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Latest / The Clinical Realist

Sunk Cost, Vendor Lock, and the AI Tools Health Systems Can't Let Go Of

Most clinical AI governance frameworks tell you how to evaluate tools before you deploy them. Nobody talks about how to exit a tool that is not working. In this episode, Dr. Sarah Matt walks through the anatomy of sunk cost bias in health system AI: how it starts (month four or five, mixed performance data, a vendor who keeps resetting the clock), how experienced vendor account teams use it to extend bad contracts, and how to build exit criteria into your governance framework before you ever go live. What you will take away from this episode: - Why sunk cost bias in vendor relationships is a…

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