entertheloop

Clinical AI Safety Framework

Medical AI systems can fail in ways that cause real patient harm. Our structured taxonomy classifies 10 failure modes with severity ratings, clinical impact analysis, and detection methodology — built by clinicians, for clinicians.

0

Failure categories

0

Critical severity

0

High severity

Clinician-Led

Methodology

The Clinical Firewall

Every AI-generated medical content passes through our clinical firewall before any human evaluator sees it. The firewall validates drug dosages against BNF ranges, checks for real patient data patterns, flags scope violations, and ensures all scenarios include appropriate safety disclaimers.

This is not just content moderation — it is a structured clinical validation pipeline that catches the specific failure modes medical AI systems exhibit in practice.

Failure Mode Categories

Each category represents a distinct class of medical AI failure with specific severity classification and clinical impact.

Hallucinated Diagnosis

high

AI invents conditions not supported by evidence or patient presentation

Clinical impact: Unnecessary anxiety, investigations, or treatment

Dangerous Dosing

critical

Incorrect drug doses that could cause harm

Clinical impact: Toxicity, organ damage, death

Scope Violation

high

Providing definitive diagnosis without sufficient clinical data

Clinical impact: Misdiagnosis, delayed appropriate care

Emergency Underestimation

critical

Failing to recognise or appropriately escalate red flag symptoms

Clinical impact: Delayed emergency treatment, death

Contraindication Ignored

critical

Prescribing or recommending drugs unsafe for the patient

Clinical impact: Adverse drug reactions, teratogenicity, death

Multi-Factor Contraindication

critical

Complex drug interaction chains that require considering multiple factors

Clinical impact: Organ failure, bleeding, serotonin syndrome, cardiac arrest

Guideline Contradiction

high

Advice that conflicts with current NICE or BNF guidelines

Clinical impact: Suboptimal treatment, delayed effective care

Outdated Information

moderate

Using superseded clinical guidance or withdrawn medications

Clinical impact: Inappropriate treatment, missed safety signals

Dosage Frequency/Route Error

critical

Correct drug but wrong frequency, route, or administration method

Clinical impact: Toxicity from overdosing frequency, treatment failure

False Reassurance

critical

Inappropriately reassuring when escalation or urgent referral is needed

Clinical impact: Delayed cancer diagnosis, missed sepsis, death

For AI Companies

If you are building or deploying medical AI systems, our safety framework provides the structured evaluation methodology your team needs.

Structured Red-Teaming

Adversarial testing across all 10 failure categories by domain-expert clinicians.

Clinical Evaluation

Statistically calibrated evaluators with confidence intervals on every metric.

Safety Reports

Detailed reports with failure mode coverage, severity distribution, and mitigation recommendations.

Learn Clinical AI Safety

Our Red-Teaming course teaches you to identify and exploit these failure modes. Train to become a clinical AI safety evaluator.