Formal executive accountability for residual system risks: What is the most direct missing control?
Because operational prerequisites are satisfied, the remaining gap is formal executive responsibility for residual AI risk.
The question
A medical administration office uses AI to route appointment requests, without providing clinical advice. All documented roles, staff competence, resources, monitoring, procedures, and escalation paths are in place. Executives have not formally accepted responsibility for the system’s residual risks. What is the most direct missing control?
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- A broader clinical review committee for appointment administration.The system provides administrative routing rather than clinical advice, and committee expansion does not directly cure absent executive accountability.
- Formal executive accountability for residual system risks. ✓Executive responsibility is the direct missing governance control after roles, competence, resources, monitoring, and escalation are satisfied.
- Additional frontline training for appointment coordinators.Training is already among the satisfied prerequisites, so adding it does not address the executive accountability gap.
- A second operational owner for routine routing decisions.Operational ownership is already established; duplicating it would not create executive responsibility for residual risk.
The trap
When all operational prerequisites are stated satisfied, select the missing accountability layer rather than adding duplicate process. How to remember it
Because operational prerequisites are satisfied, the remaining gap is formal executive responsibility for residual AI risk.
How many of these would you get right?
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