Blog

Using AI in healthcare

calender
December 11, 2025

AI has moved from slides to clinics. Imaging triage, ambient scribing, and administrative automation are real. Regulation is catching up. The opportunity is better access, less friction, and fewer delays. The risk is over‑trust, hidden bias, and integration that makes clinicians’ days worse, not better.

This guide sets out where AI helps today, the challenges for clinicians and patients, and a safe adoption playbook you can use in any health setting.

Where AI is working today

  • Imaging and signal analysis
    Algorithms assist with detection, triage, and workflow prioritisation. Large numbers of AI‑enabled devices have market authorisations, with radiology still dominant.
  • Ambient clinical documentation
    AI scribes reduce cognitive load by drafting summaries, orders, and letters for human review.
  • Administrative workflows
    Referral routing, prior authorisation checks, and appointment communication are ripe for automation.
  • Decision support
    Structured prompts can surface guidelines, drug interactions, and risk scores during consultations. Human oversight remains non‑negotiable.

The challenges for clinicians

  • Automation bias
    When a system suggests a diagnosis or plan, users are prone to accept it. Training and interface design must counter this.
  • Integration and accountability
    If AI sits outside the EHR and audit trail, it adds risk and extra clicks. Bring it inside the record with clear provenance.
  • Regulation and updates
    Adaptive models and frequent updates need post‑market surveillance and change control that clinicians can trust.
  • Data governance
    Protected health information must not flow to public models. Use approved tools with proper data processing agreements.

The challenges for patients

  • Transparency
    Patients deserve to know when AI is used in their care and how to opt out if clinically safe.
  • Bias and safety
    Training data may under‑represent groups. Monitor outcomes by cohort and act when disparities appear.
  • Trust
    A wrong AI‑generated letter or an incorrect summary is a breach of trust. Keep a human in the loop for all external communication.

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A safe adoption playbook

  1. Map your high‑friction journeys
    Target AI at bottlenecks you already measure. Imaging backlogs, clinic letter delays, and referral triage are usually first.
  2. Run constrained pilots with a clinical owner
    Define a narrow use case, success metrics, failure thresholds, and a clinical safety officer responsible for sign‑off.
  3. Keep humans in control
    All outputs are drafts until a clinician accepts them. Interfaces must make it easy to correct and to say no.
  4. Integrate deeply
    Build into your EHR and document management so every AI action has provenance and audit.
  5. Educate on automation bias
    Short training for clinicians and admin staff on when to doubt the machine.
  6. Monitor and recalibrate
    Track accuracy, time saved, clinician satisfaction, and disparities. Update models and prompts under change control.

What good looks like

  • Clear intended use that matches a regulatory category.
  • Post‑market monitoring with real‑world performance dashboards.
  • Explainability to the extent needed for clinical safety and audit.
  • Procurement checklists that include data management, security, and fallback procedures.

Conclusion

AI can return time to care if it is deployed where it removes toil and the risks are actively managed. Start with documentation and workflow, integrate into records, train for scepticism, and measure everything. Safer care and better access follow from disciplined implementation, not from magic.

Citations

  1. WHO guidance on large multi‑modal models in health and AI ethics and governance, 2024 to 2025. World Health Organization+1
  2. NHS England guidance on AI‑enabled ambient scribing products, April 2025. NHS England
  3. FDA list of AI‑enabled medical devices, current status and transparency aims. U.S. Food and Drug Administration
  4. Nature Digital Medicine analysis of 1,016 FDA AI/ML device authorisations as of Dec 2024. Nature
  5. JAMA commentary on risk of harm from AI‑driven clinical decision support and automation bias. JAMA Network
  6. Systematic review of automation bias in clinical decision support, 2024. ScienceDirect
  7. NHS AI in Practice repository and case studies, November 2025. NHS England Digital
  8. Guardian reporting on UK GP uptake of AI tools in consultations, December 2025. The Guardian
  9. Reuters on FDA qualification of an AI tool for liver disease drug development, December 2025. Reuters
  10. HFMA briefing on AI in the NHS, November 2025.

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