Merge remote-tracking branch 'forgejo/extract/2026-03-22-openevidence-sutter-health-epic-integration'

# Conflicts:
#	domains/health/OpenEvidence became the fastest-adopted clinical technology in history reaching 40 percent of US physicians daily within two years.md
#	domains/health/human-in-the-loop clinical AI degrades to worse-than-AI-alone because physicians both de-skill from reliance and introduce errors when overriding correct outputs.md
#	inbox/archive/health/2026-03-22-openevidence-sutter-health-epic-integration.md

inbox/archive/health/2026-03-22-openevidence-sutter-health-epic-integration.md

@@ -8,8 +8,13 @@ domain: health
 secondary_domains: [ai-alignment]
 format: press release
 status: processed
+status: enrichment
 priority: medium
 tags: [openevidence, sutter-health, epic-ehr, clinical-ai, ehr-integration, workflow-ai, automation-bias, california]
+processed_by: vida
+processed_date: 2026-03-22
+enrichments_applied: ["OpenEvidence became the fastest-adopted clinical technology in history reaching 40 percent of US physicians daily within two years.md", "human-in-the-loop clinical AI degrades to worse-than-AI-alone because physicians both de-skill from reliance and introduce errors when overriding correct outputs.md"]
+extraction_model: "anthropic/claude-sonnet-4.5"
 ---
 
 ## Content
@@ -56,3 +61,12 @@ Announced February 11, 2026: Sutter Health (one of California's largest health s
 PRIMARY CONNECTION: Session 9 finding on OpenEvidence scale (30M+ monthly consultations, valuation-evidence asymmetry)
 WHY ARCHIVED: First major EHR integration of OE — changes the automation bias risk profile from standalone app to in-workflow embedded tool; no safety evaluation mentioned pre-deployment
 EXTRACTION HINT: Focus on the governance gap: EHR embedding without prospective safety validation. This is a structural claim about how health system procurement decisions interact with clinical AI safety evidence requirements.
+
+
+## Key Facts
+- Sutter Health operates 30 hospitals and 900+ care centers in California
+- Sutter Health has approximately 12,000 affiliated physicians
+- Sutter Health serves approximately 3.3 million patients annually
+- OpenEvidence-Sutter Health integration announced February 11, 2026
+- Integration enables natural-language search for guidelines, peer-reviewed studies, and clinical evidence within Epic EHR
+- Stated goal includes 'advance healthcare sustainability and medical AI safety'

inbox/queue/.extraction-debug/2026-03-22-openevidence-sutter-health-epic-integration.json

@@ -0,0 +1,36 @@
+{
+  "rejected_claims": [
+    {
+      "filename": "ehr-embedded-clinical-ai-increases-automation-bias-risk-compared-to-standalone-tools.md",
+      "issues": [
+        "missing_attribution_extractor"
+      ]
+    },
+    {
+      "filename": "health-system-procurement-bypasses-clinical-ai-safety-validation-when-tools-are-framed-as-information-not-diagnosis.md",
+      "issues": [
+        "missing_attribution_extractor"
+      ]
+    }
+  ],
+  "validation_stats": {
+    "total": 2,
+    "kept": 0,
+    "fixed": 6,
+    "rejected": 2,
+    "fixes_applied": [
+      "ehr-embedded-clinical-ai-increases-automation-bias-risk-compared-to-standalone-tools.md:set_created:2026-03-22",
+      "ehr-embedded-clinical-ai-increases-automation-bias-risk-compared-to-standalone-tools.md:stripped_wiki_link:human-in-the-loop clinical AI degrades to worse-than-AI-alon",
+      "ehr-embedded-clinical-ai-increases-automation-bias-risk-compared-to-standalone-tools.md:stripped_wiki_link:OpenEvidence became the fastest-adopted clinical technology ",
+      "health-system-procurement-bypasses-clinical-ai-safety-validation-when-tools-are-framed-as-information-not-diagnosis.md:set_created:2026-03-22",
+      "health-system-procurement-bypasses-clinical-ai-safety-validation-when-tools-are-framed-as-information-not-diagnosis.md:stripped_wiki_link:healthcare AI regulation needs blank-sheet redesign because ",
+      "health-system-procurement-bypasses-clinical-ai-safety-validation-when-tools-are-framed-as-information-not-diagnosis.md:stripped_wiki_link:OpenEvidence became the fastest-adopted clinical technology "
+    ],
+    "rejections": [
+      "ehr-embedded-clinical-ai-increases-automation-bias-risk-compared-to-standalone-tools.md:missing_attribution_extractor",
+      "health-system-procurement-bypasses-clinical-ai-safety-validation-when-tools-are-framed-as-information-not-diagnosis.md:missing_attribution_extractor"
+    ]
+  },
+  "model": "anthropic/claude-sonnet-4.5",
+  "date": "2026-03-22"
+}