Gunjan ShahContact
Playbookvalidationevidenceclinician-review

Evaluation & real-world validation blueprint

A simple, repeatable structure for evidence-building in high-stakes AI.

Goal

Build evidence that reflects real use.

The blueprint

Step 1 — Define the decision

  • What decision changes?
  • Who is accountable?

Step 2 — Define failure modes

  • What could go wrong?
  • What is the mitigation?

Step 3 — Build a realistic test set

  • Edge cases
  • Missing context
  • Ambiguity

Step 4 — Clinician review loop

  • Structured rubric
  • Disagreement handling
  • Documentation

Step 5 — Workflow-level validation

  • End-to-end user journey
  • Time pressure simulation
  • Adoption friction

Step 6 — Post-launch monitoring

  • Drift signals
  • Incident response
  • Iteration cadence