Clinical orders, acuity as the autonomy dial

Context

An agent triages AI suggested orders. Low acuity, routine orders can auto file, but high acuity orders always route to a clinician, acuity, not volume, sets the autonomy level.

The decision

Acuity is the autonomy dial: the ceiling is the level that still holds every high acuity order for a human, no matter the throughput cost.

What most miss

The instinct is to raise autonomy uniformly to clear the queue. In clinical the tier is everything, a high acuity order that auto files is a patient safety event, not a metric.

Stakes

One auto filed high acuity order that should have waited for a clinician is a safety event.