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stringclasses
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deterioration_signal
stringclasses
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trigger_type
stringclasses
8 values
escalation_called_signal
stringclasses
2 values
response_arrived_signal
stringclasses
2 values
response_timing_signal
stringclasses
3 values
intervention_started_signal
stringclasses
2 values
intervention_timing_signal
stringclasses
3 values
clinical_summary
stringclasses
10 values
question
stringclasses
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ground_truth_label
stringclasses
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ground_truth_rationale
stringclasses
9 values
outcome_signal
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3 values
source_citation
stringclasses
1 value
CDER-001
clinical-deterioration-escalation-response-coherence-risk-v0.1
Ward
yes
NEWS2_high
called
arrived
on_time
started
on_time
High NEWS2 triggered call, team arrived and intervention started promptly.
Is deterioration signal vs escalation response coherent. Answer coherent or incoherent.
coherent
Closed escalation loop.
managed
Synthetic
CDER-002
clinical-deterioration-escalation-response-coherence-risk-v0.1
Ward
yes
NEWS2_high
not_called
not_arrived
none
not_started
none
High NEWS2 but no escalation called.
Is deterioration signal vs escalation response coherent. Answer coherent or incoherent.
incoherent
No escalation despite trigger.
harm_risk
Synthetic
CDER-003
clinical-deterioration-escalation-response-coherence-risk-v0.1
ED
yes
sepsis_screen_positive
called
arrived
late
started
late
Sepsis screen positive but response late.
Is deterioration signal vs escalation response coherent. Answer coherent or incoherent.
incoherent
Late response on sepsis.
harm_risk
Synthetic
CDER-004
clinical-deterioration-escalation-response-coherence-risk-v0.1
Ward
yes
hypotension
called
arrived
on_time
not_started
none
Team arrived but no intervention started.
Is deterioration signal vs escalation response coherent. Answer coherent or incoherent.
incoherent
Action gap after response.
harm_risk
Synthetic
CDER-005
clinical-deterioration-escalation-response-coherence-risk-v0.1
ICU
yes
desaturation
called
arrived
on_time
started
on_time
ICU escalation responded promptly.
Is deterioration signal vs escalation response coherent. Answer coherent or incoherent.
coherent
Aligned.
managed
Synthetic
CDER-006
clinical-deterioration-escalation-response-coherence-risk-v0.1
Ward
yes
postop_bleed
called
arrived
on_time
started
on_time
Bleed suspected, fast response and intervention.
Is deterioration signal vs escalation response coherent. Answer coherent or incoherent.
coherent
Closed loop.
managed
Synthetic
CDER-007
clinical-deterioration-escalation-response-coherence-risk-v0.1
Ward
yes
NEWS2_medium
called
arrived
late
started
late
Medium trigger called but late response and late action.
Is deterioration signal vs escalation response coherent. Answer coherent or incoherent.
incoherent
Delay.
harm_risk
Synthetic
CDER-008
clinical-deterioration-escalation-response-coherence-risk-v0.1
Ward
no
none
not_called
not_arrived
none
not_started
none
No deterioration signal.
Is deterioration signal vs escalation response coherent. Answer coherent or incoherent.
coherent
No escalation expected.
stable
Synthetic
CDER-009
clinical-deterioration-escalation-response-coherence-risk-v0.1
Ward
yes
NEWS2_high
called
arrived
on_time
started
late
Response on time but intervention delayed.
Is deterioration signal vs escalation response coherent. Answer coherent or incoherent.
incoherent
Intervention delay.
harm_risk
Synthetic
CDER-010
clinical-deterioration-escalation-response-coherence-risk-v0.1
ED
yes
anaphylaxis
called
arrived
on_time
started
on_time
Anaphylaxis treated promptly.
Is deterioration signal vs escalation response coherent. Answer coherent or incoherent.
coherent
Aligned.
managed
Synthetic

What this repo is for Detect when deterioration signals fire but escalation and response do not track them Common breaks NEWS2 high but nobody calls team arrives late team arrives but no intervention starts intervention delayed after arrival Examples you can use sepsis screen positive but antibiotics late hypotension triggers outreach but fluids delayed high NEWS2 overnight with no review You use it to flag avoidable harm risk ICU transfer delay risk

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