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Record W3132436725 · doi:10.1093/jamia/ocaa294

Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions

2020· article· en· W3132436725 on OpenAlexaff
Alan H. Morris, Brian C. Stagg, Michael J. Lanspa, James F. Orme, Terry P. Clemmer, Lindell K. Weaver, Frank Thomas, Colin K. Grissom, Ellie Hirshberg, Thomas D. East, C. Jane Wallace, Michael Young, Dean F. Sittig, Antonio Pesenti, Michela Bombino, Eduardo Beck, Katherine Sward, Charlene Weir, Shobha Phansalkar, Gordon R. Bernard, Bruce Thompson, Roy G. Brower, Jonathon D. Truwit, Jay Steingrub, R. Duncan Hite, Douglas F. Willson, Jerry J. Zimmerman, Vinay Nadkarni, Adrienne G. Randolph, Martha A. Q. Curley, Christopher J. L. Newth, Jacques Lacroix, Michael S. D. Agus, Kang H. Lee, Bennett P. deBoisblanc, R. Scott Evans, Dean Sorenson, Anthony Wong, Michael V. Boland, David W. Grainger, W. Dere, Alan S. Crandall, Julio C. Facelli, Stanley M. Huff, Peter J. Haug, Ulrike Pielmeier, Stephen Edward Rees, Dan Stieper Karbing, Steen Andreassen, Eddy Fan, Roberta M. Goldring, Kenneth I. Berger, Beno W. Oppenheimer, E. Wesley Ely, Ognjen Gajic, Brian W. Pickering, David Schoenfeld, Irena Tocino, Russell S. Gonnering, Peter J. Pronovost, Lucy A. Savitz, Didier Dreyfuss, Arthur S. Slutsky, James D. Crapo, Derek C. Angus, Michael R. Pinsky, Brent C. James, Donald M. Berwick

Bibliographic record

VenueJournal of the American Medical Informatics Association · 2020
Typearticle
Languageen
FieldHealth Professions
TopicElectronic Health Records Systems
Canadian institutionsUniversity of TorontoInstitute of Health Services and Policy ResearchSt. Michael's HospitalUniversité de MontréalCentre Hospitalier Universitaire Sainte-Justine
FundersNational Center for Advancing Translational SciencesNational Heart, Lung, and Blood InstituteNational Institutes of Health
KeywordsDocumentationHealth careClinical decision support systemContext (archaeology)Decision aidsMedicineQuality (philosophy)Decision support systemAction (physics)Knowledge managementComputer scienceArtificial intelligenceAlternative medicine

Abstract

fetched live from OpenAlex

OpenAlex records an abstract for this work, but it could not be fetched just now.

How this classification was reachedexpand

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)0.006
metaresearch head score (Gemma)0.003
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesResearch integrity
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.812
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0060.003
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.001
Science and technology studies0.0010.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.002
Insufficient payload (model declined to judge)0.0000.000

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 head0.079
GPT teacher head0.439
Teacher spread0.359 · 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 teacher head, not a consensus.

Study designObservational
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

Citations40
Published2020
Admission routes1
Has abstractyes

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