Health AI Central
Peer-Reviewed Publication
J Med Internet Res2026;28e112827.October 14, 2026Journal Article

Shadow AI and the Limits of Institutional Agility.

Benjamin Rader1,2, John S Brownstein1,2
1Innovation and Digital Health Accelerator, Boston Children's Hospital, 300 Longwood Ave, Boston, MA, 02115, United States, 1 6173551389.
2Harvard Medical School, Boston, MA, United States.
PubMed DOI

Abstract

Physicians are adopting generative AI tools faster than health systems can evaluate them. This commentary on the empirical report of "Shadow AI" drivers by Petersson and colleagues argues that governing Shadow AI requires health systems to pair institutional speed with transparent, stakeholder-engaged governance.

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