
elsai Clinical Protocol Audit Agent
AI-powered protocol governance and alignment for IRB review
What it does
elsai Clinical Protocol Audit Agent helps clinical and regulatory teams validate alignment across protocols, consent forms, and recruitment materials with governance before IRB submission. It provides AI-powered cross-document validation, amendment and version tracking, automated discrepancy detection, governance and audit traceability, IRB-ready review summaries, and integrates with CTMS, eIRB, eTMF, Word, and Google Docs workflows.
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Much of my work right now involves complex, long-running, multi-agentic teams of agents. I kept running into the same problem: “How do I keep these guys in line?” Rules weren’t cutting it, and we needed a scalable, agentic-native STANDARD I could count on. There wasn’t one. So I built one. Here are two open-source protocols that extend A2A, granting AI agents behavioral contracts and runtime integrity monitoring: - Agent Alignment Protocol (AAP): What an agent can do / has done. - Agent Integrity Protocol (AIP): What an agent is thinking about doing / is allowed to do. The problem:…
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Parallel agents, diff reviewer, and multi-model comparisons
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Hey HN, Henry here from Cactus. We open-sourced Needle, a 26M parameter function-calling (tool use) model. It runs at 6000 tok/s prefill and 1200 tok/s decode on consumer devices. We were always frustrated by the little effort made towards building agentic models that run on budget phones, so we conducted investigations that led to an observation: agentic experiences are built upon tool calling, and massive models are overkill for it. Tool calling is fundamentally retrieval-and-assembly (match query to tool name, extract argument values, emit JSON), not reasoning. Cross-attention…
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Dev tools · May 2026 · github.com