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Record W4316095980 · doi:10.51731/cjht.2023.540

Identifying Overused Lab Tests in Hospital Settings: A Delphi Study

2023· article· en· W4316095980 on OpenAlexfundaboutno aff
CADTH

Bibliographic record

VenueCanadian Journal of Health Technologies · 2023
Typearticle
Languageen
FieldHealth Professions
TopicHealthcare cost, quality, practices
Canadian institutionsnot available
FundersCanadian Blood ServicesCanadian Association of Emergency Physicians
KeywordsMedicineMedical laboratoryTest (biology)Medical diagnosisHealth careNursingPathology

Abstract

fetched live from OpenAlex


 Unnecessary lab testing may lead to inaccurate diagnoses, inappropriate treatment or further testing, and increased strain on our health care system, and can expose patients to potential harm.
 To identify lab tests that could be considered by Choosing Wisely Canada’s Using Labs Wisely program, we convened a panel of experts that included physicians, medical laboratory professionals, patients, and decision-makers from across Canada. Our objective was to prioritize a list of high-volume laboratory tests that are often ordered unnecessarily in hospital settings.
 Through a consensus-generating process, the expert panel prioritized 7 lab tests as candidates for reduction or elimination in hospital settings. These were 25-hydroxy vitamin D testing, vitamin B12 testing, thyroid stimulating hormone (TSH) testing, free triiodothyronine (FT3) and free thyroxine (FT4) testing, international normalized ratio (INR) testing, and amylase testing.

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)0.013
metaresearch head score (Gemma)0.016
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch, Science and technology studies, Research integrity
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.368
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0130.016
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0030.002
Science and technology studies0.0010.000
Scholarly communication0.0000.001
Open science0.0010.000
Research integrity0.0000.003
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 head0.524
GPT teacher head0.543
Teacher spread0.019 · 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

Citations2
Published2023
Admission routes2
Has abstractyes

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