Expertise and Opportunity

The new AI tools appeared at work before anyone was taught to use them — and everyone is quietly hoping a colleague figures it out first.

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Years ago I found a safety rule buried in a hospital’s patient-record system that was protecting almost everyone in the building — and quietly endangering the sickest patients in it.

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It is 9:47 in the evening and you are still at the workstation. The shift ended four hours ago. The patients are sleeping, your colleagues have gone home, and you are alone with a screen full of half-finished notes — a chart-closing ritual you have repeated almost every night of your professional life. You are…

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You know the gap I am talking about. A physician enters an order. A nurse is standing at the bedside, needing to act. And in between those two moments sits a stack of digital systems that were designed, implemented, and signed off without a single person in the room who understood what actually happens in…

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