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Record W3023871864 · doi:10.29309/tpmj/2020.27.05.3808

Gossypiboma: A case study of medical error in obstetrician Tertiary Care Hospital.

2020· article· en· W3023871864 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueThe Professional Medical Journal · 2020
Typearticle
Languageen
FieldMedicine
TopicHemostasis and retained surgical items
Canadian institutionsSt. Lawrence River Institute of Environmental Sciences
Fundersnot available
KeywordsMedicineGossypibomaObstetrics and gynaecologyTertiary careForeign bodySurgeryGeneral surgeryIntervention (counseling)ObstetricsPregnancyNursing

Abstract

fetched live from OpenAlex

Pakistan is striving hard to achieve millennial developmental goals by considering multiple factors. However, maternal mortality and morbidity due to medical errors remain unnoticed and undocumented due to lack of reporting system. This case report is based on a multigravida, who presented with severe abdominal pain and tenderness. She was on multiple medications after five months of three consecutive surgeries including initial surgery for uterine rupture during labor. On examination, a mass was noticed in the umbilical region. A foreign body was suspected on ultrasound and diagnosed as gossypiboma after surgery. It is usually misdiagnosed and needs attention especially considering differential diagnosis in post-operative patients. Such errors might be avoided by properly counting number of gauze pieces before and after an intervention, and usage of radio opaque gauze pieces.

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.

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)0.002
metaresearch head score (Gemma)0.004
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesResearch integrity, Insufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Qualitative · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.644
Threshold uncertainty score0.999

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0020.004
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.003
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 head0.036
GPT teacher head0.366
Teacher spread0.330 · 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