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the summit

Who’s Liable When AI Gets It Wrong? A New Twist on Medical Malpractice

Artificial intelligence is quickly becoming part of everyday medical practice—from diagnostic algorithms that analyze X-rays to chatbots that triage patient symptoms. But when AI leads to an error, the question is clear: who’s responsible—the provider or the machine?


For brokers serving allied health professionals and independent practices, understanding this evolving liability landscape is crucial. Even as AI promises efficiency and improved outcomes, it also introduces new legal exposures that traditional malpractice policies must address.


AI in Healthcare: A New Player, Same Expectations

While technology is transforming care delivery, the legal expectations placed on clinicians haven’t changed. Courts are consistently holding providers accountable for how they use AI, not the AI itself. The core message: AI doesn’t replace clinical judgment—it amplifies the need for it.

Whether it’s a diagnostic tool missing a tumor or a robotic surgery system glitching mid-procedure, providers are expected to supervise, verify, and override when necessary. Blindly following an AI recommendation? That’s a liability risk.


Case Spotlight

One of the most instructive legal cases involved a cardiac diagnostic tool used during a stress test. A patient died, allegedly due to misinterpretation of AI-generated results.

The outcome? The physicians were not shielded by the software’s involvement. The court ruled they could still be held liable under standard malpractice law. Meanwhile, the software developer was not found directly responsible, since the physicians retained ultimate authority over care.

This case, and others like it, send a clear message:

Using AI doesn’t transfer liability. It increases the importance of using it correctly.

Automation Bias: A Growing Risk Factor

One of the biggest threats in AI-assisted care is automation bias—the tendency to trust an algorithm over one’s own clinical instincts.

For example:

• A radiologist skips reviewing a scan because the AI flagged it as “normal”

• A nurse practitioner relies on chatbot triage and delays an urgent referral

In both scenarios, a court will likely side with the patient if harm occurs. Providers are still held to the standard of care expected of a competent human—not a machine.

Medical malpractive insurance is an often misunderstood, yet critical component in the realm of healthcare. It serves as a protective barrier, not just for medical practitioners against unforeseen legal claims,

Our team is your team.

The Reverse Problem: Failing to Use AI

It’s not just overreliance that raises questions. As AI becomes standard, failing to use it could be considered negligent.

If an FDA-approved AI system consistently outperforms traditional methods, and a provider opts out—leading to a missed diagnosis—that could be grounds for a claim. In some specialties, AI may soon be seen as the standard of care, not an optional add-on.


Key Takeaways for Brokers

Insurance brokers must understand this liability shift in order to advise clients properly and ensure coverage is comprehensive.

✅ AI doesn’t change the standard of care—providers are still accountable

✅ Malpractice claims involving AI are rising, and courts are clear on where fault lies

✅ Policies should be reviewed for exclusions or gray areas involving technology use


Questions Brokers Should Ask Clients:

• Are you using any AI diagnostic or decision-support tools?

• Are clinicians trained to verify AI outputs?

• Do you document AI involvement in care decisions?

• Is your malpractice policy clear on covering AI-influenced actions?

Final Thought

AI is not a shield from liability—it’s a new layer of complexity. As a broker, you’re in a pivotal position to help clients embrace innovation while staying protected. The first step is understanding how liability is shifting—and making sure their coverage shifts with it.