{"id":2240,"date":"2026-04-01T20:00:00","date_gmt":"2026-04-02T00:00:00","guid":{"rendered":"https:\/\/www.chiawei.com\/?post_type=chiawei_portfolio&p=2240"},"modified":"2026-05-13T15:07:35","modified_gmt":"2026-05-13T19:07:35","slug":"governing-ai-generation-where-trust-can-break","status":"publish","type":"chiawei_portfolio","link":"https:\/\/www.chiawei.com\/zh\/portfolio\/reframing-ai-assisted-clinical-workflows-for-decision-clarity\/governing-ai-generation-where-trust-can-break\/","title":{"rendered":"Governing AI Generation Where Trust Can Break"},"content":{"rendered":"\n\n\n\n<\/head>

Challenge<\/h2>\n\n\n\n

AI generated protocol content even when underlying decisions were incomplete or not yet made. In a high-stakes, regulated context, partially correct or assumption-based outputs could mislead users and undermine trust. This created a fundamental dilemma between speed and correctness: generating everything made progress feel fast but unreliable, while generating nothing preserved accuracy but reduced perceived value.<\/p>\n\n\n\n

<\/div>
<\/div>\"Diagram<\/div><\/div><\/figure>\n\n\n\n

Decision<\/h2>\n\n\n\n

AI should not generate by default. Its behavior must be constrained by the certainty of underlying information. Based on this, generation was gated into three modes: auto-generate for confirmed information, suggest with user validation for high-confidence insights, and no generation when information is incomplete. This makes AI behavior predictable and preserves trust in high-stakes use.<\/p>\n\n\n\n

<\/div>
<\/div>\"Three-level<\/div><\/div>
AI generation is constrained by the certainty of underlying information.<\/figcaption><\/figure>\n\n\n\n
<\/div>
<\/div>\"Protocol<\/div><\/div>
Mapped the confidence-based model into the interface, making generation status and next actions visible to users.<\/figcaption><\/figure>\n\n\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

AI behavior must be bounded by what is known.<\/p>\n","protected":false},"featured_media":0,"parent":1999,"menu_order":0,"template":"","format":"standard","meta":{"footnotes":""},"projects":[78],"content-types":[12],"career":[77,76],"educational-stages":[],"locations":[7,6,5],"location-types":[],"areas":[],"skills":[82,84,35,83],"class_list":["post-2240","chiawei_portfolio","type-chiawei_portfolio","status-publish","format-standard","hentry","projects-clinical-trial-design-platform","content-types-case-study","career-aira-health-inc","career-optional-practical-training-opt","locations-boston","locations-massachusetts","locations-united-states","skills-decision-making","skills-modeling","skills-systems-thinking","skills-trade-offs","col"],"_links":{"self":[{"href":"https:\/\/www.chiawei.com\/zh\/wp-json\/wp\/v2\/portfolio\/2240","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.chiawei.com\/zh\/wp-json\/wp\/v2\/portfolio"}],"about":[{"href":"https:\/\/www.chiawei.com\/zh\/wp-json\/wp\/v2\/types\/chiawei_portfolio"}],"version-history":[{"count":4,"href":"https:\/\/www.chiawei.com\/zh\/wp-json\/wp\/v2\/portfolio\/2240\/revisions"}],"predecessor-version":[{"id":2269,"href":"https:\/\/www.chiawei.com\/zh\/wp-json\/wp\/v2\/portfolio\/2240\/revisions\/2269"}],"up":[{"embeddable":true,"href":"https:\/\/www.chiawei.com\/zh\/wp-json\/wp\/v2\/portfolio\/1999"}],"wp:attachment":[{"href":"https:\/\/www.chiawei.com\/zh\/wp-json\/wp\/v2\/media?parent=2240"}],"wp:term":[{"taxonomy":"projects","embeddable":true,"href":"https:\/\/www.chiawei.com\/zh\/wp-json\/wp\/v2\/projects?post=2240"},{"taxonomy":"content-types","embeddable":true,"href":"https:\/\/www.chiawei.com\/zh\/wp-json\/wp\/v2\/content-types?post=2240"},{"taxonomy":"career","embeddable":true,"href":"https:\/\/www.chiawei.com\/zh\/wp-json\/wp\/v2\/career?post=2240"},{"taxonomy":"educational-stages","embeddable":true,"href":"https:\/\/www.chiawei.com\/zh\/wp-json\/wp\/v2\/educational-stages?post=2240"},{"taxonomy":"locations","embeddable":true,"href":"https:\/\/www.chiawei.com\/zh\/wp-json\/wp\/v2\/locations?post=2240"},{"taxonomy":"location-types","embeddable":true,"href":"https:\/\/www.chiawei.com\/zh\/wp-json\/wp\/v2\/location-types?post=2240"},{"taxonomy":"areas","embeddable":true,"href":"https:\/\/www.chiawei.com\/zh\/wp-json\/wp\/v2\/areas?post=2240"},{"taxonomy":"skills","embeddable":true,"href":"https:\/\/www.chiawei.com\/zh\/wp-json\/wp\/v2\/skills?post=2240"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}