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What Is 'Standard of Care' and Why Does It Matter for AI?

Table of Contents

The Foundation of Professional Liability
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Before we can understand AI standard of care, we must understand what “standard of care” means in traditional professional liability.

The Basic Framework
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In negligence law, professionals owe a duty to exercise the care that a reasonably competent member of their profession would exercise under similar circumstances. This is the “standard of care.”

When a professional fails to meet this standard and that failure causes harm, they may be liable for negligence or malpractice.

How Standards Are Established
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Courts determine the applicable standard of care through:

  1. Expert testimony - Other professionals testify about what a competent practitioner would do
  2. Professional guidelines - Standards published by professional organizations
  3. Regulatory requirements - Government mandates that establish minimum expectations
  4. Industry custom - Common practices in the field

The AI Complication
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AI disrupts this framework in several ways:

The Novelty Problem
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When a practice is new, there may be no established custom or guidelines. Courts must reason by analogy or from first principles.

The Expertise Gap
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Who is qualified to testify about what “reasonable” AI governance looks like? Computer scientists? Domain experts? AI ethicists? Courts are grappling with this question.

The Black Box Problem
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Traditional standard of care analysis assumes the professional understands their tools. But AI systems may be opaque even to their operators.

The Speed of Change
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Standards of care typically evolve slowly. AI capabilities change rapidly. What was reasonable last year may be negligent today.

The Key Questions
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For any AI system in professional practice, we must ask:

  1. What duty did the professional owe?
  2. What would a reasonably competent professional have done regarding AI use?
  3. Did the professional’s AI-related conduct fall below that standard?
  4. Did that failure cause the harm complained of?

These questions are being litigated across every field where AI is deployed. The answers will shape practice for decades to come.

Related

AI Hallucinations & Professional Liability: Malpractice Exposure for Lawyers Using LLMs

Beyond Sanctions: The Malpractice Dimension of AI Hallucinations # Court sanctions for AI-generated fake citations have dominated headlines since Mata v. Avianca. But sanctions are only the visible tip of a much larger iceberg. The deeper exposure lies in professional malpractice liability, claims by clients whose cases were harmed by AI-generated errors that their attorneys failed to catch.

AI Medical Device Adverse Events & Liability

Executive Summary # AI medical devices are proliferating faster than regulatory infrastructure can track their failures. With over 1,200 FDA-authorized AI devices and a 14% increase in AI-related malpractice claims since 2022, understanding the liability landscape has never been more critical.

Cardiology AI Standard of Care: ECG Analysis, Risk Prediction, and Liability

AI Transforms Cardiovascular Care # Cardiology has become a major frontier for artificial intelligence in medicine. From AI algorithms that detect arrhythmias on ECGs to predictive models forecasting heart failure readmission, these systems are reshaping how cardiovascular disease is diagnosed, monitored, and managed. But with transformation comes liability questions: When an AI misses atrial fibrillation and the patient suffers a stroke, who is responsible?

Dermatology AI Standard of Care: Skin Cancer Detection, Melanoma Screening, and Liability

AI Enters the Skin Cancer Screening Revolution # Skin cancer is the most common cancer in the United States, yet approximately 25% of cases are misdiagnosed. In January 2024, the FDA authorized DermaSensor, the first AI-enabled dermatologic device cleared for use by non-specialists, opening a new frontier for skin cancer detection in primary care settings.

Emergency Medicine AI Standard of Care: Sepsis Prediction, ED Triage, and Clinical Decision Support Liability

AI in the Emergency Department: Time-Critical Decisions # Emergency medicine is where AI meets life-or-death decisions in real time. From sepsis prediction algorithms to triage decision support, AI promises to help emergency physicians identify critically ill patients faster and allocate resources more effectively. In April 2024, the FDA authorized the first AI diagnostic tool for sepsis, a condition that kills over 350,000 Americans annually.

Endocrinology AI Standard of Care: Diabetes Management, Insulin Dosing, and Metabolic Monitoring

AI Transforms Diabetes and Metabolic Care # Endocrinology, particularly diabetes management, has become one of the most AI-intensive medical specialties. From continuous glucose monitors that predict hypoglycemia 20 minutes in advance to closed-loop “artificial pancreas” systems that automatically adjust insulin delivery, AI is fundamentally reshaping how metabolic diseases are managed.