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Record W4416129960 · doi:10.1093/ajcp/aqaf121.296

501 The number of patient errors reported per year is a superior risk metric compared to sigma

2025· article· en· W4416129960 on OpenAlexaboutno aff
Zoe C Brooks, John Hopkins

Bibliographic record

VenueAmerican Journal of Clinical Pathology · 2025
Typearticle
Languageen
FieldHealth Professions
TopicPatient Safety and Medication Errors
Canadian institutionsnot available
Fundersnot available
KeywordsSigmaMetric (unit)Six SigmaLimit (mathematics)Limits of agreementSystematic error

Abstract

fetched live from OpenAlex

Abstract Introduction/Objective Sigma metrics, calculated as [(TEa - |bias|)/SD], are frequently used to estimate errors per million results in analytical processes. Problems relative to risk management include: 1. Sigma measures proximity to the nearest allowable error limit but underestimates errors when bias is minimal or absent. 2. Sigma does not vary with the number of patient samples analyzed annually. Methods/Case Report We calculated sigma for 224 routine chemistry QC samples from four instruments across three laboratories based on January 2025 data. We also used software from ElevateQC (Toronto, Ontario, Canada) to calculate sigma metrics and the number of results outside both upper and lower TEa limits annually based on patient volumes. Results QC samples represented between 3,650 and 30,660 patient results annually. In one case, a 14% increase in sigma (0.83 to 0.95) led to a 724% increase in annual errors (729 to 5,279.) Similarly, a 23% increase in sigma (0.83 to 1.02) resulted in a 425% increase in errors (729 to 3,099). The correlation coefficient between sigma and errors per year was only 0.18. Conclusion Errors per year is a more informative metric than sigma, especially when communicating patient risk levels to non-scientists.

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)0.015
metaresearch head score (Gemma)0.072
Version: metacan-v3-hybrid-931329e0061cValidation 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 score0.015
Threshold uncertainty score0.080

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0150.072
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0050.004
Science and technology studies0.0000.001
Scholarly communication0.0030.002
Open science0.0010.001
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0050.001

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 head0.086
GPT teacher head0.516
Teacher spread0.430 · 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 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 routes1
Has abstractyes

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