
Show Notes
“Human in the loop” has become one of healthcare AI’s favourite safety assurances. But what happens when AI is making decisions at a speed and scale no human can realistically oversee?
Dr Andrew Rochford joins Louise and George to discuss Above-the-Loop Governance, his proposed approach to continuously measuring AI decision-making against independent professional benchmarks.
They explore how AI could earn, and lose, the authority to make consequential decisions, what happens when AI performs differently or even better than humans, and where accountability ultimately sits when an AI makes the call.
Andrew also discusses Trakkked.ai, his attempt to put the framework into practice.
Learn more about Trakked.ai Read Andrew’s paper on Above the Loop Governance Link
Connect with Andrew on LinkedIn
Visit Pulse+IT.news to subscribe to breaking digital news, weekly newsletters and a rich treasure trove of archival material. People in the know, get their news from Pulse+IT – Your leading voice in digital health news.
Follow us on LinkedIn Louise | George | Pulse+IT Follow us on BlueSky Louise | George | Pulse+IT Send us your questions [email protected] Production by Octopod Productions | Ivan Juric
More from PULSE
This week on Pulse: Hot Topics, Louise and George ask
Is artificial intelligence an existential threat to humanity? Or is the greater danger what humans choose to do with it?
This week on Pulse: Hot Topics, Louise and George ask who gets to deliver healthcare, as AI agents, a dating app, Apple and online platforms all push into territory that once belonged to clinicians and health services.
This week on Pulse: Hot Topics, Louise and George break down: OpenAI's Agent Breaches a Medicare Portal – An OpenAI agent that "didn't accept no for an answer" pulled non-public files from a legacy Medicare statistics portal, turning a benign research task into a wake-up call for healthcare's ageing legacy systems. AI Scribes Meet the Law – A Washington State court ruled a patient had no right to the ambient AI recording of her own consult, while an Australian legal analysis warns scribes may concentrate liability on the doctor who signs the note. The Medicare Pipeline Nobody Designed – An Auditor-General's report shows software increasingly marketed to optimise Medicare billing with AI, while the Health Department switched off its own AI fraud-detection model because staff couldn't keep up with what it flagged. The US Prepares to Pay AI Doctors – A New York Times investigation finds US health officials fast-tracking AI that diagnoses, prescribes and treats, including reported discussions about paying AI doctors 60 to 80 per cent of what human doctors earn.
Healthcare faces a global workforce crisis - but what if we’re asking the wrong question about AI?