“Human in the loop” has become one of healthcare AI’s favourite safety assurances. But what happens when AI is making decisions at a speed and scale no human can realistically oversee?

Dr Andrew Rochford joins Louise and George to discuss Above-the-Loop Governance, his proposed approach to continuously measuring AI decision-making against independent professional benchmarks.

They explore how AI could earn, and lose, the authority to make consequential decisions, what happens when AI performs differently or even better than humans, and where accountability ultimately sits when an AI makes the call.

Andrew also discusses Trakkked.ai, his attempt to put the framework into practice.

Learn more about Trakked.ai

Read Andrew’s paper on Above the Loop Governance Link

Connect with Andrew on LinkedIn

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This week on Pulse: Hot Topics, how much of healthcare are we ready to hand over to AI?

Louise and George look at OpenAI's new connection to Epic and what it could mean for the future of the electronic health record; new Australian data showing AI is rapidly becoming a front door to healthcare; and a provocative paper challenging whether keeping a “human in the loop” really makes AI safer.

They also explore a very different model of human-AI collaboration, with AI assisting neurosurgeons during brain tumour surgery, and the FDA's authorisation of the first wearable to continuously monitor both glucose and ketones.

Plus: why trust and health-data literacy aren't keeping pace with AI adoption, and the FDA's vision for the home as a healthcare hub.

Resources:

OpenAI — Healthcare organizations can now connect EHR and additional industry data to ChatGPT Link

PwC Australia — Voice of the Consumer 2026: Fit and Informed Link

Australian Digital Health Agency — My Health Record use surges as Agency improves access for clinicians Link

Mitchell, Ghosh & Passi — AI Agents Push Humans Out of the Loop, arXiv Link

The Guardian — London neurosurgeons' AI-assisted brain tumour operation Link

FDA — Authorizes First Wearable Device That Continuously Monitors Both Ketone Levels and Blood Sugar Link

FDA — Home as a Health Care Hub initiative Link

Visit Pulse+IT.news to subscribe to breaking digital news, weekly newsletters and a rich treasure trove of archival material. People in the know, get their news from Pulse+IT – Your leading voice in digital health news.

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This week on Pulse: Amplify, Louise and George sit down with Greg Moran from Ageing Australia to discuss digital maturity, workforce, vendor capability, interoperability, consumer access to data and AI readiness.

While Australia’s new Digital Maturity Uplift Toolkit was designed for residential aged care, there are lessons here for any health or care organisation navigating digital transformation.

Connect with Greg on LinkedIn

Download the Digital Maturity Uplift Toolkit here

Visit Pulse+IT.news to subscribe to breaking digital news, weekly newsletters and a rich treasure trove of archival material. People in the know, get their news from Pulse+IT – Your leading voice in digital health news.

Follow us on LinkedIn Louise | George | Pulse+IT

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Send us your questions pulsepod@pulseit.news

Production by Octopod Productions | Ivan Juric