Development of a discharge planning resource for older adult ALC patients
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.
Bibliographic record
Abstract
Background: Providing alternate level of care services in an acute care hospital is not optimal as it introduces an increased risk for patient injury and systemic bottlenecks. Discharge planning is an effective strategy to streamline safe and timely discharge for older adult alternate level of care patients. Purpose: To develop a discharge planning resource to guide interdisciplinary healthcare teams through the discharge process for older adult alternate level of care patients. Methods: An integrative literature review of 10 sources using inductive analysis and synthesis, consultations with Western Memorial Hospital discharge planners, and an environmental scan were conducted. Results: A relevant discharge planning pathway was found during the environmental scan. Findings from the literature review and consultations informed the adaptation of the pathway to a local context. Implications: The discharge planning pathway has been presented to the NL Health Services Clinical Efficiency team as part of a provincial alternate level of care policy that supports the appropriateness of care. Incorporating a consistent approach to discharge planning for older adults may help improve care equity across the province, reduce inappropriate designations, and identify priorities for government initiatives that support care for older adults.
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 imitationNot 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.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.002 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.002 | 0.001 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
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.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it