ABCC-2025-004: “Navigating the Pitfalls of AI Development and Implementation: The NUH Scoliosis AI Project”
Category: Technology
Abstract: This case examines a project team's attempt to implement an AI imaging tool for the national school scoliosis screening program. Despite initial promise, the project was unsuccessful. Using a paradox theory lens, the case explores the team's responses to conflicting demands and tensions during implementation. Broader healthcare dynamics, like institutional priorities and clinical realities, are highlighted for their influence on both the design and deployment of healthcare AI. This case encourages critical reflection on the complexities of AI adoption in healthcare and the lessons that can be drawn from unsuccessful innovation efforts.