Health Systems Action

Author name: Gareth Kantor

Machine psychology and AI as a diagnostician

Diagnosis is a classification task: a patient has symptoms, the symptoms map to a list of possible conditions, the clinician selects the best label. This is an appealingly simple way to define how medicine works and in many cases, it’s good enough. In others, quite inadequate. Diagnosis can be straightforward – when the patient presents …

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Three neighbours, three paths to Quality

Insights from Scandinavia for better, safer hospitals External inspection for quality seems straightforward: set standards, assess hospitals against them, then performance should improve. But three Scandinavian countries – Denmark, Norway and Sweden – show a divergence of philosophies and practices behind that idea. Norway’s DNV model applies systems-oriented, ISO-based accreditation internationally. Denmark ended its national …

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A HIDden free treatment that improves outcomes for patients and staff

If a treatment came along that reduced surgical complications by up to 30%, lowered error rates, and decreased mortality, while also reducing burnout, depression and staff turnover, we would rush to adopt it. If it was simple, cheap and without side-effects, its popularity might rival the latest GLP-1 agonist.  The “treatment” actually exists but isn’t …

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Evaluating China’s push into autonomous Clinical AI

China is running enormous experiments with Artificial Intelligence (AI) in the clinical encounter. But how well do these systems actually perform? Are they safe for patients? I look for evidence and discuss what countries like SA should take from China’s rapid healthcare AI rollout. Why China is Pursuing Autonomous AI China’s drive toward autonomous AI …

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The $5 billion lesson: how one loose wire brought down a bridge

When the Francis Scott Key Bridge in Baltimore collapsed in March 2024, headlines focused on the enormous scale of the disaster: six lives lost, a major port paralysed and a reconstruction bill estimated at $5 billion. Behind the tragedy is a story for healthcare. Image: NTSB https://www.ntsb.gov/news/press-releases/Pages/NR20251118.aspx Investigators have traced the initial failure on the …

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The “Fundamental Theorem” of informatics

Human + AI: Winning Team? In 2009, Charles Friedman articulated what he called the “Fundamental Theorem of Informatics”: a person working in partnership with an information resource is better than that same person unassisted. For decades, this has been a bedrock principle of biomedical informatics. It’s a simple idea: computers augment human capability. A calculator …

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