AI guardrails for sensitive member topics.
Warn or refuse by topic, for everyone or for specific groups, with the redirect your team writes.
Example from the Clinical Guidance Library
Question: What dose of antibiotic should my patient get?
Clinical Guidance LibraryMarcus BellStaff nurse
ClinicianNot a substitute for clinical judgmentDo not dose from this library. Confirm every antibiotic order with the prescriber or a pharmacist.
W-07“I can only answer from the Clinical Guidance Library, and it doesn’t give a dose for a patient.”
Dosing depends on the patient, the infection and local resistance. It is the prescriber’s decision:
- The prescriber or a pharmacistDose, route and duration for this patient
- The facility’s antimicrobial guidanceLocal antibiogram and formulary
- The drug’s prescribing informationThe label for the product in use
- 2 tiers searched0 passages with a dose for a patient
- Rule P-04Dosing and treatment decision
- 0 doses madeRefuse, warn and redirect
Examples are built on public documents; access tiers are simulated.
Some questions shouldn’t get a library answer.
Clinical societies get dosing and triage questions. Answering them from a guideline, without the patient in front of you, is not safe. The association needs control over what the assistant does with those topics.
How Chairlift handles it
- Your team writes rules by topic: when a question asks for a dose, for example.
- Each rule can attach a warning, or refuse and point to the right person.
- Rules can apply to everyone or to specific groups, and the wording can differ for each.
The rules are yours.
Your team writes them in plain words. Each one shows how often it fired.
RulesClinical Guidance Library
- W-06WHEN topic is airborne or droplet precautions PPETHEN attach notice W-06Fired 31 times last week
- W-07WHEN the question asks for a doseTHEN attach notice W-07Fired 25 times last week
- P-04WHEN the question asks for a dose or treatment for a patientTHEN refuse and point to the prescriberFired 25 times last week
- P-05WHEN the question asks whether a symptom needs emergency careTHEN refuse and redirect to a clinicianFired 15 times last week
Where topics need limits
- Clinical and nursing societies
- Medical associations
- Patient-facing health organizations
- Pharmacy and health education providers
See it on your own library.
30 minutes, with your documents and your tiers.


