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Record W2897894970 · doi:10.1111/acem.13626

Hot Off the Press: Comparison of Emergency Medicine Malpractice Cases Involving Residents to Nonresident Cases

2018· letter· en· W2897894970 on OpenAlexaff
Justin Morgenstern, Corey Heitz, Christopher Bond, William K. Milne

Bibliographic record

VenueAcademic Emergency Medicine · 2018
Typeletter
Languageen
FieldHealth Professions
TopicMedical Malpractice and Liability Issues
Canadian institutionsWestern UniversityUniversity of CalgaryUniversity of Toronto
Fundersnot available
KeywordsMalpracticeMedicineDefensive medicineFamily medicineAllegationMedical malpracticeMedical emergencyHarmPatient safetyRetrospective cohort studyEmergency medicineHealth careSurgeryPsychologyLaw

Abstract

fetched live from OpenAlex

U nfortunately, physicians are not perfect.Mistakes are occasionally made, and those mistakes can harm our patients.1 Although patient well-being is the primary concern of every physician, the threat of malpractice looms large in medicine.A search on PubMed will reveal hundreds of papers discussing malpractice risk in emergency medicine, but very few address the risk for trainees.Medical care provided by trainees involves some added risks.In U.S. emergency departments (EDs), care provided by trainees has been associated with a higher chance of hospital admission and a longer length of stay in the ED. 2 In an internal medicine setting, problems with handoffs, teamwork, and lack of supervision were identified as issues in trainee malpractice cases.3 However, little is known about the malpractice risk of emergency medicine trainees.This study aimed at identifying factors in malpractice claims naming resident physicians compared to claims that did not involve a trainee.4

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)0.003
metaresearch head score (Gemma)0.038
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Commentary · Consensus signal: none
Teacher disagreement score0.008
Threshold uncertainty score0.022

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0030.038
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0080.006
Science and technology studies0.0010.000
Scholarly communication0.0010.003
Open science0.0010.001
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0070.001

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 head0.336
GPT teacher head0.549
Teacher spread0.213 · 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 designObservational
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
Published2018
Admission routes1
Has abstractyes

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