The Local Readiness Review leads as the first and default scenario. It reports added discrimination observed in an institutionally external confirmation, and it keeps the adverse findings in the same view: a worse Brier score, a calibration slope well below one, low positive predictive value, degradation with missingness, and unavailable demographic subgroup, hospital, and vendor analyses. The record is an institutionally external retrospective, historical and not historically untouched.
A favorable discrimination direction does not erase those limits. No clinical utility, patient benefit, generalizability, deployment readiness, or complete-product validation is established.
A separate endpoint-feasibility example is shown as blocked: the required extubation and 48-hour failure endpoint could not be reconstructed defensibly, so no proxy endpoint was substituted and no model was run. It is neither a success nor a failure of the Local Readiness Review.
Generated tour records are kept visibly separate from referenced retrospective results, and no customer outcome is shown.