Guardrails First: Engineering Member-Facing Health AI — Rashi Agrawal, Hinge Health
Rashi Agrawal from Hinge Health argues that safety in healthcare AI is about architectural decisions made before the model generates anything, not just good instructions.
She points to real cases where AI assistants give dangerous medical advice — a man developed sodium bromide poisoning after asking a popular chatbot about salt deficiency, and independent tests show healthcare AI often misjudges serious conditions. She advocates that sensitive patient information is never stored in the system, that critical decisions (such as calling 911) are hardcoded rather than left to prompts, and that safety runs as a continuous layer of reviewers monitoring all live traffic.
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