Abstract Artificial intelligence (AI) is rapidly moving from pilots to routine use in Indian tertiary hospitals, offering earlier risk detection, documentation relief, and support for antimicrobial stewardship. However, without robust governance, AI can undermine equity, safety, and trust. This Commentary synthesizes international and Indian guidance and proposes a pragmatic roadmap governance board, risk tiering, prospective benchmarking, continuous monitoring, explainability, capacity-building, and privacy-preserving learning – to help institutions capture benefits while minimizing harm. The goal is not AI for its own sake, but safer, smarter care with patients at the center.
Jigish Shah (Tue,) studied this question.