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AI Responsibility Capstone: Clinical AI Under Regulatory Scrutiny - Healthcare Case Study

Artificial Intelligence in healthcare does not merely optimise processes — it directly influences diagnoses, treatment decisions, patient safety, and institutional trust.

This capstone is the culminating stage of the C-Lab Institute AI Responsibility pathway. Participants step into the role of senior leadership at Meridian Health Network, a nationally recognised hospital group facing a pivotal decision: whether to deploy an AI-powered diagnostic triage system in its emergency departments

The AI system promises:

  • 18% improvement in overall diagnostic accuracy
  • Faster triage and reduced emergency department wait times
  • Improved resource allocation
  • Enhanced operational efficiency

However, pilot findings and stakeholder review raise serious concerns:

  • Reduced diagnostic accuracy for elderly female patients
  • Limited explainability of model outputs
  • Complex cross-jurisdictional data sourcing
  • Pending national clinical AI guidelines
  • Increasing scrutiny from regulators and patient advocates
  • Internal pressure from marketing and finance to deploy quickly

The board must determine whether to:

  • Deploy system-wide,
  • Restrict to advisory-only use,
  • Delay pending safeguards and explainability improvements,
  • Or suspend deployment until regulatory clarity emerges.

This is not a technical optimisation exercise.

It is a governance decision under clinical, ethical, regulatory, and reputational pressure — where patient lives are directly affected.

  • Enrolled students: 80
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