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Record W3092881307 · doi:10.7861/fhj.2019-0059

Exception reporting in 2018: how often is it happening?

2020· article· en· W3092881307 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.

aboutThe title or abstract carries a Canadian signal from the geographic lexicon.
no affNo Canadian affiliation: this work is invisible to an affiliation-only frame.
No Canadian affiliation. An affiliation-only frame, the usual design, would never have seen this work. It is one of the works that make the case for inverting the frame.

Bibliographic record

VenueFuture Healthcare Journal · 2020
Typearticle
Languageen
FieldHealth Professions
TopicHealthcare Systems and Challenges
Canadian institutionsnot available
Fundersnot available
KeywordsGuardianQuarter (Canadian coin)MedicineWorking hoursWorking timeInterquartile rangeLegal guardianFamily medicinePsychologyWork (physics)Political scienceGeographyInternal medicine

Abstract

fetched live from OpenAlex

BACKGROUND: Exception reporting is the main process in England to resolve issues related to junior doctor working hours. Concerns have been raised regarding variable report submission, but no significant exploration has occurred. This study assesses frequency of exception reporting and correlates it with frequency of working beyond rostered hours and overall satisfaction. METHODS: National training survey (NTS) scores for 'Overall Satisfaction' and frequency of working beyond rostered hours was obtained for 26 randomly identified trusts throughout England and correlated with exception reporting frequency from guardian of safe working (guardian) quarterly reports covering April 2018. RESULTS: Guardian reports were obtained for 24 trusts. NTS data suggest trainees worked beyond their rostered hours 12.1 times per quarter (interquartile range (IQR) 10.0-12.9) whereas guardian reports show they exception reported 0.15 times per quarter (IQR 0.084-0.25). Trainees exception report 1.2% of the time they work beyond rostered hours (IQR 0.8-2.4%).Frequency of exception reporting correlates poorly with the frequency with which trainees work beyond rostered hours (coefficient -0.22) and with a marker of overall satisfaction (coefficient -0.21). CONCLUSION: The current exception reporting process significantly under-reports trainee working hours although there is regional variation.

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)0.004
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow), Science and technology studies, Research integrity, Insufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.814
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0040.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0010.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0010.005
Insufficient payload (model declined to judge)0.0010.000

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 head0.294
GPT teacher head0.482
Teacher spread0.187 · 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