Evaluating Translational AI: A Two-Way Moving Target Problem.

Abstract

Predictive artificial intelligence models are being deployed across health systems with dangerously inconsistent oversight, creating two critical gaps: a compliance gap, where clinical tools that likely qualify as software as a medical device are implemented without seeking U.S. Food and Drug Administration authorization; and a regulatory gap, where administrative and operational models are deployed without any external review despite their potential to influence care and widen disparities. Give