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Record W4399802268 · doi:10.1097/jce.0000000000000647

Medical Equipment Aging

2024· article· en· W4399802268 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueJournal of Clinical Engineering · 2024
Typearticle
Languageen
FieldHealth Professions
TopicQuality and Safety in Healthcare
Canadian institutionsCARE Canada
Fundersnot available
KeywordsComputer science

Abstract

fetched live from OpenAlex

As demonstrated in the first article of this series, some medical equipment types exhibit clear, progressive deterioration with age, whereas some others do not. Regardless of its aging behavior, equipment will eventually be replaced and disposed of for a variety of reasons—eg, its repair cost has become unjustifiable, it is no longer possible to repair, or its usefulness has been superseded by newer technologies. Although it is not possible to pinpoint the exact cause of each replacement or disposal, it is useful to understand when such action takes place during the equipment’s lifespan because this can help healthcare delivery organizations to better plan and conserve its capital resources while satisfying the needs and desires of their staff to provide safe and high-quality care. The results of an analysis of the disposal pattern of ~340 thousand pieces of equipment in the period of 30+ years show age is not the primary determinant for replacement or disposal. Most equipment is deployed well past the respective depreciation period and the end-of-life or end-of-support dates declared by their respective manufacturers, without significant negative impacts on patient care. In fact, the life expectancies estimated from the disposal data are typically double of American Hospital Association’s estimated useful lives. Such accomplishment is a testimony of the extraordinary efforts made by clinical engineering/healthcare technology management professionals in keeping equipment safe and reliable in the most cost-effective manner for a very long time.

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.

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)0.011
metaresearch head score (Gemma)0.006
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesResearch integrity
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.838
Threshold uncertainty score0.999

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0110.006
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 integrity0.0000.003
Insufficient payload (model declined to judge)0.0010.000

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 head0.238
GPT teacher head0.605
Teacher spread0.367 · 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