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Record W2942069066

Best Practice MedsCheck Annual Service: A Multi-Case Study

2018· dissertation· en· W2942069066 on OpenAlexaboutno aff
Amanda C. Everall

Bibliographic record

VenueTSpace (University of Toronto) · 2018
Typedissertation
Languageen
FieldMedicine
TopicPharmaceutical Practices and Patient Outcomes
Canadian institutionsnot available
Fundersnot available
KeywordsPharmacyBest practiceDelegationMedicinePharmacy practiceHealth careConceptual frameworkWork (physics)Conceptual modelService (business)Quality (philosophy)NursingKnowledge managementMedical educationBusinessComputer sciencePolitical scienceEngineeringSociologyMarketing
DOInot available

Abstract

fetched live from OpenAlex

Purpose: To identify and describe factors that contribute to best practice adherence-focused medication reviews (MRs) in the community pharmacy. Methods: A multi-case study, following Yin’s approach, was conducted in two community pharmacies in Ontario referred for their exemplary MR services. Data sources included interviews, pharmacy observations, and service-relevant documents. Data were coded and analyzed thematically. A work systems model, the Systems Engineering Initiative for Patient Safety, served as the conceptual framework. Results: In both pharmacy cases, MR processes were systematic and normalized. Common work system features included the use of appointments, overlapping pharmacists, task delegation, and e-technologies. Both pharmacies had service leaders/champions and a clinically oriented culture focused on relationship-building with patients and healthcare providers. Conclusion: Based on common cross-case features, a conceptual definition and recommendations for best practice adherence-focused MRs were provided. Study findings will inform the development of quality improvement initiatives for medication review services in community pharmacies.

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)0.004
metaresearch head score (Gemma)0.006
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Qualitative · Consensus signal: Qualitative
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.042
Threshold uncertainty score0.084

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0040.006
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.002
Science and technology studies0.0060.001
Scholarly communication0.0020.001
Open science0.0010.002
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0030.000

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 head0.092
GPT teacher head0.419
Teacher spread0.327 · 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 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

Citations0
Published2018
Admission routes1
Has abstractyes

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