{"id":"https://openalex.org/W7224801967","doi":"https://doi.org/10.2196/preprints.115523","title":"Building Trust in Healthcare AI: An Actionable Governance Playbook From a Decade of Implementation Failures (Preprint)","display_name":"Building Trust in Healthcare AI: An Actionable Governance Playbook From a Decade of Implementation Failures (Preprint)","publication_year":2026,"publication_date":"2026-10-29","ids":{"openalex":"https://openalex.org/W7224801967","doi":"https://doi.org/10.2196/preprints.115523"},"language":"en","primary_location":{"id":"doi:10.2196/preprints.115523","doi":"https://doi.org/10.2196/preprints.115523","is_oa":false,"landing_page_url":"https://doi.org/10.2196/preprints.115523","pdf_url":null,"source":null,"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":null,"raw_type":"posted-content"},"volume":null,"type":"preprint","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5005136133","display_name":"Heena Rathore","orcid":"https://orcid.org/0000-0002-9403-8071","observed_orcids":["https://orcid.org/0000-0002-9403-8071"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Heena Rathore","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0002-9403-8071","affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5124939241","display_name":"Ronald Rodriguez","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ronald Rodriguez","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":0.9667999744415283,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":0.9667999744415283,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10883","display_name":"Ethics and Social Impacts of AI","score":0.030700000002980232,"subfield":{"id":"https://openalex.org/subfields/3311","display_name":"Safety Research"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13295","display_name":"Safety Systems Engineering in Autonomy","score":0.0006000000284984708,"subfield":{"id":"https://openalex.org/subfields/2213","display_name":"Safety, Risk, Reliability and Quality"},"field":{"id":"https://openalex.org/fields/22","display_name":"Engineering"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/ai-implementation-failure","display_name":"AI implementation failure","score":0.7409999966621399},{"id":"https://openalex.org/keywords/human-oversight","display_name":"human oversight","score":0.6179999709129333},{"id":"https://openalex.org/keywords/ai-lifecycle","display_name":"AI lifecycle","score":0.5950000286102295},{"id":"https://openalex.org/keywords/accountability","display_name":"accountability","score":0.7129999995231628},{"id":"https://openalex.org/keywords/trust-in-ai","display_name":"trust in AI","score":0.722000002861023},{"id":"https://openalex.org/keywords/ibm-watson-for-oncology","display_name":"IBM Watson for Oncology","score":0.8489999771118164},{"id":"https://openalex.org/keywords/sepsis-prediction","display_name":"sepsis prediction","score":0.6539999842643738},{"id":"https://openalex.org/keywords/algorithmic-bias","display_name":"algorithmic bias","score":0.8190000057220459},{"id":"https://openalex.org/keywords/diabetic-retinopathy-screening","display_name":"diabetic retinopathy screening","score":0.8320000171661377},{"id":"https://openalex.org/keywords/chatbot-safety","display_name":"chatbot safety","score":0.6269999742507935},{"id":"https://openalex.org/keywords/alert-burden","display_name":"alert burden","score":0.5770000219345093},{"id":"https://openalex.org/keywords/joint-commission","display_name":"Joint Commission","score":0.7730000019073486}],"concepts":[{"id":"https://openalex.org/C39389867","wikidata":"https://www.wikidata.org/wiki/Q380767","display_name":"Corporate governance","level":2,"score":0.5730000138282776},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.5310999751091003},{"id":"https://openalex.org/C85847156","wikidata":"https://www.wikidata.org/wiki/Q59015987","display_name":"Verifiable secret sharing","level":3,"score":0.5080000162124634},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.48260000348091125},{"id":"https://openalex.org/C2776034101","wikidata":"https://www.wikidata.org/wiki/Q1509347","display_name":"Commission","level":2,"score":0.44519999623298645},{"id":"https://openalex.org/C2778447849","wikidata":"https://www.wikidata.org/wiki/Q2648051","display_name":"Obligation","level":2,"score":0.4449999928474426},{"id":"https://openalex.org/C39549134","wikidata":"https://www.wikidata.org/wiki/Q133080","display_name":"Public relations","level":1,"score":0.4066999852657318},{"id":"https://openalex.org/C38652104","wikidata":"https://www.wikidata.org/wiki/Q3510521","display_name":"Computer security","level":1,"score":0.4011000096797943},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.3727000057697296},{"id":"https://openalex.org/C201650216","wikidata":"https://www.wikidata.org/wiki/Q829492","display_name":"Procurement","level":2,"score":0.33340001106262207},{"id":"https://openalex.org/C184356942","wikidata":"https://www.wikidata.org/wiki/Q830382","display_name":"Best practice","level":2,"score":0.32690000534057617},{"id":"https://openalex.org/C56666940","wikidata":"https://www.wikidata.org/wiki/Q788790","display_name":"Documentation","level":2,"score":0.30809998512268066},{"id":"https://openalex.org/C2776007630","wikidata":"https://www.wikidata.org/wiki/Q2798912","display_name":"Accountability","level":2,"score":0.3043999969959259},{"id":"https://openalex.org/C196879817","wikidata":"https://www.wikidata.org/wiki/Q872685","display_name":"Data governance","level":4,"score":0.30090001225471497},{"id":"https://openalex.org/C2778306010","wikidata":"https://www.wikidata.org/wiki/Q606563","display_name":"Health Insurance Portability and Accountability Act","level":3,"score":0.29820001125335693},{"id":"https://openalex.org/C86251818","wikidata":"https://www.wikidata.org/wiki/Q816754","display_name":"Benchmarking","level":2,"score":0.2867000102996826},{"id":"https://openalex.org/C195094911","wikidata":"https://www.wikidata.org/wiki/Q14167904","display_name":"Process management","level":1,"score":0.2856999933719635},{"id":"https://openalex.org/C2777896688","wikidata":"https://www.wikidata.org/wiki/Q3773715","display_name":"Clinical governance","level":3,"score":0.2824000120162964},{"id":"https://openalex.org/C141330323","wikidata":"https://www.wikidata.org/wiki/Q2354820","display_name":"Evidence-based practice","level":3,"score":0.2802000045776367},{"id":"https://openalex.org/C2779356329","wikidata":"https://www.wikidata.org/wiki/Q922625","display_name":"Checklist","level":2,"score":0.2759000062942505},{"id":"https://openalex.org/C204434341","wikidata":"https://www.wikidata.org/wiki/Q357789","display_name":"Adjudication","level":2,"score":0.26339998841285706},{"id":"https://openalex.org/C9652623","wikidata":"https://www.wikidata.org/wiki/Q190109","display_name":"Field (mathematics)","level":2,"score":0.2572000026702881},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.2556000053882599}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.2196/preprints.115523","doi":"https://doi.org/10.2196/preprints.115523","is_oa":false,"landing_page_url":"https://doi.org/10.2196/preprints.115523","pdf_url":null,"source":null,"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":null,"raw_type":"posted-content"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Peace, justice, and strong institutions","id":"https://metadata.un.org/sdg/16","score":0.6207000017166138},{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.58160001039505}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":26,"referenced_works":["https://openalex.org/W2120229733","https://openalex.org/W2165643161","https://openalex.org/W2557738935","https://openalex.org/W2581082771","https://openalex.org/W2789970635","https://openalex.org/W2888424632","https://openalex.org/W2889346090","https://openalex.org/W2889905270","https://openalex.org/W2899768131","https://openalex.org/W2902634493","https://openalex.org/W2934399013","https://openalex.org/W2935900679","https://openalex.org/W2981451251","https://openalex.org/W2981869278","https://openalex.org/W2994958466","https://openalex.org/W2998524378","https://openalex.org/W3004483087","https://openalex.org/W3012875567","https://openalex.org/W3035286874","https://openalex.org/W3036458852","https://openalex.org/W3174786846","https://openalex.org/W3177107382","https://openalex.org/W4243342770","https://openalex.org/W4316038168","https://openalex.org/W4391528827","https://openalex.org/W4392567601"],"related_works":["https://openalex.org/W7220667897","https://openalex.org/W7165054496","https://openalex.org/W7155019997","https://openalex.org/W7202145956","https://openalex.org/W7143412984","https://openalex.org/W7131279602","https://openalex.org/W7162323773","https://openalex.org/W7154610070","https://openalex.org/W7147241669","https://openalex.org/W4414136340"],"abstract_inverted_index":{"UNSTRUCTURED":[0],"Healthcare":[1],"artificial":[2],"intelligence":[3],"(AI)":[4],"governance":[5,128,169],"is":[6,50,182],"rich":[7,12],"in":[8,13,19,194],"principles":[9],"and":[10,32,42,58,99,125,136,145,156],"increasingly":[11],"institutional":[14],"guidance,":[15],"yet":[16],"still":[17],"poor":[18],"verifiable":[20,138],"operational":[21],"detail.":[22],"Consensus":[23],"resources":[24],"from":[25,141],"the":[26,33,76,85],"Coalition":[27],"for":[28,74,119,159],"Health":[29],"AI":[30,113,172],"(CHAI)":[31],"Joint":[34],"Commission":[35],"now":[36],"tell":[37],"health":[38],"systems":[39,173,192],"which":[40],"structures":[41],"processes":[43],"to":[44,150,184,188],"stand":[45],"up;":[46],"what":[47,59,201],"remains":[48],"scarce":[49],"failure-derived":[51],"specificity":[52],"about":[53],"who":[54],"owns":[55],"each":[56],"obligation":[57,132],"evidence":[60,139],"proves":[61],"it":[62],"was":[63],"met.":[64],"This":[65],"viewpoint":[66],"translates":[67],"six":[68],"documented":[69],"implementation":[70],"failures,":[71],"IBM":[72],"Watson":[73],"Oncology,":[75],"Epic":[77],"Sepsis":[78],"Model,":[79],"a":[80,116,121,126,133,137],"racially":[81],"biased":[82],"care-allocation":[83],"algorithm,":[84],"field":[86],"failure":[87],"of":[88,102,165],"diabetic":[89],"retinopathy":[90],"screening,":[91],"dermatology":[92],"models":[93],"that":[94],"underperform":[95],"on":[96],"dark":[97],"skin,":[98],"chatbot-related":[100],"deaths":[101],"vulnerable":[103],"users,":[104],"into":[105],"instruments":[106],"institutions":[107],"can":[108],"apply":[109],"now,":[110],"organized":[111],"by":[112],"lifecycle":[114,127],"stage:":[115],"five-question":[117],"guide":[118],"selecting":[120],"human":[122],"oversight":[123],"model,":[124],"checklist":[129],"assigning":[130],"every":[131],"named":[134],"owner":[135],"artifact,":[140],"contractual":[142],"performance":[143],"floors":[144],"subgroup-disaggregated":[146],"reporting":[147],"at":[148],"procurement":[149],"alert":[151],"burden":[152],"budgets,":[153],"rehearsed":[154],"deactivation,":[155],"auditable":[157],"guardrails":[158],"patient-facing":[160],"conversational":[161],"systems.":[162],"The":[163,180],"language":[164],"trust":[166,186],"has":[167],"misdirected":[168],"toward":[170],"how":[171,177],"feel":[174],"rather":[175],"than":[176],"they":[178],"perform.":[179],"goal":[181],"not":[183,197],"abolish":[185],"but":[187],"calibrate":[189],"it:":[190],"reliable":[191],"embedded":[193],"accountable":[195],"institutions,":[196],"anthropomorphized":[198],"algorithms,":[199],"are":[200],"deserve":[202],"clinical":[203],"reliance.":[204]},"counts_by_year":[],"updated_date":"2026-11-01T11:40:01.658920","created_date":"2026-10-31T00:00:00"}
