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Testing AI in Healthcare: It’s Not Like Testing Traditional Apps
Testing AI in Healthcare: It’s Not Like Testing Traditional Apps

In most projects, QA focuses on ensuring functionality, stability, and user experience. But when you’re testing AI in healthcare, you’re validating far more than code. Here, we’re not just testing software; we’re evaluating decisions that could impact patient care, diagnoses, and treatment outcomes. AI isn’t merely a tool, it’s a collaborator in clinical judgment. This paradigm shift necessitates a new approach to QA. Let’s delve into why testing AI in healthcare requires a distinct mindset and what QA must do to rise to the occasion.

It’s Not About Features—It’s About Judgments

In a typical mobile app, a bug might result in a slow load time or a misaligned button, annoying but not critical. In healthcare AI, a “bug” could lead to a misdiagnosis, an overlooked symptom, or an ineffective treatment plan.

At Testiva, we treat AI as a decision-maker. In a project involving an AI-driven diagnostic tool, we identified scenarios where the model’s predictions didn’t align with clinical expectations, prompting a retraining of the model with more representative data.

Data Isn’t Just Input—It’s the Foundation

Traditional applications operate consistently regardless of the input. AI models, however, learn from their data. If the data is biased, incomplete, or skewed, the model can make dangerous errors.

A 2022 study in Nature Medicine revealed that over 30% of AI diagnostic tools failed when applied to diverse patient groups, often due to inadequate training data and lack of generalizability testing.

In one project, we conducted a thorough assessment of the training dataset for an AI model intended for dermatological diagnosis, uncovering a lack of representation for certain skin tones. This led to the inclusion of more diverse data, enhancing the model’s accuracy across populations.

Predictions Must Be Explainable

In healthcare, decisions must be traceable. Clinicians need to understand not just what the AI predicts but why. If a system flags a life-threatening condition, the rationale must be transparent and defensible.

Our QA processes include evaluating the explainability of AI models. For example, we worked on an AI system for predicting cardiac events, ensuring that the model’s decision-making process was interpretable by clinicians, thereby fostering trust and facilitating adoption.

Testing for Real-World Conditions and Edge Cases

Hospitals are dynamic environments. Patients may present with rare symptom combinations, devices can fail, and networks may go down. QA in healthcare AI must account for these unpredictable scenarios.

We simulate edge cases and atypical clinical profiles. In a project involving an AI-powered triage system, we tested the model’s performance under various network conditions and with incomplete patient data, ensuring robustness in real-world settings.

Clinical Relevance Over Technical Perfection

An AI tool might boast 99% technical accuracy, but if the remaining 1% includes misdiagnosing a rare disease or overlooking a critical drug interaction, it’s not ready for deployment.

That’s why we collaborate with domain experts to verify clinical relevance. In a project with an AI tool for critical diseases, we worked closely with the diagnosing team to validate that the model’s recommendations aligned with current clinical guidelines and practices.

The Bottom Line

Testing AI in healthcare transcends traditional software QA. It’s about building trust through transparency, reliability, and clinical rigor.

At Testiva, we don’t treat healthcare AI like a conventional app. We test it as the decision-maker it is, because lives depend on getting it right.

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