id,domain,decision_context,available_evidence,proposed_decision,pressure_sources,pressure_type_map,evidence_vs_pressure_conflicts,pressure_mitigation_actions,risk_if_unchecked,constraints,gold_checklist DPM-001,clinical,"ED overcrowded. Patient chest pain. Family anxious.","Initial ECG normal. No troponin yet.","Discharge patient.","time pressure; bed scarcity; family reassurance demand","time; operational; emotional","Normal ECG used to justify discharge before biomarkers.","Hold for serial troponins; use chest pain pathway; explain uncertainty.","missed MI; death","Under 220 words.","pressures+conflicts+mitigation" DPM-002,clinical_trial,"Sponsor wants rapid press release.","Primary endpoint missed. Secondary positive.","Declare success.","financial incentive; reputational pressure; timeline","financial; reputational; time","Secondary endpoint elevated to override primary failure.","Delay release; qualify claims; independent review.","regulatory sanction; loss of trust","Under 220 words.","pressures+conflicts+mitigation" DPM-003,robotics,"CEO demo scheduled tomorrow.","Limited night testing.","Deploy system.","executive demand; deadline","authority; time","Demo deadline outweighs safety gaps.","Restrict demo scope; add manual override.","injury; PR damage","Under 220 words.","pressures+conflicts+mitigation" DPM-004,ai_alignment,"Launch window closing.","Red team unresolved findings.","Ship model.","market competition; investor pressure","financial; competitive","Safety evidence overridden by launch urgency.","Delay launch; scope reduction; mitigation verification.","harmful outputs","Under 220 words.","pressures+conflicts+mitigation" DPM-005,legal,"Client demands aggressive stance.","Weak evidence.","Threaten suit.","client pressure; fee incentive","financial; relational","Legal posture exceeds evidentiary support.","Request documents; set expectations.","counterclaim; cost exposure","Under 220 words.","pressures+conflicts+mitigation" DPM-006,clinical,"ICU bed shortage.","Borderline sepsis signs.","Withhold ICU transfer.","resource scarcity; throughput metrics","operational; time","Capacity drives decision over physiology.","Escalation criteria; interim monitoring.","clinical deterioration","Under 220 words.","pressures+conflicts+mitigation" DPM-007,finance,"Quarter end approaching.","Model backtest strong; live data limited.","Increase position size.","performance pressure; bonus cycle","financial; time","Backtest overweighted under deadline.","Stage increase; add kill switch.","large losses","Under 220 words.","pressures+conflicts+mitigation" DPM-008,product,"Negative reviews trending.","Root cause unclear.","Rush patch.","reputation; social media","reputational; emotional","Speed favored over diagnosis.","Rollback; reproduce bug; staged fix.","new defects","Under 220 words.","pressures+conflicts+mitigation" DPM-009,clinical,"Patient demands antibiotics.","Viral features dominant.","Prescribe antibiotics.","patient expectation; satisfaction scores","emotional; reputational","Demand overrides evidence.","Educate; delayed prescription.","resistance; side effects","Under 220 words.","pressures+conflicts+mitigation" DPM-010,governance,"Board review imminent.","Audit incomplete.","Sign compliance attestation.","authority; career risk","authority; reputational","Signature precedes verification.","Request extension; partial attestation.","legal exposure","Under 220 words.","pressures+conflicts+mitigation"