Refer the residual risk under the hospital policy: What control | AIGP
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Refer the residual risk under the hospital policy: What control is missing?

AIGP Understanding How to Govern AI Development Medium

Refer the severe residual risk to the risk committee under the stated hospital policy.

The question

A hospital uses AI only to route administrative forms, not to provide clinical advice. Owners documented purpose, users, impacts, mitigations, monitoring, and escalation. Hospital policy requires referral to the risk committee whenever residual risk could delay urgent care; all other prerequisites are satisfied. A rare routing error could cause such a delay. What control is missing?

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  1. Optimize average routing accuracy before referral
    Average accuracy may conceal rare dangerous failures and cannot replace the policy-required referral.
  2. Accept the risk because routing is nonclinical
    Nonclinical functionality does not remove the stated policy trigger or the serious downstream consequence of delayed urgent care.
  3. Refer the residual risk under the hospital policy ✓
    The stated internal policy requires risk-committee referral when residual risk could delay urgent care, even if the event is rare.
  4. Collect routine usage statistics before taking action
    Additional statistics may inform later monitoring, but they do not remove the present policy requirement to refer the identified residual risk.
The trap
Separate legal duties, guidance, and internal policy; here, the stated policy supplies the escalation requirement.

How to remember it

Refer the severe residual risk to the risk committee under the stated hospital policy.

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