12Health systemsBelow the top 20
An advance directive the scribe misheard
CapabilityDomain knowledgeImpact domainBoth
Statement (NASA form)
Given that ambient notes already enter the chart, there is a possibility of end-of-life wishes filed wrong resulting in the last instruction as a transcription error.
Likelihood
2Remote
Consequence
5Catastrophic
Urgency
2Planned
Personal slice · health_self. Experimental household card. Not a certified finding.
Composite 12 = 2×5 + 2
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