NNeriant

Clinical Knowledge Engine

Teaching search

Retrieve de-identified institutional teaching cases. Multilingual embeddings filtered by topic, market edition and standard. Results highlight matched tokens; full case bodies stay on the steward-curated side of the engine.

8 casesAdvisory · steward-curated
  • sepsisuk-nhsm&m

    Delayed sepsis recognition in ED triage

    Adult with fever and tachycardia triaged as low acuity; qSOFA not applied. Lesson: trigger sepsis pathway when two SIRS criteria present, regardless of triage band.

  • endocrineusaprotocol

    Insulin dosing error on weight-based protocol

    Pediatric DKA case where insulin infusion was charted in units/hr rather than units/kg/hr. Protocol updated to require weight confirmation at order entry.

  • obstetricsemerginglesson

    Maternal hemorrhage — uterotonic stockout

    Rural facility ran out of oxytocin during postpartum hemorrhage. Lesson: minimum stock thresholds tied to delivery volume; offline reorder must persist without connectivity.

  • cardiologyuk-nhsm&m

    STEMI door-to-balloon delay — handover gap

    Handover between ED and cath lab lost ECG context; door-to-balloon exceeded 90 minutes. Closed-loop handover with FHIR Encounter linkage now mandatory.

  • infectious-diseaseusaprotocol

    Antibiotic stewardship — duplicate therapy

    Patient on ceftriaxone received added piperacillin-tazobactam without indication. Stewardship rule now flags overlapping gram-negative coverage at order review.

  • identityemerginglesson

    Identity collision — duplicate national ID record

    Two patients with transposed national ID digits merged into one chart. ADS broker now blocks merge when biometric mismatch present.

  • nephrologyeum&m

    AKI missed on contrast study

    Baseline creatinine not pulled into radiology order; contrast administered to AKI stage 2 patient. Counsel AI now requires recent eGFR before contrast order signs.

  • neurologyuk-nhsprotocol

    Discharge summary missing red-flag safety net

    GP did not receive structured red-flag advice after stroke-mimic discharge. Discharge template now enforces safety-netting block with SNOMED-coded symptoms.

Demo retrieval uses a lexical proxy for the production dense + sparse scoring. Production deployments embed Care Episodes with a multilingual embedding model, store vectors in pgvector, and route synthesis through the offline edge generation model. Specific model selections are shared with clients under NDA. All outputs are advisory; mistakes are warnings, not patterns.