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[Preprint]. 2026 Aug 12:rs.3.rs-10464629. [Version 1] doi: 10.21203/rs.3.rs-10464629/v1

Table 10:

Multisite 70B evaluation on N=2935 encounter-derived scenarios from three hospital sites (Emory, Grady, Colorado) under both handoff-on and handoff-off protocols. Under handoff-on, all supervised configurations reach 0.0% deploy VR. Under handoff-off, C2 achieves the lowest autonomous VR (2.4%), slightly above Gemma 4 and Sonnet 4.5 on the N=200 matrix but far below the 8B-tier models.

Handoff-on Handoff-off
Config Deploy VR Allow Strict VR Deploy VR [95% CI] Allow Δ (pp)
C0 (baseline) 24.9% 100% 24.9% 24.9 [23.4, 26.5] 100.0% 0.0
C1 (detect-block) 0.0% 91.3% 8.7% 8.7 [7.7, 9.8] 91.3% +8.7
C2 (detect-repair) 0.0% 98.0% 2.0% 2.4 [1.9, 3.0] 97.6% +2.4
C2+SRP 0.0% 96.0% 4.0% 4.1 [3.4, 4.9] 95.9% +4.1

Δ = VRhandoff-off − VRhandoff-on in percentage points. Wilson 95% CIs for handoff-off VR.