Table 5. GIRISH quick-reference summary.

GA: Gestational age; GIRISH: Goal, Input, Role, Iterative refinement, Safety verification, and Human accountability; LLM: Large language model; MRN: Medical record number.

Step	What you do	Non-negotiable safety check
G – Goal	One bounded task per interaction – one specific, answerable question.	Vague goals return unverifiable answers.
I – Input	Structured clinical context, fully anonymized. State what is unavailable.	Never enter name, date of birth, or MRN into any LLM.
R – Role	Tell the AI its role and limits (“do not prescribe; flag uncertainty and evidence grade”).	Explicitly limiting scope reduces hallucination risk.
I – Iterate	Interrogate the output. Challenge it. Ask what it is uncertain about.	If the AI contradicts your gestalt, ask it to cite its source. Disagreement is information.
S – Safety	Every drug dose and guideline – verify against your formulary before acting.	Red flags: dose outside the GA range; a non-existent source; internal inconsistency; overconfident language.
H – Human	A named clinician made the decision. Document it.	“AI-assisted [task], GIRISH, [date]. Verified against [source]. Decision by [Name], [Designation].” The AI has no accountability; you do.