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Discussing adverse outcomes with patients

2017· book· en· W4235215771 on OpenAlexaboutno aff
Andy S.L. Tan, Thomas H. Gallagher

Bibliographic record

VenueOxford University Press eBooks · 2017
Typebook
Languageen
FieldHealth Professions
TopicMedical Malpractice and Liability Issues
Canadian institutionsnot available
Fundersnot available
KeywordsAccreditationContext (archaeology)Health careCommissionAdverse effectMedicinePatient safetyPublic relationsNursingMedical educationPolitical scienceInternal medicine

Abstract

fetched live from OpenAlex

Few communication challenges are as difficult for healthcare providers as talking with patients about adverse events, especially when the adverse event was due to a medical error. Ethicists and professional organizations have long endorsed open communication with patients about adverse events and errors in their care. Over the past decade, however, there has been a substantial increase in attention being paid to transparent communication with patients. Many countries, including Australia, the United Kingdom, and Canada have undertaken major disclosure initiatives. The Joint Commission, the body responsible for the accreditation of most US healthcare facilities, requires that patients be informed of all outcomes in their care, including ‘unanticipated outcomes’. In this chapter, we will explore the special aspects of disclosure in the oncology context, among many other important aspects. The chapter concludes by considering a disclosure case study, and discussing next steps for disclosure in oncology.

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)0.005
metaresearch head score (Gemma)0.022
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Other · Consensus signal: Other
Teacher disagreement score0.024
Threshold uncertainty score0.082

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0050.022
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.001
Bibliometrics0.0010.001
Science and technology studies0.0030.003
Scholarly communication0.0050.006
Open science0.0010.004
Research integrity0.0050.007
Insufficient payload (model declined to judge)0.0240.009

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 head0.052
GPT teacher head0.338
Teacher spread0.287 · 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 designNot applicable
Domainnot available
GenreOther

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".

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Citations0
Published2017
Admission routes1
Has abstractyes

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