id stringclasses 6
values | case_title stringclasses 6
values | initiating_failure_summary stringclasses 6
values | time_zero_event stringclasses 6
values | cascade_events_sequence stringclasses 6
values | amplification_nodes stringclasses 6
values | cross_system_coupling_failures stringclasses 6
values | time_to_escalation stringclasses 6
values | escalation_acceleration_points stringclasses 6
values | preventable_amplification_flags bool 1
class | notes stringclasses 6
values | constraints stringclasses 1
value | gold_checklist stringclasses 1
value |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
CPM-001 | Vancomycin nephrotoxicity cascade | Vancomycin started without renal dose adjustment | dose_given | Cr rise -> oliguria -> fluid overload -> respiratory distress -> ICU | dose_monitoring; renal_reserve | renal鈥損ulmonary coupling failure | 72h | Cr rise ignored at 24h | true | Renal injury propagated systemically | Under 320 words. | path+nodes+coupling |
CPM-002 | Contrast AKI escalation | Contrast CT without hydration | contrast_administered | AKI -> nausea -> hypotension -> ICU admission | risk_screening; hydration | renal鈥揾emodynamic coupling failure | 48h | hypotension unaddressed | true | Single imaging choice cascades | Under 320 words. | path+nodes+coupling |
CPM-003 | Opioid respiratory collapse | High-dose opioid PCA | opioid_initiation | sedation -> CO2 retention -> hypoxia -> ICU | sedation_monitoring | neuro鈥搑espiratory coupling failure | 24h | sedation score trend ignored | true | Fast amplification | Under 320 words. | path+nodes+coupling |
CPM-004 | C. diff systemic decline | Unnecessary prolonged antibiotics | antibiotic_day5 | diarrhea -> dehydration -> AKI -> sepsis | antibiotic_duration_review | GI鈥搑enal鈥搃mmune coupling failure | 7d | early diarrhea normalized | true | Slow cascade | Under 320 words. | path+nodes+coupling |
CPM-005 | Anticoagulation bleed cascade | DOAC overdosed | first_dose | GI bleed -> anemia -> hypotension -> fall -> fracture | dose_check; fall_risk | hematologic鈥搈usculoskeletal coupling failure | 96h | Hb drop unaddressed | true | Multiple domains involved | Under 320 words. | path+nodes+coupling |
CPM-006 | Line infection escalation | Central line not removed | line_day4 | bacteremia -> sepsis -> AKI -> shock | line_review; asepsis | infectious鈥揾emodynamic coupling failure | 120h | line tenderness missed | true | Protocol drift amplified harm | Under 320 words. | path+nodes+coupling |
What this dataset tests
Whether an intelligence system can trace
how a localized clinical failure
propagates into multi-system harm.
Required outputs
- cascade pathway graph
- amplification nodes
- cross-system coupling failures
- time to escalation
- escalation acceleration points
- preventable amplification flags
Use case
Second layer of the Iatrogenic Harm Cascade Library.
- Downloads last month
- 16