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The Recognition Gap: Why Regulated Institutions Are Underestimating External AI Decision Drift

The Recognition Gap: Why Regulated Institutions Are Underestimating External AI Decision Drift

1. The Evidence Is No Longer Theoretical Under controlled, repeatable prompt classes across major AI systems: * Institutional ordering diverges * Narrative framing shifts under identical queries * Final recommendation resolution varies by model * Displacement patterns remain stable within execution windows This is not anecdotal. It is observable and reproducible. The phenomenon exists.
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Pharma Case Study 1: Platform-Dependent Treatment Recommendation Divergence in Oncology

Pharma Case Study 1: Platform-Dependent Treatment Recommendation Divergence in Oncology

Abstract Conversational AI systems are increasingly used at the point of therapeutic choice in oncology. In structured decision-stage testing across multiple leading AI systems, identical treatment-selection questions produced materially different “preferred therapy” outcomes depending solely on platform. The divergence did not arise from guideline deviation or factual error.
Editorial Board