Whose Failure Is "I Don't Understand"?
■ Abbreviations are what the floor optimized into
"Room 301, BNP is up — furosemide 0.5A, IV." Not a syllable wasted. It's the shape night-shift work polished to move necessary information in minimum time. Hakobukun flagging three unknown abbreviations was correct behaviour — and correctness stopped the work. What the machine saw as unknown was the floor's most refined vocabulary.
■ Don't make people translate — hand the machine a dictionary
Dr. Koshiba restated everything formally. Humans adapting to the machine works short-term, but the floor pays that cost on every order. Oshiro's suggestion ran the other way. No amount of general language capability fills in what "0.5A" means in this hospital. Domain vocabulary registration isn't a deployment task — it's operations.
■ Conclusion: assign an owner to the vocabulary
Site vocabulary is alive. It grows with every new department and rewrites itself when practice shifts. What's needed isn't a perfect dictionary but a person and a procedure that keep updating one. "About 400 terms registered" isn't a technical milestone — it's a working channel opened between the floor and the engineers.
Teaching a machine your words should be somebody's job, by design.
