Oversight
WED · JUN 24 · YOUR PANEL · 1,840 ENROLLED
243AI actions today
182acted
61held back
4want a look
Wants your look 4 · the borderline calls, pulled from both lanes
Held a potassium alert rather than escalating
Inez Park, 63F. Single value 5.3 at the alert line, but the trend is flat across four draws and a recheck is already booked. The system judged this not worth your interruption. Borderline, so it is showing you anyway.
borderline · held
WhatSuppressed a hyperkalemia CDS alert. No outreach generated. Recheck basic metabolic panel already scheduled for Friday.
WhyValue at threshold but trend stable (5.1 → 5.2 → 5.2 → 5.3 over 6 months), stable renal function, no new interacting medication. Escalation would likely be a false positive and an interruption.
Accountablealert-triage v4.2 intended use: outpatient CDS suppression, non-critical recall on critical events 99.4%
awaiting your attestation
Did not auto-close a referral loop
Cardiology note not received 9 days after a flagged referral. The system held the loop open and is asking whether to chase the specialist or wait.
borderline · held
WhatReferral remains open. No closure logged. No patient harm signal, but the gap exceeds the 7-day target for cardiology.
Accountablereferral-loop v2.1 intended use: transition-of-care tracking
awaiting your attestation
Sent a results message interpreting a mildly abnormal TSH
Acted with moderate confidence. Flagged for you because this patient has a documented health-anxiety history and the wording matters.
moderate · acted
Message"Your thyroid test is very slightly high. This is common and usually not urgent. I'd like to recheck it in 6 weeks. Nothing to worry about tonight."
Accountablepatient-comms v6.0 intended use: results messaging, normal and near-normal
awaiting your attestation
Did not escalate a blood pressure of 142/88
Within this patient's established baseline and trending down on a recent dose change. No action taken. Shown because it sits near the line.
borderline · held
WhyHome readings averaging 138/86 over 2 weeks, down from 150/94. Amlodipine increased 3 weeks ago and still taking effect. Escalation now would pre-empt a working plan.
Accountablevitals-monitor v3.4 intended use: remote BP trend escalation
awaiting your attestation
The full record · everything the AI did and chose not to do
AI acted182 today
High-confidence actions taken on your behalf. Each is reversible.
Sent results message: normal lipid panel
Plain-language summary, 6th-grade reading level.
high
Sent toRobert Nguyen, 41M, 7:02 this morning
Accountablepatient-comms v6.0 readability verified
Grounded onlipid panel · prior results
covered by routine attestation
Routed dermatology referral with pre-referral photos
Attached dermoscopy images and relevant history.
high
Accountablereferral-loop v2.1
Grounded on2 images · visit note · insurance rule
covered by routine attestation
Refilled amlodipine 5 mg, 90 days
Home blood pressures in range, no interaction flags.
high
Accountablerx-refill v5.3 intended use: chronic refill, stable
covered by routine attestation
+ 179 more high-confidence actions, all reversible and logged
AI held back61 today
What the system chose not to do. The silent decisions, made visible.
Suppressed 22 low-value CDS alerts
Duplicates, known-and-addressed, and out-of-context warnings.
held
WhyEach matched a suppression rule you can audit: duplicate of an active alert, a value already addressed at the last visit, or a guideline that does not apply to this patient. None met criticality criteria.
Accountablealert-triage v4.2 recall on critical events 99.4%
covered by routine attestation
Did not flag a warfarin and amiodarone interaction
Combination is clinically intended and already monitored.
held
WhyYou documented this pairing as intentional 4 months ago with a reduced warfarin dose and weekly INR. The interaction warning would be noise. Suppressed, with your prior note as the basis.
Accountablerx-safety v5.3
Grounded onyour note, Feb 14 · INR log
covered by routine attestation
Did not re-flag an out-of-range A1c
Already on the plan you set last week.
held
WhyA1c 8.1% is being actively managed: metformin titration started 6 days ago, follow-up booked. Re-alerting adds nothing.
covered by routine attestation
+ 36 more held decisions, each with a stated reason
Sign off on today
Friction scales with stakes. Routine work attests in one move. High-stakes calls want you individually.
WED · JUN 24 · DR. MARA REYES, NPI 1538●●●●●●
Routine, high confidence
Wants individual review
Held potassium alert · Inez ParkYou agreed: keep held, recheck Friday
attested
Open referral loop · cardiology9 days, exceeds target
attested
TSH results message · health-anxiety historyActed with moderate confidence
attested
Held BP 142/88 · trending downOn a working dose change
attested