Operationalizing the EU AI Act in a comprehensive cancer center through an institutional governance framework
Abstract
The EU AI Act subjects high-risk clinical AI systems to deployer obligations whose institutional operationalization remains undefined. Drawing on experience at a French comprehensive cancer center, we present a governance framework combining three novel components: a dual-axis model for institutional risk stratification, a five-category AI-related adverse event taxonomy inspired by pharmacovigilance, and structured proficiency testing against simulated AI errors. Successful AI integration depends on institutional readiness, not algorithmic performance.
Fields of Study & Subjects
Artificial Intelligence in Healthcare and Education
Pharmacovigilance and Adverse Drug Reactions
Explainable Artificial Intelligence (XAI)
Publication details
- Journal / source
- npj Digital Medicine
- Publisher
- Springer Science and Business Media LLC
- Volume
- 9
- Issue
- 1
- Publication date
- 28 July 2026
- Language
- EN