonstrably inferior. We agree strongly that understanding how checklists can be incorporated into the culture of clinical practice is fundamental to their successful implementation and positive impact, because in circumstances where they are considered optional prompts, they fail to achieve their maximal benefit. It is encouraging that there are research groups worldwide looking to answer these questions.

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)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
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 score0.061
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0010.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0010.002
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 head0.091
GPT teacher head0.396
Teacher spread0.305 · 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 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
Published2017
Admission routes1
Has abstractyes

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