<p>Artificial intelligence (AI) promises major advances in healthcare but often fails to scale due to workflow misalignment, data gaps, and clinician mistrust. Existing AI frameworks emphasize technical development, validation, or governance but offer limited guidance for real-world operationalization. We propose a concise, practice-oriented 10-step quality improvement (QI) roadmap to support safe, scalable AI implementation across healthcare settings. Grounded in QI and implementation science, the roadmap guides leaders from problem selection and data readiness through iterative piloting, evaluation, and system-wide scale-up. By treating AI as a continuous improvement intervention rather than a standalone technology, this framework supports sustainable adoption and measurable improvements in care delivery, equity, and system performance.</p>

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A quality improvement roadmap for scalable AI implementation in healthcare

  • Angel Arnaout,
  • Bethina Abrahams,
  • Pamela Hinada,
  • Michael Mckenzie

摘要

Artificial intelligence (AI) promises major advances in healthcare but often fails to scale due to workflow misalignment, data gaps, and clinician mistrust. Existing AI frameworks emphasize technical development, validation, or governance but offer limited guidance for real-world operationalization. We propose a concise, practice-oriented 10-step quality improvement (QI) roadmap to support safe, scalable AI implementation across healthcare settings. Grounded in QI and implementation science, the roadmap guides leaders from problem selection and data readiness through iterative piloting, evaluation, and system-wide scale-up. By treating AI as a continuous improvement intervention rather than a standalone technology, this framework supports sustainable adoption and measurable improvements in care delivery, equity, and system performance.