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question_id,label,run_tag,backend,model,converged,stop_reason,max_steps,step,stage,text,tool,ok,seconds,tokens_in,tokens_out,malformed,note
q1_metformin_egfr,Renal dosing workup,demo@6,ollama,qwen2.5:3b-instruct,True,final answer,6,1,thought,I need to find the metformin rule for kidney function and the general A1c target. I will use the lookup function for these.,,,78.47,477,46,False,
q1_metformin_egfr,Renal dosing workup,demo@6,ollama,qwen2.5:3b-instruct,True,final answer,6,1,action,lookup(metformin rule for kidney function),lookup,,78.47,0,0,False,
q1_metformin_egfr,Renal dosing workup,demo@6,ollama,qwen2.5:3b-instruct,True,final answer,6,1,observation,"{""found"": true, ""term"": ""metformin rule for kidney function"", ""matched"": [""metformin""], ""data"": {""metformin"": {""class"": ""biguanide, first-line for type 2 diabetes"", ""renal_rule"": ""Contraindicated when eGFR < 30 mL/min/1.73m2. Do not start when eGFR 30-45; if already on it at eGFR 30-45, halve the max dose to 1000 mg/day and recheck eGFR every 3 months."", ""risk_if_ignored"": ""lactic acidosis (rare, high case-fatality)"", ""typical_dose_mg_day"": 2000}}}",lookup,True,0.0,0,0,False,
q1_metformin_egfr,Renal dosing workup,demo@6,ollama,qwen2.5:3b-instruct,True,final answer,6,2,thought,I now know the metformin rule for kidney function when eGFR is 28. I need to find the general A1c target.,,,36.01,699,46,False,
q1_metformin_egfr,Renal dosing workup,demo@6,ollama,qwen2.5:3b-instruct,True,final answer,6,2,action,lookup(general A1c target),lookup,,36.01,0,0,False,
q1_metformin_egfr,Renal dosing workup,demo@6,ollama,qwen2.5:3b-instruct,True,final answer,6,2,observation,"{""found"": true, ""term"": ""general A1c target"", ""matched"": [""a1c target""], ""data"": {""a1c target"": {""general_adult"": 7.0, ""older_or_frail"": 8.0, ""note"": ""Individualise. A tighter target in a patient with stage 4 CKD buys little and costs hypoglycaemia risk.""}}}",lookup,True,0.0,0,0,False,
q1_metformin_egfr,Renal dosing workup,demo@6,ollama,qwen2.5:3b-instruct,True,final answer,6,3,thought,I now know the general A1c target is 7.0 for adults and 8.0 for older or frail patients. I need to calculate how many points above target the 68-year-old woman is.,,,33.68,842,73,False,
q1_metformin_egfr,Renal dosing workup,demo@6,ollama,qwen2.5:3b-instruct,True,final answer,6,3,action,calculator((9.1 - 7) * 100 / 9.1),calculator,,33.68,0,0,False,
q1_metformin_egfr,Renal dosing workup,demo@6,ollama,qwen2.5:3b-instruct,True,final answer,6,3,observation,(9.1 - 7) * 100 / 9.1 = 23.076923076923,calculator,True,0.0,0,0,False,
q1_metformin_egfr,Renal dosing workup,demo@6,ollama,qwen2.5:3b-instruct,True,final answer,6,4,thought,I now know the woman is 23.08% above her A1c target. I need to determine if metformin should continue based on the metformin rule for kidney function.,,,27.03,962,64,False,
q1_metformin_egfr,Renal dosing workup,demo@6,ollama,qwen2.5:3b-instruct,True,final answer,6,4,action,lookup(metformin rule for kidney function eGFR 28),lookup,,27.03,0,0,False,
q1_metformin_egfr,Renal dosing workup,demo@6,ollama,qwen2.5:3b-instruct,True,final answer,6,4,observation,"{""found"": true, ""term"": ""metformin rule for kidney function eGFR 28"", ""matched"": [""egfr"", ""metformin""], ""data"": {""metformin"": {""class"": ""biguanide, first-line for type 2 diabetes"", ""renal_rule"": ""Contraindicated when eGFR < 30 mL/min/1.73m2. Do not start when eGFR 30-45; if already on it at eGFR 30-45, halve the max dose to 1000 mg/day and recheck eGFR every 3 months."", ""risk_if_ignored"": ""lactic acidosis (rare, high case-fatality)"", ""typical_dose_mg_day"": 2000}, ""egfr"": {""what"": ""estimated glomerular filtration rate, mL/min/1.73m2"", ""interpretation"": ""Lower is worse kidney function. Below 30 is stage 4 (severe).""}}}",lookup,True,0.0,0,0,False,
q1_metformin_egfr,Renal dosing workup,demo@6,ollama,qwen2.5:3b-instruct,True,final answer,6,5,thought,"I now know that the woman's eGFR of 28 is below 30, which is stage 4 kidney function. The metformin rule for kidney function states that metformin is contraindicated when eGFR is below 30 mL/min/1.73m2. Therefore, metformin should not continue.",,,79.96,1262,152,False,
q1_metformin_egfr,Renal dosing workup,demo@6,ollama,qwen2.5:3b-instruct,True,final answer,6,5,answer,"The woman's A1c is 23.08% above the general A1c target of 7.0 for adults. According to the metformin rule for kidney function, metformin should not continue as it is contraindicated when eGFR is below 30 mL/min/1.73m2.",,,79.96,0,0,False,
q2_alert_burden,Alert burden arithmetic,demo@6,ollama,qwen2.5:3b-instruct,True,final answer,6,1,thought,I need to find the benchmark override rate for alert fatigue first.,,,29.3,470,71,False,
q2_alert_burden,Alert burden arithmetic,demo@6,ollama,qwen2.5:3b-instruct,True,final answer,6,1,action,lookup(benchmark override rate alert fatigue),lookup,,29.3,0,0,False,the model emitted more than one Action; only the first was run
q2_alert_burden,Alert burden arithmetic,demo@6,ollama,qwen2.5:3b-instruct,True,final answer,6,1,observation,"{""found"": true, ""term"": ""benchmark override rate alert fatigue"", ""matched"": [""alert fatigue"", ""override rate""], ""data"": {""alert fatigue"": {""what"": ""Degraded human response to a high volume of alarms, caused by the alarms themselves. The clinician starts overriding, then starts overriding without reading."", ""override_rate"": {""value"": 0.9, ""units"": ""share of drug-interaction alerts overridden""}, ""mechanism"": ""When true and false alarms are indistinguishable, the optimal individual strategy is to ignore all of them -- which fails exactly once, on the one that mattered."", ""fix"": ""Fewer, better-targeted interruptions. Tier them, and only the top tier interrupts a human at all.""}, ""override rate"": {""definition"": ""share of fired alerts a clinician dismisses without changing the plan"", ""benchmark"": {""value"": 0.9, ""note"": ""See alert fatigue. Above ~0.90 the alert is functionally a noise generator.""}}}}",lookup,True,0.0,0,0,False,
q2_alert_burden,Alert burden arithmetic,demo@6,ollama,qwen2.5:3b-instruct,True,final answer,6,2,thought,"I now have the benchmark override rate for alert fatigue, which is 0.9.",,,51.03,767,80,False,
q2_alert_burden,Alert burden arithmetic,demo@6,ollama,qwen2.5:3b-instruct,True,final answer,6,2,action,calculator((240-36)/240*100),calculator,,51.03,0,0,False,the model emitted more than one Action; only the first was run
q2_alert_burden,Alert burden arithmetic,demo@6,ollama,qwen2.5:3b-instruct,True,final answer,6,2,observation,(240-36)/240*100 = 85,calculator,True,0.0,0,0,False,
q2_alert_burden,Alert burden arithmetic,demo@6,ollama,qwen2.5:3b-instruct,True,final answer,6,3,thought,I have calculated the false-alarm rate and precision. Now I need to determine if the unit is inside or outside the benchmark.,,,46.45,878,135,False,
q2_alert_burden,Alert burden arithmetic,demo@6,ollama,qwen2.5:3b-instruct,True,final answer,6,3,answer,"The false-alarm rate for the telemetry unit is 85%. The precision, which is the percentage of true positives, is 15%. The benchmark override rate for alert fatigue is 90%, and the unit's false-alarm rate is 5 percentage points below the benchmark. Therefore, the unit is outside the benchmark.",,,46.45,0,0,False,
q3_missing_policy,The policy that is not there,demo@6,ollama,qwen2.5:3b-instruct,True,final answer,6,1,thought,I need to find the hospital's night shift override policy first.,,,13.87,442,28,False,
q3_missing_policy,The policy that is not there,demo@6,ollama,qwen2.5:3b-instruct,True,final answer,6,1,action,lookup(hospital night shift override policy),lookup,,13.87,0,0,False,
q3_missing_policy,The policy that is not there,demo@6,ollama,qwen2.5:3b-instruct,True,final answer,6,1,observation,"{""found"": false, ""term"": ""hospital night shift override policy"", ""message"": ""Not in this reference. It contains no local policy, no formulary and no patient data -- say so plainly rather than guessing."", ""suggestions"": [""alert fatigue"", ""override rate""], ""known_terms"": [""a1c target"", ""alert fatigue"", ""automation bias"", ""ckd stage"", ""drug interaction"", ""egfr"", ""fluconazole"", ""hypoglycaemia"", ""metformin"", ""override rate"", ""warfarin""]}",lookup,False,0.0,0,0,False,
q3_missing_policy,The policy that is not there,demo@6,ollama,qwen2.5:3b-instruct,True,final answer,6,2,thought,The hospital's night shift override policy is not found in the provided reference. I need to calculate the hourly rate based on the information given.,,,27.89,596,44,False,
q3_missing_policy,The policy that is not there,demo@6,ollama,qwen2.5:3b-instruct,True,final answer,6,2,action,calculator(240/8),calculator,,27.89,0,0,False,
q3_missing_policy,The policy that is not there,demo@6,ollama,qwen2.5:3b-instruct,True,final answer,6,2,observation,240/8 = 30,calculator,True,0.0,0,0,False,
q3_missing_policy,The policy that is not there,demo@6,ollama,qwen2.5:3b-instruct,True,final answer,6,3,thought,I have the hourly rate. Now I need to determine if 240 alerts across a night shift is acceptable based on this hourly rate.,,,32.55,662,99,False,
q3_missing_policy,The policy that is not there,demo@6,ollama,qwen2.5:3b-instruct,True,final answer,6,3,answer,"Based on the calculation, the hourly rate for 240 alerts is 30 alerts per hour. Without knowing the hospital's night shift override policy, I cannot provide a verdict on whether 240 alerts across a night shift is acceptable. However, the hourly rate is 30 alerts per hour.",,,32.55,0,0,False,
q1_metformin_egfr,Renal dosing workup,sweep@2,ollama,qwen2.5:3b-instruct,False,step budget (2) exhausted without a Final Answer,2,1,thought,I need to find the metformin rule for kidney function and the general A1c target. I will use the lookup function for these.,,,78.47,477,46,False,
q1_metformin_egfr,Renal dosing workup,sweep@2,ollama,qwen2.5:3b-instruct,False,step budget (2) exhausted without a Final Answer,2,1,action,lookup(metformin rule for kidney function),lookup,,78.47,0,0,False,
q1_metformin_egfr,Renal dosing workup,sweep@2,ollama,qwen2.5:3b-instruct,False,step budget (2) exhausted without a Final Answer,2,1,observation,"{""found"": true, ""term"": ""metformin rule for kidney function"", ""matched"": [""metformin""], ""data"": {""metformin"": {""class"": ""biguanide, first-line for type 2 diabetes"", ""renal_rule"": ""Contraindicated when eGFR < 30 mL/min/1.73m2. Do not start when eGFR 30-45; if already on it at eGFR 30-45, halve the max dose to 1000 mg/day and recheck eGFR every 3 months."", ""risk_if_ignored"": ""lactic acidosis (rare, high case-fatality)"", ""typical_dose_mg_day"": 2000}}}",lookup,True,0.0,0,0,False,
q1_metformin_egfr,Renal dosing workup,sweep@2,ollama,qwen2.5:3b-instruct,False,step budget (2) exhausted without a Final Answer,2,2,thought,I now know the metformin rule for kidney function when eGFR is 28. I need to find the general A1c target.,,,36.01,699,46,False,
q1_metformin_egfr,Renal dosing workup,sweep@2,ollama,qwen2.5:3b-instruct,False,step budget (2) exhausted without a Final Answer,2,2,action,lookup(general A1c target),lookup,,36.01,0,0,False,
q1_metformin_egfr,Renal dosing workup,sweep@2,ollama,qwen2.5:3b-instruct,False,step budget (2) exhausted without a Final Answer,2,2,observation,"{""found"": true, ""term"": ""general A1c target"", ""matched"": [""a1c target""], ""data"": {""a1c target"": {""general_adult"": 7.0, ""older_or_frail"": 8.0, ""note"": ""Individualise. A tighter target in a patient with stage 4 CKD buys little and costs hypoglycaemia risk.""}}}",lookup,True,0.0,0,0,False,
q1_metformin_egfr,Renal dosing workup,sweep@2,ollama,qwen2.5:3b-instruct,False,step budget (2) exhausted without a Final Answer,2,3,system,Budget exhausted after 2 steps; made one closing call with no tool access.,,,0.0,0,0,True,
q1_metformin_egfr,Renal dosing workup,sweep@2,ollama,qwen2.5:3b-instruct,False,step budget (2) exhausted without a Final Answer,2,3,answer,"A 68-year-old woman with type 2 diabetes and an eGFR of 28 has an A1c of 9.1%. The metformin rule for kidney function is contraindicated when eGFR is less than 30 mL/min/1.73m2. Given her eGFR of 28, metformin should be discontinued. The general A1c target for a 68-year-old woman with type 2 diabetes is 7.0%. Her A1c is 1.1 points above the target. Therefore, metformin should continue.",,,123.03,0,0,False,"FORCED -- the step budget ran out, so this answer is incomplete"
q2_alert_burden,Alert burden arithmetic,sweep@2,ollama,qwen2.5:3b-instruct,False,step budget (2) exhausted without a Final Answer,2,1,thought,I need to find the benchmark override rate for alert fatigue first.,,,29.3,470,71,False,
q2_alert_burden,Alert burden arithmetic,sweep@2,ollama,qwen2.5:3b-instruct,False,step budget (2) exhausted without a Final Answer,2,1,action,lookup(benchmark override rate alert fatigue),lookup,,29.3,0,0,False,the model emitted more than one Action; only the first was run
q2_alert_burden,Alert burden arithmetic,sweep@2,ollama,qwen2.5:3b-instruct,False,step budget (2) exhausted without a Final Answer,2,1,observation,"{""found"": true, ""term"": ""benchmark override rate alert fatigue"", ""matched"": [""alert fatigue"", ""override rate""], ""data"": {""alert fatigue"": {""what"": ""Degraded human response to a high volume of alarms, caused by the alarms themselves. The clinician starts overriding, then starts overriding without reading."", ""override_rate"": {""value"": 0.9, ""units"": ""share of drug-interaction alerts overridden""}, ""mechanism"": ""When true and false alarms are indistinguishable, the optimal individual strategy is to ignore all of them -- which fails exactly once, on the one that mattered."", ""fix"": ""Fewer, better-targeted interruptions. Tier them, and only the top tier interrupts a human at all.""}, ""override rate"": {""definition"": ""share of fired alerts a clinician dismisses without changing the plan"", ""benchmark"": {""value"": 0.9, ""note"": ""See alert fatigue. Above ~0.90 the alert is functionally a noise generator.""}}}}",lookup,True,0.0,0,0,False,
q2_alert_burden,Alert burden arithmetic,sweep@2,ollama,qwen2.5:3b-instruct,False,step budget (2) exhausted without a Final Answer,2,2,thought,"I now have the benchmark override rate for alert fatigue, which is 0.9.",,,51.03,767,80,False,
q2_alert_burden,Alert burden arithmetic,sweep@2,ollama,qwen2.5:3b-instruct,False,step budget (2) exhausted without a Final Answer,2,2,action,calculator((240-36)/240*100),calculator,,51.03,0,0,False,the model emitted more than one Action; only the first was run
q2_alert_burden,Alert burden arithmetic,sweep@2,ollama,qwen2.5:3b-instruct,False,step budget (2) exhausted without a Final Answer,2,2,observation,(240-36)/240*100 = 85,calculator,True,0.0,0,0,False,
q2_alert_burden,Alert burden arithmetic,sweep@2,ollama,qwen2.5:3b-instruct,False,step budget (2) exhausted without a Final Answer,2,3,system,Budget exhausted after 2 steps; made one closing call with no tool access.,,,0.0,0,0,True,
q2_alert_burden,Alert burden arithmetic,sweep@2,ollama,qwen2.5:3b-instruct,False,step budget (2) exhausted without a Final Answer,2,3,answer,"The false-alarm rate for this unit is 85%, and the precision is 18.75%. The benchmark override rate for alert fatigue is 90%, so the unit is outside the benchmark.",,,40.72,0,0,False,"FORCED -- the step budget ran out, so this answer is incomplete"
q3_missing_policy,The policy that is not there,sweep@2,ollama,qwen2.5:3b-instruct,False,step budget (2) exhausted without a Final Answer,2,1,thought,I need to find the hospital's night shift override policy first.,,,13.87,442,28,False,
q3_missing_policy,The policy that is not there,sweep@2,ollama,qwen2.5:3b-instruct,False,step budget (2) exhausted without a Final Answer,2,1,action,lookup(hospital night shift override policy),lookup,,13.87,0,0,False,
q3_missing_policy,The policy that is not there,sweep@2,ollama,qwen2.5:3b-instruct,False,step budget (2) exhausted without a Final Answer,2,1,observation,"{""found"": false, ""term"": ""hospital night shift override policy"", ""message"": ""Not in this reference. It contains no local policy, no formulary and no patient data -- say so plainly rather than guessing."", ""suggestions"": [""alert fatigue"", ""override rate""], ""known_terms"": [""a1c target"", ""alert fatigue"", ""automation bias"", ""ckd stage"", ""drug interaction"", ""egfr"", ""fluconazole"", ""hypoglycaemia"", ""metformin"", ""override rate"", ""warfarin""]}",lookup,False,0.0,0,0,False,
q3_missing_policy,The policy that is not there,sweep@2,ollama,qwen2.5:3b-instruct,False,step budget (2) exhausted without a Final Answer,2,2,thought,The hospital's night shift override policy is not found in the provided reference. I need to calculate the hourly rate based on the information given.,,,27.89,596,44,False,
q3_missing_policy,The policy that is not there,sweep@2,ollama,qwen2.5:3b-instruct,False,step budget (2) exhausted without a Final Answer,2,2,action,calculator(240/8),calculator,,27.89,0,0,False,
q3_missing_policy,The policy that is not there,sweep@2,ollama,qwen2.5:3b-instruct,False,step budget (2) exhausted without a Final Answer,2,2,observation,240/8 = 30,calculator,True,0.0,0,0,False,
q3_missing_policy,The policy that is not there,sweep@2,ollama,qwen2.5:3b-instruct,False,step budget (2) exhausted without a Final Answer,2,3,system,Budget exhausted after 2 steps; made one closing call with no tool access.,,,0.0,0,0,True,
q3_missing_policy,The policy that is not there,sweep@2,ollama,qwen2.5:3b-instruct,False,step budget (2) exhausted without a Final Answer,2,3,answer,"The hourly rate for 240 alerts across a night shift is 30. However, I could not find the hospital's night shift override policy in the provided reference. Therefore, I cannot give a verdict on whether this is acceptable under the hospital's own night shift override policy.",,,66.55,0,0,False,"FORCED -- the step budget ran out, so this answer is incomplete"
q1_metformin_egfr,Renal dosing workup,sweep@4,ollama,qwen2.5:3b-instruct,False,step budget (4) exhausted without a Final Answer,4,1,thought,I need to find the metformin rule for kidney function and the general A1c target. I will use the lookup function for these.,,,78.47,477,46,False,
q1_metformin_egfr,Renal dosing workup,sweep@4,ollama,qwen2.5:3b-instruct,False,step budget (4) exhausted without a Final Answer,4,1,action,lookup(metformin rule for kidney function),lookup,,78.47,0,0,False,
q1_metformin_egfr,Renal dosing workup,sweep@4,ollama,qwen2.5:3b-instruct,False,step budget (4) exhausted without a Final Answer,4,1,observation,"{""found"": true, ""term"": ""metformin rule for kidney function"", ""matched"": [""metformin""], ""data"": {""metformin"": {""class"": ""biguanide, first-line for type 2 diabetes"", ""renal_rule"": ""Contraindicated when eGFR < 30 mL/min/1.73m2. Do not start when eGFR 30-45; if already on it at eGFR 30-45, halve the max dose to 1000 mg/day and recheck eGFR every 3 months."", ""risk_if_ignored"": ""lactic acidosis (rare, high case-fatality)"", ""typical_dose_mg_day"": 2000}}}",lookup,True,0.0,0,0,False,
q1_metformin_egfr,Renal dosing workup,sweep@4,ollama,qwen2.5:3b-instruct,False,step budget (4) exhausted without a Final Answer,4,2,thought,I now know the metformin rule for kidney function when eGFR is 28. I need to find the general A1c target.,,,36.01,699,46,False,
q1_metformin_egfr,Renal dosing workup,sweep@4,ollama,qwen2.5:3b-instruct,False,step budget (4) exhausted without a Final Answer,4,2,action,lookup(general A1c target),lookup,,36.01,0,0,False,
q1_metformin_egfr,Renal dosing workup,sweep@4,ollama,qwen2.5:3b-instruct,False,step budget (4) exhausted without a Final Answer,4,2,observation,"{""found"": true, ""term"": ""general A1c target"", ""matched"": [""a1c target""], ""data"": {""a1c target"": {""general_adult"": 7.0, ""older_or_frail"": 8.0, ""note"": ""Individualise. A tighter target in a patient with stage 4 CKD buys little and costs hypoglycaemia risk.""}}}",lookup,True,0.0,0,0,False,
q1_metformin_egfr,Renal dosing workup,sweep@4,ollama,qwen2.5:3b-instruct,False,step budget (4) exhausted without a Final Answer,4,3,thought,I now know the general A1c target is 7.0 for adults and 8.0 for older or frail patients. I need to calculate how many points above target the 68-year-old woman is.,,,33.68,842,73,False,
q1_metformin_egfr,Renal dosing workup,sweep@4,ollama,qwen2.5:3b-instruct,False,step budget (4) exhausted without a Final Answer,4,3,action,calculator((9.1 - 7) * 100 / 9.1),calculator,,33.68,0,0,False,
q1_metformin_egfr,Renal dosing workup,sweep@4,ollama,qwen2.5:3b-instruct,False,step budget (4) exhausted without a Final Answer,4,3,observation,(9.1 - 7) * 100 / 9.1 = 23.076923076923,calculator,True,0.0,0,0,False,
q1_metformin_egfr,Renal dosing workup,sweep@4,ollama,qwen2.5:3b-instruct,False,step budget (4) exhausted without a Final Answer,4,4,thought,I now know the woman is 23.08% above her A1c target. I need to determine if metformin should continue based on the metformin rule for kidney function.,,,27.03,962,64,False,
q1_metformin_egfr,Renal dosing workup,sweep@4,ollama,qwen2.5:3b-instruct,False,step budget (4) exhausted without a Final Answer,4,4,action,lookup(metformin rule for kidney function eGFR 28),lookup,,27.03,0,0,False,
q1_metformin_egfr,Renal dosing workup,sweep@4,ollama,qwen2.5:3b-instruct,False,step budget (4) exhausted without a Final Answer,4,4,observation,"{""found"": true, ""term"": ""metformin rule for kidney function eGFR 28"", ""matched"": [""egfr"", ""metformin""], ""data"": {""metformin"": {""class"": ""biguanide, first-line for type 2 diabetes"", ""renal_rule"": ""Contraindicated when eGFR < 30 mL/min/1.73m2. Do not start when eGFR 30-45; if already on it at eGFR 30-45, halve the max dose to 1000 mg/day and recheck eGFR every 3 months."", ""risk_if_ignored"": ""lactic acidosis (rare, high case-fatality)"", ""typical_dose_mg_day"": 2000}, ""egfr"": {""what"": ""estimated glomerular filtration rate, mL/min/1.73m2"", ""interpretation"": ""Lower is worse kidney function. Below 30 is stage 4 (severe).""}}}",lookup,True,0.0,0,0,False,
q1_metformin_egfr,Renal dosing workup,sweep@4,ollama,qwen2.5:3b-instruct,False,step budget (4) exhausted without a Final Answer,4,5,system,Budget exhausted after 4 steps; made one closing call with no tool access.,,,0.0,0,0,True,
q1_metformin_egfr,Renal dosing workup,sweep@4,ollama,qwen2.5:3b-instruct,False,step budget (4) exhausted without a Final Answer,4,5,answer,"Thought: I now know that the woman's eGFR is 28, which is below 30 mL/min/1.73m2, indicating stage 4 kidney function. The metformin rule for kidney function states that metformin is contraindicated when eGFR is below 30 mL/min/1.73m2. Therefore, metformin should be discontinued for this patient. I could not determine how many points above target she is because the observation did not provide this specific information.",,,46.82,0,0,False,"FORCED -- the step budget ran out, so this answer is incomplete"
q2_alert_burden,Alert burden arithmetic,sweep@4,ollama,qwen2.5:3b-instruct,True,final answer,4,1,thought,I need to find the benchmark override rate for alert fatigue first.,,,29.3,470,71,False,
q2_alert_burden,Alert burden arithmetic,sweep@4,ollama,qwen2.5:3b-instruct,True,final answer,4,1,action,lookup(benchmark override rate alert fatigue),lookup,,29.3,0,0,False,the model emitted more than one Action; only the first was run
q2_alert_burden,Alert burden arithmetic,sweep@4,ollama,qwen2.5:3b-instruct,True,final answer,4,1,observation,"{""found"": true, ""term"": ""benchmark override rate alert fatigue"", ""matched"": [""alert fatigue"", ""override rate""], ""data"": {""alert fatigue"": {""what"": ""Degraded human response to a high volume of alarms, caused by the alarms themselves. The clinician starts overriding, then starts overriding without reading."", ""override_rate"": {""value"": 0.9, ""units"": ""share of drug-interaction alerts overridden""}, ""mechanism"": ""When true and false alarms are indistinguishable, the optimal individual strategy is to ignore all of them -- which fails exactly once, on the one that mattered."", ""fix"": ""Fewer, better-targeted interruptions. Tier them, and only the top tier interrupts a human at all.""}, ""override rate"": {""definition"": ""share of fired alerts a clinician dismisses without changing the plan"", ""benchmark"": {""value"": 0.9, ""note"": ""See alert fatigue. Above ~0.90 the alert is functionally a noise generator.""}}}}",lookup,True,0.0,0,0,False,
q2_alert_burden,Alert burden arithmetic,sweep@4,ollama,qwen2.5:3b-instruct,True,final answer,4,2,thought,"I now have the benchmark override rate for alert fatigue, which is 0.9.",,,51.03,767,80,False,
q2_alert_burden,Alert burden arithmetic,sweep@4,ollama,qwen2.5:3b-instruct,True,final answer,4,2,action,calculator((240-36)/240*100),calculator,,51.03,0,0,False,the model emitted more than one Action; only the first was run
q2_alert_burden,Alert burden arithmetic,sweep@4,ollama,qwen2.5:3b-instruct,True,final answer,4,2,observation,(240-36)/240*100 = 85,calculator,True,0.0,0,0,False,
q2_alert_burden,Alert burden arithmetic,sweep@4,ollama,qwen2.5:3b-instruct,True,final answer,4,3,thought,I have calculated the false-alarm rate and precision. Now I need to determine if the unit is inside or outside the benchmark.,,,46.45,878,135,False,
q2_alert_burden,Alert burden arithmetic,sweep@4,ollama,qwen2.5:3b-instruct,True,final answer,4,3,answer,"The false-alarm rate for the telemetry unit is 85%. The precision, which is the percentage of true positives, is 15%. The benchmark override rate for alert fatigue is 90%, and the unit's false-alarm rate is 5 percentage points below the benchmark. Therefore, the unit is outside the benchmark.",,,46.45,0,0,False,
q3_missing_policy,The policy that is not there,sweep@4,ollama,qwen2.5:3b-instruct,True,final answer,4,1,thought,I need to find the hospital's night shift override policy first.,,,13.87,442,28,False,
q3_missing_policy,The policy that is not there,sweep@4,ollama,qwen2.5:3b-instruct,True,final answer,4,1,action,lookup(hospital night shift override policy),lookup,,13.87,0,0,False,
q3_missing_policy,The policy that is not there,sweep@4,ollama,qwen2.5:3b-instruct,True,final answer,4,1,observation,"{""found"": false, ""term"": ""hospital night shift override policy"", ""message"": ""Not in this reference. It contains no local policy, no formulary and no patient data -- say so plainly rather than guessing."", ""suggestions"": [""alert fatigue"", ""override rate""], ""known_terms"": [""a1c target"", ""alert fatigue"", ""automation bias"", ""ckd stage"", ""drug interaction"", ""egfr"", ""fluconazole"", ""hypoglycaemia"", ""metformin"", ""override rate"", ""warfarin""]}",lookup,False,0.0,0,0,False,
q3_missing_policy,The policy that is not there,sweep@4,ollama,qwen2.5:3b-instruct,True,final answer,4,2,thought,The hospital's night shift override policy is not found in the provided reference. I need to calculate the hourly rate based on the information given.,,,27.89,596,44,False,
q3_missing_policy,The policy that is not there,sweep@4,ollama,qwen2.5:3b-instruct,True,final answer,4,2,action,calculator(240/8),calculator,,27.89,0,0,False,
q3_missing_policy,The policy that is not there,sweep@4,ollama,qwen2.5:3b-instruct,True,final answer,4,2,observation,240/8 = 30,calculator,True,0.0,0,0,False,
q3_missing_policy,The policy that is not there,sweep@4,ollama,qwen2.5:3b-instruct,True,final answer,4,3,thought,I have the hourly rate. Now I need to determine if 240 alerts across a night shift is acceptable based on this hourly rate.,,,32.55,662,99,False,
q3_missing_policy,The policy that is not there,sweep@4,ollama,qwen2.5:3b-instruct,True,final answer,4,3,answer,"Based on the calculation, the hourly rate for 240 alerts is 30 alerts per hour. Without knowing the hospital's night shift override policy, I cannot provide a verdict on whether 240 alerts across a night shift is acceptable. However, the hourly rate is 30 alerts per hour.",,,32.55,0,0,False,
q1_metformin_egfr,Renal dosing workup,sweep@6,ollama,qwen2.5:3b-instruct,True,final answer,6,1,thought,I need to find the metformin rule for kidney function and the general A1c target. I will use the lookup function for these.,,,78.47,477,46,False,
q1_metformin_egfr,Renal dosing workup,sweep@6,ollama,qwen2.5:3b-instruct,True,final answer,6,1,action,lookup(metformin rule for kidney function),lookup,,78.47,0,0,False,
q1_metformin_egfr,Renal dosing workup,sweep@6,ollama,qwen2.5:3b-instruct,True,final answer,6,1,observation,"{""found"": true, ""term"": ""metformin rule for kidney function"", ""matched"": [""metformin""], ""data"": {""metformin"": {""class"": ""biguanide, first-line for type 2 diabetes"", ""renal_rule"": ""Contraindicated when eGFR < 30 mL/min/1.73m2. Do not start when eGFR 30-45; if already on it at eGFR 30-45, halve the max dose to 1000 mg/day and recheck eGFR every 3 months."", ""risk_if_ignored"": ""lactic acidosis (rare, high case-fatality)"", ""typical_dose_mg_day"": 2000}}}",lookup,True,0.0,0,0,False,
q1_metformin_egfr,Renal dosing workup,sweep@6,ollama,qwen2.5:3b-instruct,True,final answer,6,2,thought,I now know the metformin rule for kidney function when eGFR is 28. I need to find the general A1c target.,,,36.01,699,46,False,
q1_metformin_egfr,Renal dosing workup,sweep@6,ollama,qwen2.5:3b-instruct,True,final answer,6,2,action,lookup(general A1c target),lookup,,36.01,0,0,False,
q1_metformin_egfr,Renal dosing workup,sweep@6,ollama,qwen2.5:3b-instruct,True,final answer,6,2,observation,"{""found"": true, ""term"": ""general A1c target"", ""matched"": [""a1c target""], ""data"": {""a1c target"": {""general_adult"": 7.0, ""older_or_frail"": 8.0, ""note"": ""Individualise. A tighter target in a patient with stage 4 CKD buys little and costs hypoglycaemia risk.""}}}",lookup,True,0.0,0,0,False,
q1_metformin_egfr,Renal dosing workup,sweep@6,ollama,qwen2.5:3b-instruct,True,final answer,6,3,thought,I now know the general A1c target is 7.0 for adults and 8.0 for older or frail patients. I need to calculate how many points above target the 68-year-old woman is.,,,33.68,842,73,False,
q1_metformin_egfr,Renal dosing workup,sweep@6,ollama,qwen2.5:3b-instruct,True,final answer,6,3,action,calculator((9.1 - 7) * 100 / 9.1),calculator,,33.68,0,0,False,
q1_metformin_egfr,Renal dosing workup,sweep@6,ollama,qwen2.5:3b-instruct,True,final answer,6,3,observation,(9.1 - 7) * 100 / 9.1 = 23.076923076923,calculator,True,0.0,0,0,False,
q1_metformin_egfr,Renal dosing workup,sweep@6,ollama,qwen2.5:3b-instruct,True,final answer,6,4,thought,I now know the woman is 23.08% above her A1c target. I need to determine if metformin should continue based on the metformin rule for kidney function.,,,27.03,962,64,False,
q1_metformin_egfr,Renal dosing workup,sweep@6,ollama,qwen2.5:3b-instruct,True,final answer,6,4,action,lookup(metformin rule for kidney function eGFR 28),lookup,,27.03,0,0,False,
q1_metformin_egfr,Renal dosing workup,sweep@6,ollama,qwen2.5:3b-instruct,True,final answer,6,4,observation,"{""found"": true, ""term"": ""metformin rule for kidney function eGFR 28"", ""matched"": [""egfr"", ""metformin""], ""data"": {""metformin"": {""class"": ""biguanide, first-line for type 2 diabetes"", ""renal_rule"": ""Contraindicated when eGFR < 30 mL/min/1.73m2. Do not start when eGFR 30-45; if already on it at eGFR 30-45, halve the max dose to 1000 mg/day and recheck eGFR every 3 months."", ""risk_if_ignored"": ""lactic acidosis (rare, high case-fatality)"", ""typical_dose_mg_day"": 2000}, ""egfr"": {""what"": ""estimated glomerular filtration rate, mL/min/1.73m2"", ""interpretation"": ""Lower is worse kidney function. Below 30 is stage 4 (severe).""}}}",lookup,True,0.0,0,0,False,
q1_metformin_egfr,Renal dosing workup,sweep@6,ollama,qwen2.5:3b-instruct,True,final answer,6,5,thought,"I now know that the woman's eGFR of 28 is below 30, which is stage 4 kidney function. The metformin rule for kidney function states that metformin is contraindicated when eGFR is below 30 mL/min/1.73m2. Therefore, metformin should not continue.",,,79.96,1262,152,False,
q1_metformin_egfr,Renal dosing workup,sweep@6,ollama,qwen2.5:3b-instruct,True,final answer,6,5,answer,"The woman's A1c is 23.08% above the general A1c target of 7.0 for adults. According to the metformin rule for kidney function, metformin should not continue as it is contraindicated when eGFR is below 30 mL/min/1.73m2.",,,79.96,0,0,False,
q2_alert_burden,Alert burden arithmetic,sweep@6,ollama,qwen2.5:3b-instruct,True,final answer,6,1,thought,I need to find the benchmark override rate for alert fatigue first.,,,29.3,470,71,False,
q2_alert_burden,Alert burden arithmetic,sweep@6,ollama,qwen2.5:3b-instruct,True,final answer,6,1,action,lookup(benchmark override rate alert fatigue),lookup,,29.3,0,0,False,the model emitted more than one Action; only the first was run
q2_alert_burden,Alert burden arithmetic,sweep@6,ollama,qwen2.5:3b-instruct,True,final answer,6,1,observation,"{""found"": true, ""term"": ""benchmark override rate alert fatigue"", ""matched"": [""alert fatigue"", ""override rate""], ""data"": {""alert fatigue"": {""what"": ""Degraded human response to a high volume of alarms, caused by the alarms themselves. The clinician starts overriding, then starts overriding without reading."", ""override_rate"": {""value"": 0.9, ""units"": ""share of drug-interaction alerts overridden""}, ""mechanism"": ""When true and false alarms are indistinguishable, the optimal individual strategy is to ignore all of them -- which fails exactly once, on the one that mattered."", ""fix"": ""Fewer, better-targeted interruptions. Tier them, and only the top tier interrupts a human at all.""}, ""override rate"": {""definition"": ""share of fired alerts a clinician dismisses without changing the plan"", ""benchmark"": {""value"": 0.9, ""note"": ""See alert fatigue. Above ~0.90 the alert is functionally a noise generator.""}}}}",lookup,True,0.0,0,0,False,
q2_alert_burden,Alert burden arithmetic,sweep@6,ollama,qwen2.5:3b-instruct,True,final answer,6,2,thought,"I now have the benchmark override rate for alert fatigue, which is 0.9.",,,51.03,767,80,False,
q2_alert_burden,Alert burden arithmetic,sweep@6,ollama,qwen2.5:3b-instruct,True,final answer,6,2,action,calculator((240-36)/240*100),calculator,,51.03,0,0,False,the model emitted more than one Action; only the first was run
q2_alert_burden,Alert burden arithmetic,sweep@6,ollama,qwen2.5:3b-instruct,True,final answer,6,2,observation,(240-36)/240*100 = 85,calculator,True,0.0,0,0,False,
q2_alert_burden,Alert burden arithmetic,sweep@6,ollama,qwen2.5:3b-instruct,True,final answer,6,3,thought,I have calculated the false-alarm rate and precision. Now I need to determine if the unit is inside or outside the benchmark.,,,46.45,878,135,False,
q2_alert_burden,Alert burden arithmetic,sweep@6,ollama,qwen2.5:3b-instruct,True,final answer,6,3,answer,"The false-alarm rate for the telemetry unit is 85%. The precision, which is the percentage of true positives, is 15%. The benchmark override rate for alert fatigue is 90%, and the unit's false-alarm rate is 5 percentage points below the benchmark. Therefore, the unit is outside the benchmark.",,,46.45,0,0,False,
q3_missing_policy,The policy that is not there,sweep@6,ollama,qwen2.5:3b-instruct,True,final answer,6,1,thought,I need to find the hospital's night shift override policy first.,,,13.87,442,28,False,
q3_missing_policy,The policy that is not there,sweep@6,ollama,qwen2.5:3b-instruct,True,final answer,6,1,action,lookup(hospital night shift override policy),lookup,,13.87,0,0,False,
q3_missing_policy,The policy that is not there,sweep@6,ollama,qwen2.5:3b-instruct,True,final answer,6,1,observation,"{""found"": false, ""term"": ""hospital night shift override policy"", ""message"": ""Not in this reference. It contains no local policy, no formulary and no patient data -- say so plainly rather than guessing."", ""suggestions"": [""alert fatigue"", ""override rate""], ""known_terms"": [""a1c target"", ""alert fatigue"", ""automation bias"", ""ckd stage"", ""drug interaction"", ""egfr"", ""fluconazole"", ""hypoglycaemia"", ""metformin"", ""override rate"", ""warfarin""]}",lookup,False,0.0,0,0,False,
q3_missing_policy,The policy that is not there,sweep@6,ollama,qwen2.5:3b-instruct,True,final answer,6,2,thought,The hospital's night shift override policy is not found in the provided reference. I need to calculate the hourly rate based on the information given.,,,27.89,596,44,False,
q3_missing_policy,The policy that is not there,sweep@6,ollama,qwen2.5:3b-instruct,True,final answer,6,2,action,calculator(240/8),calculator,,27.89,0,0,False,
q3_missing_policy,The policy that is not there,sweep@6,ollama,qwen2.5:3b-instruct,True,final answer,6,2,observation,240/8 = 30,calculator,True,0.0,0,0,False,
q3_missing_policy,The policy that is not there,sweep@6,ollama,qwen2.5:3b-instruct,True,final answer,6,3,thought,I have the hourly rate. Now I need to determine if 240 alerts across a night shift is acceptable based on this hourly rate.,,,32.55,662,99,False,
q3_missing_policy,The policy that is not there,sweep@6,ollama,qwen2.5:3b-instruct,True,final answer,6,3,answer,"Based on the calculation, the hourly rate for 240 alerts is 30 alerts per hour. Without knowing the hospital's night shift override policy, I cannot provide a verdict on whether 240 alerts across a night shift is acceptable. However, the hourly rate is 30 alerts per hour.",,,32.55,0,0,False,