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Record W4234792174 · doi:10.15406/mojamt.2016.01.00014

New principals for Electronic Records in Mental Health

2016· article· en· W4234792174 on OpenAlexaff
Boris Bard

Bibliographic record

VenueMOJ Addiction Medicine & Therapy · 2016
Typearticle
Languageen
FieldHealth Professions
TopicElectronic Health Records Systems
Canadian institutionsCentre for Addiction and Mental Health
Fundersnot available
KeywordsMental healthHealth recordsPsychologyElectronic recordsElectronic health recordPsychiatryPolitical scienceWorld Wide WebComputer scienceHealth careLaw

Abstract

fetched live from OpenAlex

There are many well known benefits about electronic charting: easy access and the ability to share the context, readability of MD writing, standardization of documentation and care plans, real time documentation and authentication and many other more or less important things.First, I want to start the discussion and see if somebody else is interested in this specific opportunity technology presents to us.I call it: dynamic representation of abnormalities.You see, when nurses on the medical / surgical floors change their shifts they pass very specific, objective, standard, and dynamic clinical information about the progress of their clients, like the presence and the intensity (rate) of bleeding, presence of peristalsis sounds, quality of the abdominal wall (soft / hard), VS, input and output and etc.This dynamic data allows for the quick capture of important information that allows for fast clinical judgment about the client's condition.They usually do not pass any information that has no relevancy to the particular procedure or diagnosis.It takes about 15 min to go through 20 -25 medical surgical clients in this fashion.Also, nurses usually play a very technical and task oriented role.There are certain tasks to perform in terms of care, but there is no need to read surgical reports or chemotherapy plans or others (I know that many nurses read all these, but you know that this is not a main stream).MD is in charge of the overall care and usually needs to know only abnormal dynamic clinical data, meaning: when things are not according to the established norms and standards for some particular procedure / surgery / treatment.For example: when the temperature, level of pain, WBC or else is higher than it should be for that particular day of treatment.For each surgery or procedure, to my knowledge, there are about 5 to 15 such parameters.When MD is satisfied that the acute phase of care is done and all these parameters show the dynamic consistency with a recovery pass, MD will discharge the client home for GP care.

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 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)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesInsufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.536
Threshold uncertainty score0.998

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0040.000
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 integrity0.0000.001
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 head0.071
GPT teacher head0.455
Teacher spread0.384 · 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 designNot applicable
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
Published2016
Admission routes1
Has abstractyes

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