EP50 - Treat the Patient, Not the Alert: AI, Alert Fatigue, and Nursing Decision Support
Beyond the Blueprint - Health Series
Release Date: 06/22/2026
EP51 - AMDIS Roundtable - The AI Decisions Missing From the Medical Record
Beyond the Blueprint - Health Series
AI is already influencing clinical decision-making, but what happens when those decisions occur outside the systems hospitals can monitor? In this AMDIS Roundtable, Gregg Malkary is joined by Dr. John Lee, Dr. Paul Sutton, and Dr. Stephon Proctor to examine the growing use of consumer AI tools like ChatGPT, Claude, and Gemini at the point of care. As physicians increasingly turn to these tools for clinical questions, documentation, differential diagnoses, and workflow support, health systems are facing a new challenge: understanding how AI is shaping care when those interactions never appear...
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EP50 - Treat the Patient, Not the Alert: AI, Alert Fatigue, and Nursing Decision Support
Beyond the Blueprint - Health Series
AI can identify a patient at risk. But what happens when the nurse receiving the alert is already caring for another patient? As hospitals continue adopting AI-powered clinical decision support tools, nursing leaders face a practical challenge: identifying risk is only part of the equation. Acting on it requires people, workflows, communication, and clinical judgment. In this episode of Beyond the Blueprint, Gregg Malkary is joined by Daniel Gracie, Carolyn S. Harmon, and Troy Seagondollar to explore how AI-driven alerts intersect with the realities of nursing practice. The conversation...
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Beyond the Blueprint - Health Series
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EP48 - Healthcare Doesn't Have a Staffing Problem: Rethinking Workforce Design - Elizabeth Jeanes
Beyond the Blueprint - Health Series
What if healthcare's staffing crisis isn't really about staffing at all? In this episode, Elizabeth Jeanes, founder of Jeanes Strategic Consulting and a healthcare leader with more than 20 years of experience in nursing, leadership development, and organizational strategy, challenges one of healthcare's biggest assumptions: that workforce shortages are purely a numbers problem. Instead, Elizabeth makes the case for rethinking workforce design from the ground up, starting with preceptors, frontline influencers, and the leadership systems that shape culture from day one. Her take? The people...
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EP47 - Teaching Doctors in the Age of AI: Trust, Risk, and the Future of Clinical Thinking
Beyond the Blueprint - Health Series
In this episode, we explore how AI is reshaping physician training — and what medical educators must do now to keep pace. Dr. May Lin (Touro University), Dr. Saroj Misra (A.T. Still University), Dr. Renu Agnihotri (A.T. Still University), and Dr. Shivam Vedak (Stanford University) share what's working and what isn't when it comes to preparing residents and medical students to use AI responsibly. From faculty development and inconsistent guidance across clinical sites, to automation bias and the pressure to see more patients faster, the panel examines the hard tradeoffs facing medical...
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EP46 - AMDIS Roundtable - Restoring Clinical Cognition in the AI-Ready EHR
Beyond the Blueprint - Health Series
In this AMDIS Roundtable, Dr. Eve Cunningham (Cadence), Dr. Howard Landa (Adventist Health), and Dr. Deepti Pandita (UCI Health) explore what it really means to build an AI-ready EHR. Moving beyond features and vendor roadmaps, they examine how data governance, workflow design, and clinical validation shape the physician’s day — from inbox overload to exam-room disconnect. Together, they discuss shadow AI, cognitive burden, and the hard tradeoffs between optimizing legacy workflows and redesigning care. Their message is clear: the next generation EHR isn’t about adding more technology...
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EP45 - AMDIS Roundtable - Data Governance at the Point of Care
Beyond the Blueprint - Health Series
In this AMDIS collaboration, Dr. Mark Pierce (former Parkview Health), Dr. Howard Landa (Adventist Health), and Dr. John Lee (HIT Peak Advisors) examine why data governance is ultimately a patient-care issue, not just an IT function. Drawing on real bedside decisions, EHR transitions, and conflicting metrics, they show how unclear definitions and hidden data create hesitation, workarounds, and loss of clinician trust. Together, they discuss the leadership commitment and investment required to improve data quality, and why clean data is the prerequisite for safe and meaningful AI in healthcare....
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EP44 - Beyond the Pilot: Scaling Ambient Listening at Sutter Health - Dr. Veena Jones and Stephanie Driscoll
Beyond the Blueprint - Health Series
In this episode, we’re joined by two leaders from Sutter Health who are scaling ambient listening across their enterprise: Dr. Veena (Goel) Jones, Chief Medical Informatics Officer, and Stephanie Driscoll, Vice President of Digital Implementation. In 2025 alone, Sutter onboarded more than 3,100 clinicians to ambient listening—moving well beyond pilot programs to true system-wide adoption. Together, they share what it takes to make that scale possible, from EHR integration and workflow redesign to governance, training, and change management. Key Takeaways Ambient listening only scales when...
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EP43 - Cybersecurity as Patient Safety: A 2026 CMIO Playbook - Dr. Christian Dameff, Steven Ramirez, Dr. Sean Kelly
Beyond the Blueprint - Health Series
In this episode we’re joined by Dr. Sean Kelly (Imprivata), Dr. Christian Dameff (UC San Diego Health), and Steven Ramirez (Renown Health) to explore a critical yet often misunderstood frontier: the intersection of cybersecurity and patient safety. Together, we unpack how clinical leaders can prepare for digital outages, ransomware attacks, and the escalating threat landscape—not as isolated IT events, but as high-stakes clinical disruptions. From real-time decision-making to cultural readiness, this conversation is a practical playbook for CMIOs navigating care delivery in an age...
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EP42 - Why RTLS Is Core Infrastructure in Healthcare - Todd Frantz, Ali Youssef, Paul Zieske
Beyond the Blueprint - Health Series
In this episode we’re joined by Todd Frantz (AdventHealth), Ali Youssef (Henry Ford Health), and Paul Zieske (Why Where Matters) to explore how next-gen real-time location systems are reshaping care delivery. Together, we dive into the evolution from dots-on-a-map asset tracking to intelligent platforms that drive staff safety, streamline workflows, and generate high-fidelity data for AI. From ED duress alerts to ambient analytics and digital wayfinding, this conversation is a roadmap for health leaders rethinking how hospitals move, sense, and respond in real time. Whether you’re...
info_outlineAI can identify a patient at risk. But what happens when the nurse receiving the alert is already caring for another patient?
As hospitals continue adopting AI-powered clinical decision support tools, nursing leaders face a practical challenge: identifying risk is only part of the equation. Acting on it requires people, workflows, communication, and clinical judgment.
In this episode of Beyond the Blueprint, Gregg Malkary is joined by Daniel Gracie, Carolyn S. Harmon, and Troy Seagondollar to explore how AI-driven alerts intersect with the realities of nursing practice. The conversation examines alert fatigue, cognitive overload, accountability, workflow design, and the limits of technology when resources and staffing remain constrained.
The discussion also explores why AI should support -- not replace -- clinical judgment, how poorly designed workflows can undermine even the most advanced tools, and what healthcare organizations should consider before introducing new AI-driven alerts into patient care environments.
Whether you're a nursing leader, informatics professional, healthcare executive, or technology innovator, this conversation offers a grounded look at what it takes to translate AI insights into meaningful action at the bedside.
Key Takeaways
- AI can identify risk, but it can't create capacity
- Clinical decision support is not clinical decision making
- Alert fatigue remains a significant patient safety challenge
- The right alert at the wrong time may not change care
- Experience still matters when prioritizing patient needs
- Technology can't fix broken workflows
- Escalation pathways matter as much as the alert itself
- Frontline nurses should help design AI-enabled workflows
- Better data leads to better clinical decision support
- AI should augment clinical judgment, not replace it
Episode Highlights
00:00 | AI Alerts Are Decision Support Tools, Not Decision Makers
04:29 | When a Nurse Can't Respond to an Alert Right Away
06:09 | Why the Same Alert Means Different Things to Different Nurses
07:40 | Alert Fatigue, Cognitive Load, and Patient Safety
11:15 | What Happens When a Nurse Leaves One Patient to Respond to Another
14:12 | "Treat the Patient, Not the Alert"
16:04 | Do We Need Air Traffic Control for Clinical Alerts?
16:26 | Why AI Can't Fix Poor Workflow Design
18:25 | AI as Decision Support, Not Decision Making
20:30 | Lessons from Telemetry Monitoring and Alarm Fatigue
21:57 | Who Is Accountable When an Alert Is Missed?
23:07 | Why Technology Can't Fix Broken Processes
24:12 | The Cost of Automating Bad Workflows
28:16 | Can AI Be Personalized for Different Clinical Environments?
29:51 | Why Data Quality Determines AI Performance
30:32 | Translating AI Research into Clinical Practice
32:23 | What Nursing Leaders Should Do Before Implementing New AI Tools
Guests: Daniel Gracie, Carolyn S. Harmon, Troy Seagondollar
Host: Gregg Malkary - Lighthouse Healthtech
Sponsored by: Simplifi Medical
Audio/Video: Tim Jones - Health Nuts Media
Marketing: Josh Troop - Troop-Creative
Learn More at: www.beyond-blueprint.com