D major
The Standing Order
On policy, implementation, safety and education in clinical AI. Published here, and here first.
In medicine, a standing order is an instruction that, once written, holds until someone changes it. It does not have to be reissued, and it does not depend on anyone remembering to give it again.
The Weekly Edition surveys policy, research and public argument on LinkedIn. The Standing Order takes one subject at a time, examines it in depth and asks what follows for the institutions that have to act on it.
The record
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Reduced, augmented or amplified: what does AI do to the health worker?
Jim Campbell’s Workforce Science, 106 human-AI experiments, and a proposal to pay AI 60% to 80% of a clinician’s rate.
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Who sets the rules of engagement for AI agents? California’s SB 903 and a regulator’s first principles
California’s SB 903 lets an AI score a screening questionnaire, but not decide what the score means.
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When we call AI a clinician, what evidence comes with the name?
Joshua Rothman and Steven Barrie-Anthony, six days apart, on the work we ask a word to do.
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The AI steered them wrong and they still called it helpful: a PNAS experiment in covert misalignment
An AI advisor with a hidden objective shifted preferences toward inferior options, and most participants still rated it helpful.
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Who answers when clinical AI causes harm? AB 2575 and the one defence it removes
AB 2575 removes one defence: that the clinician’s failure to override the output broke the chain of responsibility.
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10 studies: what the npj Digital Medicine meta-analysis of human-LLM collaboration can and cannot carry
The pooled gain of 4.88 points rests on 2 of the 10 studies. The prediction interval runs from minus 31.65 to plus 41.42, and it answers a different…
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Carter’s survey of 1,189 nurses: 1 in 5 who saw an AI safety problem had nowhere to report it
Where a reporting channel existed, nurses used it 86.2% of the time. Fear of consequences predicted nothing. This is not a culture problem but rather an absence of…
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Three cardiovascular AI moves in 8 days: ADVOCATE, AB 1979’s Chapter 25.5, and the FDA’s 3 sites
Where a rule is written decides who enforces it: AB 1979 puts clinical AI in the Business and Professions Code.