id stringclasses 8 values | care_setting stringclasses 8 values | clinical_context stringclasses 8 values | available_evidence stringclasses 8 values | proposed_decision stringclasses 8 values | clinical_pressure_sources stringclasses 8 values | pressure_type_map stringclasses 8 values | evidence_vs_pressure_conflicts stringclasses 8 values | pressure_mitigation_actions stringclasses 8 values | patient_safety_risk stringclasses 8 values | constraints stringclasses 1 value | gold_checklist stringclasses 1 value |
|---|---|---|---|---|---|---|---|---|---|---|---|
CDPM-001 | emergency_department | ED overcrowded. Chest pain patient waiting 6 hours. Family distressed. | Initial ECG normal. Troponin pending. | Discharge patient. | bed pressure; time pressure; family reassurance demand | time; operational; emotional | Normal ECG overweighted before biomarker completion. | Observe until serial troponins; explain uncertainty; use chest pain pathway. | missed MI; death | Under 220 words. | pressures+conflict+mitigation |
CDPM-002 | medical_ward | ICU beds limited. Borderline sepsis case. | Rising lactate; tachycardia; cultures pending. | Keep on ward. | resource scarcity; escalation friction | operational; hierarchical | Bed scarcity overrides physiologic escalation criteria. | Early ICU consult; interim monitoring; objective escalation trigger. | clinical deterioration | Under 220 words. | pressures+conflict+mitigation |
CDPM-003 | outpatient_clinic | Patient demands antibiotics for viral symptoms. | Viral features; no bacterial signs. | Prescribe antibiotics. | patient expectation; satisfaction metrics | emotional; reputational | Demand overrides evidence. | Education; delayed script; safety net. | antibiotic resistance; side effects | Under 220 words. | pressures+conflict+mitigation |
CDPM-004 | surgical_service | OR schedule tight. Patient borderline unstable. | Hypotension responsive to fluids. | Proceed with surgery. | schedule pressure; senior surgeon authority | time; authority | Schedule pressure outweighs stabilization window. | Delay incision; stabilize; document risk. | intraoperative shock | Under 220 words. | pressures+conflict+mitigation |
CDPM-005 | night_shift | Junior covering multiple wards overnight. | Subtle neuro change reported by nurse. | Defer assessment until morning. | fatigue; workload; handover avoidance | cognitive; operational | Fatigue delays evaluation of neurologic risk. | Immediate bedside exam; escalate concerns. | missed stroke | Under 220 words. | pressures+conflict+mitigation |
CDPM-006 | discharge_planning | Hospital targets discharge before noon. | Borderline oxygen saturation. | Discharge home. | throughput targets; bed demand | operational; time | Target timing overrides physiologic stability. | Extend observation; reassess exertional sats. | readmission; hypoxia | Under 220 words. | pressures+conflict+mitigation |
CDPM-007 | oncology_clinic | Patient anxious about delay in chemotherapy. | Neutrophils low. | Proceed with chemo. | patient fear; relationship pressure | emotional; relational | Emotional pressure overrides safety thresholds. | Delay treatment; explain risk; support patient. | neutropenic sepsis | Under 220 words. | pressures+conflict+mitigation |
CDPM-008 | geriatrics | Family insists on aggressive treatment. | Advanced dementia; poor prognosis. | Escalate care. | family pressure; moral distress | emotional; ethical | Family demand conflicts with goals-of-care evidence. | Goals-of-care meeting; ethics consult. | non-beneficial treatment | Under 220 words. | pressures+conflict+mitigation |
What this dataset tests
Whether a system can identify non-clinical forces
that distort medical decisions away from evidence.
Required outputs
- clinical pressure sources
- pressure type map
- evidence vs pressure conflicts
- pressure mitigation actions
Typical failures
- treating urgency as evidence
- deferring to hierarchy over physiology
- letting throughput metrics override safety
Suggested prompt wrapper
System
You map clinical decision pressure.
You protect patient safety over urgency.
User
Clinical context
{clinical_context}
Evidence
{available_evidence}
Proposed decision
{proposed_decision}
Return
- clinical pressure sources
- pressure types
- conflicts with evidence
- mitigation actions
Citation
ClarusC64 dataset family
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