Clinical study data doesn't get used downstream until it's earned trust, and in Unity Catalog, that meant clearing 80 SQL validation checks per study, covering control tables, metadata, operational data, clinical data, and audit data. Every one of those checks was run by hand.

At single-study scale, that was already a heavy lift. Scaled to cross-validation across 20+ studies, it became more than 1,500 manual query executions per cycle, consuming significant analyst time while leaving no audit trail of what ran, when, or by whom, and carrying a real risk of human error at every step