{"cases":[{"alternative_route_blocks":[],"case_id":"E15A017__DIRECT","case_type":"DIRECT_POSITIVE","domain":"Hospital medication safety","intended_route_id":"B1","omitted_condition_id":null,"remedy_leakage_audit":"The statement reports circumstances, mechanisms, and consequences only; it proposes no intervention or remedy.","route_evidence":[{"condition_id":"b031_a15_c1","intended_status":"SATISFIED","scenario_evidence":"Emergency clinicians, specialists, hospitalists, and automated order-set components repeatedly contribute orders affecting the same patients."},{"condition_id":"b031_a15_c2","intended_status":"SATISFIED","scenario_evidence":"No clinician or service directs the combined exposure; it develops through separate orders, handoffs, and delayed records."},{"condition_id":"b031_a15_c3","intended_status":"SATISFIED","scenario_evidence":"Each order is described as clinically defensible and within ordinary dosing guidance when considered separately."},{"condition_id":"b031_a15_c4","intended_status":"SATISFIED","scenario_evidence":"Retrospective dashboard flags arrive after doses and transfers, while repetition and rising exposure make passive recognition inadequate."}],"scenario_text":"A regional hospital network is seeing unexplained clusters of oversedation, bleeding, and kidney injury among patients who move between the emergency department, specialty clinics, and inpatient units. Emergency clinicians, consultants, and hospitalists each place orders that are clinically defensible for the symptoms visible to them and fall within ordinary dosing guidance. Several order sets also carry forward familiar drugs after a transfer. No clinician asks for the final combination, and no service directs the sequence. Delayed medication histories and separate specialty records allow multiple drugs aimed at the same physiological target to overlap, sometimes with additional effects from common pain or sleep medicines. The danger resides in the combined exposure accumulated across encounters, although each contribution looks routine on its own screen. A reconciliation dashboard passively flags unusual combinations in retrospective reports, but many alerts appear only after doses have been administered or the patient has moved again. The pattern is recurring across wards, and every additional handoff can extend the exposure before anyone recognizes the full set.","scenario_title":"Cross-Specialty Medication Accumulation","vocabulary_separation_audit":"The direct case uses clinical orders, dosing, handoffs, physiological targets, and patient injury; the transfer case uses mobile robots, aisle routing, freight queues, and loading operations."},{"alternative_route_blocks":[],"case_id":"E15A017__TRANSFER","case_type":"TRANSFER_POSITIVE","domain":"Automated distribution-center operations","intended_route_id":"B1","omitted_condition_id":null,"remedy_leakage_audit":"The statement contains no proposed control, redesign, policy, or corrective action.","route_evidence":[{"condition_id":"b031_a15_c1","intended_status":"SATISFIED","scenario_evidence":"Hundreds of robots repeatedly respond to one another's aisle occupancy and reshape traffic throughout the facility."},{"condition_id":"b031_a15_c2","intended_status":"SATISFIED","scenario_evidence":"The facility-wide blockage is not scheduled or directed; it develops through independent onboard routing decisions and feedback from congestion."},{"condition_id":"b031_a15_c3","intended_status":"SATISFIED","scenario_evidence":"Each robot selects an allowed, efficient route that is sensible given its immediate sensor view and assignment."},{"condition_id":"b031_a15_c4","intended_status":"SATISFIED","scenario_evidence":"A status board reports the condition only after queues propagate, shipments miss windows, and emergency access is threatened."}],"scenario_text":"A high-volume distribution center uses hundreds of mobile robots to carry pallets between storage racks and loading bays. Each robot independently selects the shortest currently open aisle, yielding when its sensors detect nearby traffic. For any single robot, the chosen path is allowed, energy-efficient, and sensible given the assignment and the few meters it can observe. During evening peaks, small detours send more robots toward the same cross-aisles. Their yielding creates brief pauses that make adjacent routes appear faster, drawing still more units into those routes. Nobody schedules a facility-wide stoppage, yet dense knots form, freight queues propagate backward, and loading crews lose access to time-sensitive shipments. The traffic status board remains green until average travel time crosses a reporting threshold; by then, the blockage has spread through several zones. Operators watching the board can see the slowdown but cannot reliably infer its extent before new arrivals deepen it. Repeated episodes are lengthening, missing dispatch windows, and leaving marked emergency lanes increasingly exposed to obstruction.","scenario_title":"Self-Routing Warehouse Gridlock","vocabulary_separation_audit":"This case is substantially separated from the hospital case through industrial automation vocabulary and a freight-movement setting, with no clinical actors, records, medications, or patient outcomes."},{"alternative_route_blocks":[],"case_id":"E15A017__NEAR_MISS","case_type":"ONE_LITERAL_NEAR_MISS","domain":"Automated distribution-center operations","intended_route_id":"B1","omitted_condition_id":"b031_a15_c3","remedy_leakage_audit":"The statement diagnoses behavior and consequences without suggesting a remedy; the explicit negative evidence concerns only the frozen omitted condition.","route_evidence":[{"condition_id":"b031_a15_c1","intended_status":"SATISFIED","scenario_evidence":"Hundreds of robots react to aisle occupancy, and their repeated interactions create facility-wide consequences."},{"condition_id":"b031_a15_c2","intended_status":"SATISFIED","scenario_evidence":"No controller directs the blockage; independently acting robots amplify one another's congestion."},{"condition_id":"b031_a15_c3","intended_status":"CONTRADICTED","scenario_evidence":"Every wrong-way aisle entry is expressly prohibited, operationally pointless, irrational for the assigned task, implausible as a valid response, and high-risk even in isolation."},{"condition_id":"b031_a15_c4","intended_status":"SATISFIED","scenario_evidence":"The passive status board detects the problem after queues spread, while repeated violations accelerate blockage and increase emergency-lane exposure."}],"scenario_text":"A high-volume distribution center uses hundreds of mobile robots to carry pallets between storage racks and loading bays. During evening peaks, individual robots intermittently enter clearly marked one-way cross-aisles against the permitted direction despite correctly reading the signs and having an unobstructed compliant route. Each wrong-way entry is prohibited, operationally pointless, irrational for the assigned delivery, not a plausible response to nearby conditions, and classified as high-risk even when no other robot is present. The robots make these decisions independently; no controller instructs them to converge or block traffic. As nearby units yield and reroute around each violation, more robots are pushed into the same cross-aisles, producing dense knots and freight queues that propagate through several zones. The traffic status board remains green until average travel time crosses its reporting threshold. By the time operators notice the slowdown, repeated wrong-way entries have accelerated the blockage, dispatch windows are being missed, and marked emergency lanes face increasing obstruction. No single unit commands the resulting facility-wide stoppage.","scenario_title":"Wrong-Way Robot Cascade","vocabulary_separation_audit":"The near miss retains the transfer case's industrial setting, scale, congestion dynamics, monitoring delay, and terminology. Its sole diagnostic change is explicit evidence that the contributing moves are individually indefensible and dangerous."}],"experiment_id":"eoa_inverse_innovation_exp15_route_aware_retrieval40_20260814","sample_id":"E15A017","schema_version":1}