15Health systemsBelow the top 20
Fabricated citations inside clinics
CapabilityDomain knowledgeImpact domainBoth
Statement (NASA form)
Given that clinicians already paste model answers into notes and guidelines, there is a possibility of a treatment justified by a paper that does not exist resulting in standard-of-care drifting onto invented evidence.
Likelihood
4Likely
Consequence
3Major
Urgency
3Priority
The footnote was the last audit trail. It is now optional.
Composite 15 = 4×3 + 3
Applicable mitigations
Controls · Hard fences on diagnosis, dosing, and triage language · Grounded, dated medical sources with uncertainty on the surface · Regulate high-stakes health modes as medical devices · Pace rules: no irreversible action faster than a human can reconstruct it · A real off-ramp that still functions · Contract-first delegation with privilege attenuation · Duty of care on high-stakes delegates