Literature Review

Lessons from 70 triathlons about why enterprise software projects fail Forbes; by Alan Rencher for Forbes Technology Council; 7/13/26 ​In 2004, I weighed 280 pounds. ... I am not proud of how I got there. But I am genuinely grateful for what getting out of it taught me, not just about endurance training, but about the thing I have spent my career trying to get right: why enterprise software almost always fails. I have now completed 70-plus triathlons. I also have a long list of painful firsthand experiences with enterprise software that launched expensively and landed quietly in a drawer. Building it, selling it, buying it, implementing it. I have been on every side of that table. The failure modes are the same. And the reason is not what most people think.​ ...

As AI listens to patients, physicians face new questions Medscape; by Michael Waldholz; 6/22/26 Like much of modern life, medicine is rapidly being reshaped by AI. The fastest-growing — and potentially most consequential — application in healthcare is a technology known as “ambient intelligence.” ... According to a new report from the Peterson Health Technology’s AI Taskforce, “There is no technology in recent memory that has been adopted more enthusiastically by clinicians or has scaled up so uncharacteristically fast, absent a regulatory mandate.” But with the enthusiasm comes concern. The AI scribe field is unregulated, so an application’s accuracy isn’t being independently monitored. In one recent study, researchers reported scribes produced inaccuracies that the authors say will require “vigilance.” 

Cracks in the AI crystal ball: why clinical prediction tools fall short in the real world Journal of General Internal Medicine; by David Gamble MD, Andrew Wong MD, MS and Amiran Baduashvili, MD; 6/22/26 ... In this issue of the Journal of General Internal Medicine, Patel and colleagues evaluate the real-world performance of five Epic predictive AI tools: the Deterioration Index, Sepsis Model, Unplanned Readmission Model, End-of-Life Care Index, and Patient No-Show Model. Their systematic review and meta-analysis, encompassing 22 studies and over two million patients, focused on the models’ ability to distinguish between patients who ultimately did and did not experience a specific outcome—a property known as discrimination.

Beyond the pilot trap: how healthcare can scale AI without losing trust MedCity News; by Prashant Sareen; 6/18/26 The question facing healthcare leaders today is no longer whether Artificial Intelligence (AI) will be transformative, but whether our organizations can transform quickly enough to harness it at an enterprise scale. The industry has moved past the initial excitement of proof-of-concept (POC) success, only to be confronted by a structural chasm: the Pilot Trap. This is the organizational inertia and technical friction that causes successful AI models, brilliant in isolation, to fail spectacularly in the messy reality of production. Now, with enterprises looking to adopt Agentic AI systems that are capable of autonomous reasoning, planning, and task execution—the pressure, and the risk, has multiplied. 

The AI leadership edge: seven critical skills for navigating the age of Artificial Intelligence Recruit-Talent.com | Leadership and Management; 6/14/26 Massachusetts Institute of Technology (MIT) has revealed a stark reality for businesses venturing into the realm of artificial intelligence (AI): a staggering 70% of AI implementations fail to deliver their anticipated business value. ... The MIT study, coupled with extensive real-world application, has identified seven pivotal leadership skills that are instrumental in distinguishing effective AI leaders from their less successful counterparts. ...

Symptom-monitoring app helps patients with advanced cancer maintain quality of life The ASCO Post; by The ASCO Post Staff; 6/2/26 Use of a mobile app for proactive symptom monitoring helped patients with advanced cancer who were no longer receiving active anticancer treatment maintain their quality of life and reduced hospital utilization, according to findings from a randomized controlled trial presented at the 2026 ASCO Annual Meeting. The study evaluated SUPPORT+, a digital symptom-monitoring platform designed for patients receiving palliative care. The app sends weekly automated reminders prompting patients—or their caregivers—to complete a brief questionnaire about physical and emotional symptoms. Based on responses, the app provides self-management recommendations for mild or moderate symptoms and automatically alerts palliative care nurses when severe or worsening symptoms are reported. Nurses then follow up with patients through the app or by telephone.

How AI’s growing role in nursing raises questions about safety, ethics, and human care: Penn nursing report cautions that AI systems may add rather than reduce costs and workflow burdensPenn LDI - Leonard Davis Institute of Health Economics; by Hoag Levins; 5/27/26 As artificial intelligence systems spread through hospitals and clinics, a growing debate is emerging over whether the technology will ultimately strengthen nursing care — or gradually replace parts of it. That tension is at the center of a new University of Pennsylvania School of Nursing report, “Artificial Intelligence and Nursing Science: Opportunities, Challenges, Implications, and Guidelines,” published in the May-June 2026 edition of Nursing Outlook.

Berkshire Health Systems CIO says AI must show measurable results to justify adoption at rural hospitals Complete AI Training | Healthcare; 5/16/26 Berkshire Health Systems CIO William Young demands AI prove its worth through time saved and waste cut-not features. The rural Massachusetts health system pilots AI carefully, measuring outcomes before any wider rollout.  ... Does it save time? Does it cut waste? Does it help a rural hospital system survive?

Technology, collaboration pivotal to speedy hospice admissionsHospice News; by Holly Vossel; 5/6/26Rising demand and prolific workforce shortages have strained timely access to hospice among dying patients nationwide. Hospices moving the needle toward improvement have leveraged multifaceted approaches that blend interdisciplinary care support with technology integration... Improving timely hospice access involves a strong focus on accuracy, particularly around patient eligibility and documentation, said Ernesto Lopez, CEO of the health care artificial intelligence company 1520ai.Article featured: Ernesto Lopez, CEO of 1520ai; Dr. Tracy Romanello, medical director at Catholic Hospice and Catholic Palliative Care Services; Courtney Penn, COO of Transcend Strategy Group.

New tech lets home carers and hospice providers communicate better, more safely Columbia Basin Herald Local News, Wenatchee, WA; by Joel Martin; 5/6/26 Anyone who’s ever had to deal with communication between medical providers, home caregivers and Medicare or insurance knows the frustration of trying to get everybody on the same page. A new system debuted by Confluence Health is expected to make those connections easier and safer. “Suppose a patient fell and (injured themselves) and they go in for (treatment),” said Adam MacDonald, corporate communications program manager for Confluence Health. “This is going to make it so their home health and hospice nurses are looking at the exact same record.”

20 high-performing healthcare web designs that get results just digital; 4/29/26 As healthcare continues its digital shift, an optimized web presence is no longer optional it’s the digital front door to your health system or practice. With search queries frequently driving direct engagement and appointments across healthcare verticals, your site’s usability and clarity are non-negotiable. [Scroll down to "Top 20 Healthcare Website Designs" for identified websites with descriptions.]

Cyberattack: A Path of Care Home Health and Hospice, Oklahoma HIPAA Journal (scroll down for this article); by Steve Alder; 4/22/26 [Scroll down to "A Path of Care Home Health and Hospice"] A Path of Care Home Health and Hospice in Oklahoma has notified 3,849 individuals about a data breach at its business associate, Doctor Alliance. Doctor Alliance notified A Path of Care Home Health and Hospice on January 12, 2026, that it had been affected by the incident.