Healthcare AI Standard of Care
Comprehensive analysis of AI liability and malpractice risk across 30+ medical specialties. From FDA-cleared diagnostic algorithms to autonomous surgical systems.
Diagnostic Imaging & Laboratory#
AI has achieved the deepest penetration in imaging specialties, with hundreds of FDA-cleared algorithms.
| Specialty | Key Focus Areas | Status |
|---|---|---|
| Radiology AI | Chest X-ray, mammography, CT stroke detection | 500+ FDA clearances |
| Pathology AI | Digital pathology, cancer detection, CAP/CLIA | Emerging standard |
| Ophthalmology AI | Autonomous DR screening, AMD detection | First autonomous clearances |
Cardiovascular & Pulmonary#
Critical care and cardiac specialties rely on AI for early warning and continuous monitoring.
- Cardiology AI — ECG analysis, arrhythmia detection, heart failure prediction, LVEF estimation
- Pulmonology AI — Ventilator management, pulmonary nodule detection, COPD prediction
Surgical & Procedural#
Robotic systems and AI-assisted surgery present unique liability questions.
- Surgical Robotics — da Vinci, Mako systems, surgeon training requirements, manufacturer vs. operator liability
- Anesthesiology AI — Depth of anesthesia monitoring, predictive analytics, closed-loop systems
- Orthopedics AI — Joint replacement planning, fracture detection, surgical navigation
Primary Care & Clinical Decision Support#
Front-line care increasingly relies on AI for triage, risk stratification, and diagnosis.
- Primary Care AI — Diagnostic support, risk scores, chronic disease management
- Emergency Medicine AI — Sepsis prediction, ED triage, the Epic sepsis model controversy
- Pediatrics AI — Growth monitoring, developmental screening, fever workup support
Oncology & Hematology#
AI supports cancer detection, treatment planning, and genomic analysis.
- Oncology AI — Tumor detection, treatment response prediction, immunotherapy selection
- Hematology AI — Blood smear analysis, coagulation disorders, leukemia subtyping
- Genetics & Genomics AI — Variant interpretation, pharmacogenomics, hereditary cancer risk
Internal Medicine Subspecialties#
Chronic disease management and complex diagnostics benefit from AI pattern recognition.
- Gastroenterology AI — Polyp detection, capsule endoscopy, IBD monitoring
- Nephrology AI — AKI prediction, dialysis optimization, transplant matching
- Endocrinology AI — Diabetes management, insulin dosing, thyroid nodule analysis
- Rheumatology AI — Joint erosion detection, disease activity scoring
- Infectious Disease AI — Antibiotic stewardship, sepsis detection, outbreak prediction
Neurology & Mental Health#
Neurological and psychiatric applications present unique challenges around explainability and autonomy.
- Neurology AI — Stroke detection, seizure prediction, dementia screening
- Mental Health AI — Therapy chatbots, suicide risk prediction, the regulatory void
- Sleep Medicine AI — Sleep study interpretation, apnea detection
Women’s & Children’s Health#
Sensitive populations require additional scrutiny of AI applications.
- Obstetrics & Gynecology AI — Fetal monitoring, cervical screening, IVF optimization
- Pediatrics AI — Developmental screening, growth trajectory analysis
Supportive & Ancillary Care#
AI extends into allied health professions and supportive care.
- Nursing AI — Early warning scores, fall prediction, clinical documentation
- Pharmacy AI — Drug interaction checking, dosing optimization, medication adherence
- Physical Therapy AI — Movement analysis, rehabilitation tracking
- Palliative Care AI — Prognosis prediction, goals of care discussions
Additional Specialties#
- Dermatology AI — Skin cancer detection, melanoma screening, teledermatology
- Urology AI — Prostate cancer detection, kidney stone analysis
- Dentistry AI — Cavity detection, periodontal assessment, orthodontic planning
- Sports Medicine AI — Injury prediction, return-to-play decisions
Device Safety & Adverse Events#
- AI Medical Device Adverse Events — FDA MAUDE database analysis, adverse event patterns, reporting requirements
Key Liability Questions#
Across all specialties, healthcare AI raises common liability issues:
- When does AI become the standard of care? At what point does failure to use available AI constitute malpractice?
- Who is liable when AI fails? Physician, hospital, device manufacturer, or EHR vendor?
- How should AI recommendations be documented? When to override, when to follow, when to disclose to patients
- What disclosure is required? Must patients be informed when AI influences their care?
Each specialty guide addresses these questions in context.