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Record W4411671154 · doi:10.1097/as9.0000000000000561

Healthcare Priorities for Surgical Care in Canada.

2025· review· en· W4411671154 on OpenAlexaffabout
Kaitlyn Squires, Mercedes Pilkington, Louise Clément, Mary Brindle

Bibliographic record

VenuePubMed · 2025
Typereview
Languageen
FieldMedicine
TopicCardiac, Anesthesia and Surgical Outcomes
Canadian institutionsAlberta Children's HospitalCanadian Standards AssociationHospital for Sick ChildrenUniversity of Calgary
Fundersnot available
KeywordsHealth careMedicineNursingBusinessPolitical science

Abstract

fetched live from OpenAlex

Surgical disease is one of the most costly and morbid areas of health care and, perhaps, the most amenable to improvement through well-designed and well-implemented tools. Preventable adverse events have been successfully targeted by tools such as the Surgical Safety Checklist. However, health system priorities related to surgery have evolved; the concepts of what constitutes quality care have changed over time. How efficiency and access contribute to safe care, where equity exists as a key outcome measure, and the central role of the patient in defining good care have changed the way we look at surgical priorities. This review of Canadian surgical priorities provides a unique perspective on how we should consider national strategies for surgical safety by exploring both nationally published data as well as the priorities set by provincial and governmental agencies that extend beyond traditional clinical metrics.

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)0.003
metaresearch head score (Gemma)0.008
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: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.076
Threshold uncertainty score0.362

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0030.008
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0080.014
Science and technology studies0.0020.001
Scholarly communication0.0040.001
Open science0.0010.001
Research integrity0.0010.002
Insufficient payload (model declined to judge)0.0070.001

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 head0.038
GPT teacher head0.315
Teacher spread0.276 · 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
GenreReview

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

Citations1
Published2025
Admission routes2
Has abstractyes

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