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Peer-Reviewed Publication
J Med Syst2026;50(1)June 19, 2026Journal Article

Beyond Validation: Operationalising Post-Deployment Surveillance of AI Medical Devices in Clinical Practice.

Jesus A Perdomo Lampignano1,2, Aditya Kale3,4, Shamie Kumar5, Dhruv Shah5, Bhargava Reddy5, David J Lowe6,7
1Department of Radiology, Queen Elizabeth University Hospital, NHS Greater Glasgow & Clyde, Glasgow, UK.
2School of Medicine, Dentistry & Nursing, University of Glasgow, Glasgow, UK.
3College of Medicine and Health, University of Birmingham, Birmingham, UK.
4National Institute for Health and Care Research, Birmingham Biomedical Research Centre, University of Birmingham, Birmingham, UK.
5Qure.AI Technologies Private Limited, London, UK.
6HealthTech Innovation & Translation Lab, College of Medical, Veterinary & Life Sciences, University of Glasgow, Glasgow, UK. david.lowe@glasgow.ac.uk.
7Emergency Department, Queen Elizabeth University Hospital, Glasgow, UK. david.lowe@glasgow.ac.uk.

Abstract

Artificial intelligence medical devices are increasingly deployed in clinical practice, yet practical approaches to post-deployment monitoring remain poorly defined. We present a structured, decision-oriented approach to monitoring within healthcare institutions, grounded in our own deployment experience. By framing surveillance as a set of interdependent decisions, this model supports effective p…

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