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Record W4247080949 · doi:10.12927/hcq..16715

Relevant Research: Tracking the Seasons of Hospital Use

2000· article· en· W4247080949 on OpenAlexfundaboutno aff

Bibliographic record

VenueHealthcare Quarterly · 2000
Typearticle
Languageen
FieldMedicine
TopicHospital Admissions and Outcomes
Canadian institutionsnot available
FundersCanadian Health Services Research Foundation
KeywordsTracking (education)Best practiceBusinessHealth administrationOperations managementMedicineNursingPsychologyPublic healthEngineeringManagementEconomics

Abstract

fetched live from OpenAlex

A re you ready for next year's flu season?Or will you be caught again, unprepared for healthcare's annual crisis, with its attendant miseries -patients lying in hallways, surgery cancelled, TV cameras everywhere and hounded politicians on the line.There is an alternative, according to a study released late last year by the Manitoba Centre for Health Policy and Evaluation.In "Seasonal Patterns of Winnipeg Hospital Use," lead author Verena Menec and her colleagues review the factors that lead to overcrowding during flu season and offer ideas for averting the problem.The authors reviewed 10 years of records on admissions and people waiting for beds in Winnipeg.They found the problem to be fairly predictable: sometime between December and April, the number of non-surgical patients in the hospital rises over the hospital's maximum capacity and stays there from one to three weeks.Noting that the patient-in-the-hallway problem predates the bed closures of the 1990s, so that simply adding more beds is clearly not a solution, the authors make several suggestions: • Reduce the amount of surgery done in the peak flu periods, to keep beds available for medical patients when required.Do more surgery during the Christmas and summer holidays.• Launch a campaign to increase vaccination for flu, particularly among the elderly; pneumococcal vaccination might be considered as well.• Make it possible to discharge patients to nursing homes and homecare on weekends by having staff both in the hospital and in the community to do the transfers seven days a week.• Assess patients who have been in hospital more than eight days rigorously; there is good evidence to show many of them don't need an acute-care bed.

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)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.864
Threshold uncertainty score0.508

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
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 head0.084
GPT teacher head0.384
Teacher spread0.301 · 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.

The models applied no category: nothing in the taxonomy fit this work.
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

Citations0
Published2000
Admission routes2
Has abstractyes

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