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Record W2801621954 · doi:10.5206/uwomj.v86i2.2012

The application of quality improvement methodologies in surgery

2017· article· en· W2801621954 on OpenAlexvenueaboutno aff
Stephanie Fong

Bibliographic record

VenueUniversity of Western Ontario Medical Journal · 2017
Typearticle
Languageen
FieldMedicine
TopicCardiac, Anesthesia and Surgical Outcomes
Canadian institutionsnot available
Fundersnot available
KeywordsQuality (philosophy)Health carePsychological interventionQuality managementResource (disambiguation)SustainabilityProcess (computing)Patient safetyOperations managementRisk analysis (engineering)MedicineBusinessProcess managementComputer scienceEngineeringNursingManagement system

Abstract

fetched live from OpenAlex

Quality improvement (QI) practices were originally developed in the manufacturing industry to reduce unnecessary steps in a process, minimize error, and provide maximum benefit to the consumer. QI is defined as a formal approach to the analysis of performance and systemic efforts to improve it. QI methodologies have been adopted by industries outside manufacturing, including healthcare. In the healthcare environment, performance consists of many factors including patient safety, clinical results, and system efficiency. Given the publicly funded, limited resource environment in which the Canadian healthcare system operates, the practice of delivering safe, quality healthcare in an efficient and cost-effective manner is an important factor in promoting the economic viability and sustainability of the system. Surgical practice has been identified as an area in which QI methodologies can be applied, given its resource intensive nature and highly regulated environment. Current research supports the use of QI in surgery, with interventions showing improvements in non-operativetime, on-time starts, and operating room patient volume. Limitations to the application of QI include the heterogeneity of interventions and variability in terms of procedures and patient factors. Further high-quality studies are required to support evidence-based applications of QI in the surgical setting as well as the greater healthcare environment.

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)0.100
metaresearch head score (Gemma)0.132
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: Empirical · Consensus signal: none
Teacher disagreement score0.100
Threshold uncertainty score0.528

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.1000.132
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0090.010
Science and technology studies0.0020.009
Scholarly communication0.0080.005
Open science0.0030.005
Research integrity0.0030.004
Insufficient payload (model declined to judge)0.0020.000

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 head0.067
GPT teacher head0.339
Teacher spread0.273 · 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
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

Citations0
Published2017
Admission routes2
Has abstractyes

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Same venueUniversity of Western Ontario Medical JournalSame topicCardiac, Anesthesia and Surgical OutcomesFrench-language works237,207