Building Clinical Software For A World That Changes Faster Than Code
In environments where software influences real clinical decisions, rigor is not optional. It is the condition that makes progress safe.
- The U.S. FDA has approved over 500 AI/ML-based medical devices as of 2023, yet only 12% include continuous learning algorithms, highlighting the regulatory gap.
- Predetermined change control plans (PCCPs), proposed by the FDA in 2025, aim to pre-approve algorithm updates for AI clinical software, reducing re-certification delays.
- A 2022 study in JAMA found that two widely used commercial sepsis prediction algorithms had an area under the curve (AUC) below 0.65 across diverse hospital systems, underscoring drift risks.