05/22/26

An experimental investigation of the relationship between AI-human workflow design and legal liability for radiologists: the erroneous-change penalty and omission bias.

Song, Elizabeth C; Bernstein, Michael H; Sheppard, Brian; Bruno, Michael A; Baird, Grayson L. medRxiv

Summary

Clinical workflow adjustments to incorporate AI may influence liability. Using experimental scenarios, this preprint examines how different AI-human workflow designs affect radiologists' diagnostic decisions and perceptions of legal responsibility by hypothetical jurors. The findings suggest that AI-centric workflow changes involving double-reads, documentation of decision changes, and AI error rate transparency may shape clinician behavior, highlighting the need for careful evaluation before implementation.
Song EC, Bernstein MH, Sheppard B, et al. An experimental investigation of the relationship between AI-human workflow design and legal liability for radiologists: the erroneous-change penalty and omission bias. medRxiv. Epub 2026 May 22.