Make the risk score explainable enough to use
Distinguish decorative transparency from decision-useful transparency in an AI-assisted workflow.
What changed when the clinic moved from a bare score to decision-useful transparency? Before: the score looks precise, but the reviewer cannot inspect or challenge it. After: the recommendation is paired with reasons, uncertainty, and a review rule. Reason groups replaced a bare score, so the reviewer can see whether the recommendation rests on valid evidence or on a fragile proxy. Uncertainty and intended-use limits were added, because transparency must show when the model is less reliable, not only when it is confident. A named escalation step was added before overbooking, turning human oversight into accountable review rather than automatic…
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