What is a governed decision record?
A governed decision record is, as Medigram's definitions page states it: “The sealed, tamper-evident record produced at the moment a consequential AI-assisted decision is made, capturing what was decided, under what authority, on what evidence, by which system, and with which accountable person.”
A governed decision record is, as Medigram's definitions page states it: “The sealed, tamper-evident record produced at the moment a consequential AI-assisted decision is made, capturing what was decided, under what authority, on what evidence, by which system, and with which accountable person.”
An AI output alone does not show whether the institution authorized its use, whether required conditions were met, or who owned the resulting decision. A governed decision record makes the decision examinable without reconstructing it after an incident.
- A defined decision and authorized remit.•
- Identity of the model, agent, system, and responsible institution.•
- Evidence and provenance relevant to the decision.•
- Named accountable human authority.•
- A durable contemporaneous record suitable for oversight and learning.•
Documentation describes a system or policy. A governed decision record captures the accountable institutional decision in context.
Accountable authority: The institution designates the accountable authority according to clinical, operational, legal, and delegated decision rights.
See how Darwin by Medigram puts decision governance into practice. Review the public evidence basis. Review the practitioner and standards context. Return to the Decision Governance library.
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