---
title: "Comment by Kartik N V J K on \"Your Healthcare AI Model Passed Its Tests. Your Workflow Can Still Fail.\" | Hashnode"
description: "The line about confidence routing work to a human but never lowering a deterministic safety floor is the right distinction, model confidence and workflow author"
url: "https://hashnode.com/posts/your-healthcare-ai-model-passed-its-tests-your-workflow-can-still-fail/6abe4577a1fb85c6bac42e01/comment/6abead25f22b4b6fbc2fdace"
---

[Discussion](https://hashnode.com/posts/your-healthcare-ai-model-passed-its-tests-your-workflow-can-still-fail/6abe4577a1fb85c6bac42e01)

Comment [Your Healthcare AI Model Passed Its Tests. Your Workflow Can Still Fail.](https://hashnode.com/posts/your-healthcare-ai-model-passed-its-tests-your-workflow-can-still-fail/6abe4577a1fb85c6bac42e01)

[Kartik N V J K](https://hashnode.com/@kartik-nvj)

[Oct 1](https://hashnode.com/posts/your-healthcare-ai-model-passed-its-tests-your-workflow-can-still-fail/6abe4577a1fb85c6bac42e01/comment/6abead25f22b4b6fbc2fdace)

The line about confidence routing work to a human but never lowering a deterministic safety floor is the right distinction, model confidence and workflow authority get conflated constantly. The malformed-output test matters more than people expect too, since a value outside the schema enum usually fails silently downstream rather than erroring. I ended up building a separate layer that scores live traffic for exactly this reason: [kartiknvjk.hashnode.dev/my-ci-evals-were-green-a-…](https://kartiknvjk.hashnode.dev/my-ci-evals-were-green-a-regression-still-paged-me-at-3-am) . How are you deciding which workflow tests run inline vs after the fact?

[Kevin Kirui](https://hashnode.com/@kevinkirui)

[Oct 2](https://hashnode.com/posts/your-healthcare-ai-model-passed-its-tests-your-workflow-can-still-fail/6abe4577a1fb85c6bac42e01/comment/6abead25f22b4b6fbc2fdace#reply-6abf7803aaf881c186dbab53)

Agreed on the inline versus async split. I'm limiting inline tests to the ones that can block or constrain downstream action: schema validity, required fields, safety-floor violations, and known injection patterns. The heavier behavioural tests run asynchronously against logged cases, since many of them need reviewer outcomes or longitudinal workflow data.

Your point about confidence versus workflow authority holds too. Confidence can decide whether a case needs human review. It never gives the model authority to bypass a deterministic constraint. I'm treating that separation as a core design rule for the system.