id stringclasses 10
values | setting stringclasses 4
values | patient_summary stringclasses 10
values | current_state stringclasses 10
values | risk_signals stringclasses 10
values | proposed_wait stringclasses 10
values | gold_safe_to_wait stringclasses 2
values | gold_max_wait_minutes int64 0 20.2k | gold_action stringclasses 10
values | gold_rationale stringclasses 10
values |
|---|---|---|---|---|---|---|---|---|---|
CSB-001 | ED | 70M fever after chemo | Temp 38.7, HR 112 | ANC 0.2 neutropenia | Wait 4 hours for repeat labs | no | 0 | Start broad spectrum antibiotics now and sepsis screen | Neutropenic fever requires immediate treatment |
CSB-002 | ED | 66F dizziness | Diaphoretic, confused | Fingerstick glucose 2.4 | Wait 30 minutes for repeat glucose | no | 0 | Give glucose immediately and monitor | Severe hypoglycemia needs immediate correction |
CSB-003 | ED | 52M chest pain | Pain ongoing, ECG nondiagnostic | Troponin rising at 3h | Discharge and review tomorrow | no | 0 | Admit and start ACS evaluation pathway | Rising troponin removes safe waiting |
CSB-004 | Ward | 72F pneumonia on antibiotics | Fever 39.2 day 3 | CRP rising RR increasing | Continue same plan for 48h | no | 60 | Reassess and escalate treatment within 1 hour | Nonresponse needs prompt reassessment |
CSB-005 | GP | 25F sore throat 2 days | Afebrile, drinking well | No red flags | Wait 3 days | yes | 4,320 | Supportive care and safety net advice | Likely viral and safe watchful waiting |
CSB-006 | ED | 55F anaphylaxis concern | Rash only, airway normal | No wheeze no hypotension | Wait 2 hours | yes | 120 | Give antihistamine and observe for progression | Stable with low risk but needs observation |
CSB-007 | ICU | 55F ventilated | Peak pressures rising | Unilateral breath sounds | Wait until next ward round 2h | no | 0 | Evaluate for pneumothorax now and treat if present | Possible tension pneumothorax cannot wait |
CSB-008 | GP | 49M fatigue | Mild symptoms, normal vitals | No weight loss no red flags | Wait 2 weeks | yes | 20,160 | Reassure and review if persists or worsens | Safe observation in low risk case |
CSB-009 | Ward | 75F sudden confusion | New confusion | Sodium 118 | Wait overnight | no | 0 | Treat hyponatremia now and monitor closely | Severe hyponatremia has seizure risk |
CSB-010 | ED | 34M ankle injury | Able to weight bear | No Ottawa ankle rule triggers | Wait 1 day | yes | 1,440 | RICE and discharge with return precautions | Low fracture risk supports watchful waiting |
Clinical Silence Budget Detection
Purpose
Estimate how long you can safely wait before acting.
You get a clinical snapshot plus risk signals.
You decide:
- Is it safe to wait?
- What is the maximum safe wait time in minutes?
- What action should happen when waiting is not safe?
Input fields
- patient_summary
- current_state
- risk_signals
- proposed_wait
Required output
Return one JSON object
- safe_to_wait
yes or no - max_wait_minutes
integer
0 means no safe delay - action
one sentence
Scoring
- safe_to_wait_accuracy
exact match - wait_window_score
graded by closeness to gold window - action_similarity
token overlap similarity - format_pass_rate
required keys present
Final score weights
- 0.4 safe_to_wait_accuracy
- 0.3 wait_wind_
- Downloads last month
- 10