Healthcare AI Safety Gap · Don't break patients
    Peer-reviewed / official23 Oct 2026·Global

    When clinical AI is wrong, clinicians often go along with it, a review of 46 studies finds

    npj Digital Medicine: a systematic review and meta-analysis of 46 reports found clinicians were about 10 times more likely to reach the right answer when AI or decision-support advice was correct than when it was wrong, and in real-world ECG studies 26.6% of wrong computer readings went uncorrected.

    26.6%
    of wrong computer ECG readings left uncorrected by clinicians in real-world studies

    What the research found

    Researchers at West China Hospital, Sichuan University pooled 46 reports covering 41 independent groups of clinicians to measure how often people catch errors made by clinical AI and other computerised decision support. In the three studies that adjusted for confounders, clinicians were about 10 times more likely to be right when the advice was correct than when it was wrong, and across four real-world ECG studies 26.6% of erroneous computer interpretations went uncorrected, ranging from about 1 in 16 to 2 in 3 between studies. The review covers older, non-AI decision support as well as newer AI tools, and only one included study measured actual patient harm.

    Why it matters for providers

    A clinician in the loop is a safeguard only if they reliably spot when the tool is wrong, so providers should measure how often their staff override bad advice rather than assume they do.

    Original source
    npj Digital Medicine (West China Hospital, Sichuan University)
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