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Record W4410436041 · doi:10.1016/j.ajic.2025.05.007

Paramedic-reported infection prevention and control practices in Canadian paramedic services before and during COVID-19

2025· article· en· W4410436041 on OpenAlexafffundabout
Christopher MacDonald, Paul A. Demers, Brian Grunau, David A. Goldfarb, David O’Neill, Jocelyn A. Srigley, Nechelle Wall, Minh Tri Phan, Michael Asamoah-Boaheng, Tracy L Kirkham

Bibliographic record

VenueAmerican Journal of Infection Control · 2025
Typearticle
Languageen
FieldMedicine
TopicInfection Control in Healthcare
Canadian institutionsCarleton UniversityUniversity of TorontoBC Children's HospitalIsland HealthPublic Health OntarioSt. Paul's HospitalVancouver Hospital and Health Sciences CentreOccupational Cancer Research Centre
FundersPublic Health Agency of Canada
KeywordsMedicineCoronavirus disease 2019 (COVID-19)Infection control2019-20 coronavirus outbreakSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)Emergency medicineIntensive care medicineMedical emergencyVirologyInternal medicineInfectious disease (medical specialty)Outbreak

Abstract

fetched live from OpenAlex

BACKGROUND: We aimed to characterize paramedic infection prevention and control (IPAC) measures reportedly used before and during the coronavirus disease 2019 (COVID-19) pandemic among select Canadian provinces. METHODS: IPAC measures were characterized using self-reported questionnaire data from paramedics enrolled in the CORSIP study between January 2021 and January 2023. Participant demographics and changes to IPAC measures were characterized using descriptive and nonparametric statistics. Cumulative IPAC changes were plotted against COVID-19 cases in the general population, denoting when paramedic-specific IPAC guidance would have been available. RESULTS: Significant variability was observed in worker demographics and which IPAC measures were reportedly used by paramedic services across Canada. Overall, paramedic participants (n=2,828) reported changes being made to all available IPAC measured soon after the pandemic was declared, primarily enhancement and new implementation of specific controls. Most paramedics reported using IPAC measures necessary when caring for COVID-19-infected patients. CONCLUSIONS: Paramedic services across Canada used variable IPAC measures before and during COVID-19. Although most employers were responsive in implementing changes early in the pandemic, validation of which controls are necessary for paramedic workers may lead to more consistent IPAC measures being used by paramedic services.

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)0.002
metaresearch head score (Gemma)0.004
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.026
Threshold uncertainty score0.924

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0020.004
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0010.001
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 head0.012
GPT teacher head0.352
Teacher spread0.340 · 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
Published2025
Admission routes3
Has abstractyes

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