Educational simulation environment. Do not enter real patient information. AI content supports learning and reflection; it does not replace clinical judgment, local policy, or escalation pathways.

Governance Studio

Every registered artefact has a named human owner and cannot become active without approval. Change history is append-only and visible to educators.

Approval gate

Transparency Passports

Nothing activates on its own. A learning signal or pathway stays inactive until a governance administrator approves its passport, and every decision is written to an append-only trail.

0 awaiting approval

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Registry record

Sustained directional change (acute care simulation)

Version
1.3.0
Artefact type
Rule-based learning signal
Human owner
Clinical Nurse Specialist, Acute Care
Approval state
Approved
Equity review
Complete
Demographic / language / SDOH / health-status variables
None used
Transparency Passport

Structured disclosure

Identity and output
Name
Sustained directional change (acute care simulation)
Version
1.3.0
Developer / contact
NurseWise Science Lab — Acute Care CNS
Funding source
Internal education budget
Output type
Transparent learning signal (non-predictive)
Output description
States that three charted streams moved in the same direction
Intended value
Prompts the learner to review context and document reasoning
Purpose and users
Intended use
Education and simulation only
Intended user
Nursing students, staff nurses, educators
Patient population
Synthetic adult inpatients
Care setting
Simulated general medical ward
Decision-making role
None — no clinical decision is supported or automated
Activation state
Active in simulation environment only
Limitations and contraindications to use
  • · Not validated, not a risk score, not a predictor
  • · Sensitive to irregular charting intervals
  • · Ignores medication, activity, device accuracy and personal baseline
  • · Must not be deployed against production records without formal regulatory, legal, clinical and organisational review
Audit

Change history

  1. 2026-02-18
    Added explicit missing-data display to signal detail
    Acute Care CNS
  2. 2025-12-04
    Equity review completed — no demographic inputs
    AI Governance Administrator
  3. 2025-10-30
    Initial approval for simulation use
    AI Governance Committee

Audit entries cannot be deleted. Content changes are surfaced to educators rather than applied silently.