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Shadow AI and the Limits of Institutional Agility
Benjamin Rader1,2, John S Brownstein1,2
1Innovation and Digital Health Accelerator, Boston Children's Hospital, 300 Longwood Ave, Boston, MA, 02115, United States, 1 6173551389.
Journal of Medical Internet Research
|October 14, 2026
Abstract
Unlabelled:
Physicians are adopting generative AI tools faster than health systems can evaluate them. This commentary on the empirical report of "Shadow AI" drivers by Petersson and colleagues argues that governing Shadow AI requires health systems to pair institutional speed with transparent, stakeholder-engaged governance.