Insights

The Human Side of AI: Why Explainability Matters in Healthcare

Author
Piotr Sędzik
Published
December 9, 2024
Last update
December 9, 2024

Table of Contents

Key Takeaways

  1. Explainable AI bridges the trust gap in healthcare, with clinician adoption increasing from 22% to 95% when AI systems can explain their decisions
  2. Real-world implementation of XAI has led to measurable improvements: 23% reduction in diagnostic errors and 40% faster decision-making
  3. Success in healthcare AI depends on making systems transparent and understandable, not just accurate
  4. Practical applications like voice analysis for mental health demonstrate how XAI can transform patient care through early intervention
  5. The future of healthcare lies in AI solutions that can explain themselves, building trust among healthcare professionals and patients alike

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As CEO of Momentum, I've witnessed firsthand how AI is reshaping healthcare. But among all the technological advances, one truth stands out: the most powerful AI solutions are those that humans can understand and trust. This isn't just about technology – it's about creating a bridge between artificial intelligence and human expertise.

Let me share an example that perfectly illustrates this point...

Picture this: in a dimly lit emergency dispatch center in Copenhagen, a dispatcher receives an urgent call. As she listens to the caller's panicked voice, an AI system quietly analyzes the audio in real-time. Suddenly, a notification appears: "High probability of cardiac arrest detected." But unlike the black-box AI systems of the past, this one shows exactly why it reached this conclusion — specific voice patterns, background sounds, and keyword combinations that match previous cardiac arrest cases.

This is Explainable AI (XAI) in action, and it's revolutionizing healthcare as we know it.

The Trust Paradox in Healthcare AI

In our work with healthcare providers, we've encountered a fascinating paradox: even when AI systems demonstrate superior accuracy (90% compared to 75% with traditional methods), clinicians often hesitate to trust them. This isn't a technology problem – it's a human one. Healthcare professionals need more than just accurate predictions; they need to understand the reasoning behind them.

This becomes even more critical when we consider regulatory requirements like HIPAA and GDPR. Explainable AI isn't just a nice-to-have feature; it's becoming a necessary component for compliance and accountability in healthcare technology.

From Black Box to Glass Box: The Copenhagen Case Study

Let's come back to our late-night emergency call. When the AI flags it as a potential cardiac arrest, should the dispatcher trust it? Initially, they couldn't. The AI was a black box — it would raise an alert without explanation, leaving dispatchers hesitant and often ignoring its recommendations.

Then came the transformation.

The same AI system was redesigned to think out loud. Now, when it flags a cardiac arrest, it explains why: "Similar breathing pattern to confirmed cases," or "Background sounds match previous cardiac arrests." It's like having an experienced colleague explaining their reasoning.

The transformation of Copenhagen's emergency dispatch system provides great evidence of XAI's impact:

  • Response times improved by 26 seconds (equivalent to a 15% reduction in critical response time)
  • Trust in the system increased from 22% to 95%
  • False alarms decreased by 47%
  • Estimated cost savings of €1.2 million annually through improved resource allocation

What made this transformation successful wasn't just the technology – it was the thoughtful implementation process that put human needs at the center. Through our experience at Momentum, we've learned that successful AI implementation requires:

  • Extensive stakeholder engagement from day one
  • Iterative feedback loops with end-users
  • Clear performance metrics that matter to healthcare providers
  • Robust training programs that build confidence in the system

It's not just about making AI smarter — it's about making it speak human. When emergency dispatchers could understand the 'why' behind each alert, they gained a partner they could trust, not just a tool they had to blindly follow.

How XAI Works in Healthcare

Explainable AI isn't a single technology but rather a sophisticated set of approaches designed to make AI systems transparent and interpretable. At its core, XAI employs several key mechanisms to transform complex AI decisions into understandable insights:

Feature Attribution & Importance

  • SHAP (SHapley Additive exPlanations) values reveal each feature's contribution to the final decision
  • Layer-wise Relevance Propagation (LRP) traces decisions through neural networks
  • Integrated Gradients highlight which inputs most influenced the outcome

Visual Attribution Methods

  • Gradient-weighted Class Activation Mapping (Grad-CAM) creates heat maps showing which parts of medical images influenced decisions
  • Attribution maps highlight regions of interest in diagnostic imaging
  • Deep LIFT compares neuron activations to reference states

Natural Language Explanations

  • LIME (Local Interpretable Model-agnostic Explanations) creates simplified local models to explain individual predictions
  • Human-readable rationales generated from model internals
  • Concept activation vectors link abstract concepts to model decisions

Surrogate Models

  • Simpler, interpretable models approximate complex AI decisions
  • Decision trees and rule lists provide clear decision paths
  • Local approximations explain individual cases

The beauty of XAI lies in its ability to combine these approaches. For instance, when analyzing a chest X-ray, our systems might use Grad-CAM to highlight suspicious areas while LIME explains the reasoning in plain English, supported by feature importance scores that quantify the confidence in each finding.

healthcare professional searching patient data with XAI

Impact on Patient Care

The implementation of XAI has shown measurable improvements across healthcare:

Diagnostic Accuracy

  • 23% reduction in diagnostic errors
  • 40% faster decision-making in critical situations
  • 62% increase in clinician adoption of AI recommendations

Patient Trust

  • 76% of patients prefer explained AI diagnoses
  • 89% better understanding of treatment plans
  • 34% increase in treatment adherence

Clinical Workflow

  • 45% reduction in unnecessary tests
  • 28% improvement in resource allocation
  • 53% better collaboration between AI and clinicians

A Practical Case Study of Momentum: Voice Analysis for Mental Health

Imagine catching a bipolar episode weeks before it happens, just by listening to a routine phone check-in. That's exactly what we achieved with one of Europe's leading mental health institutes.

The challenge was clear: experienced psychiatrists can detect subtle voice changes that signal an upcoming episode — like increased speech rate and topic switching for mania, or longer pauses and quieter speech for depression. But with growing patient numbers and limited specialist time, many of these early warning signs were being missed.

Our solution transformed patient monitoring through automated check-ins. Here's how it works: our system makes several brief calls to patients throughout the day, using a natural-sounding AI voice to ask simple questions about their well-being. As patients respond, the system analyzes not just what they say, but how they say it.

The AI then generates daily summaries for psychiatrists, explaining its observations: "Pattern change detected — Morning responses show 40% faster speech rate and frequent topic switches compared to baseline. Similar patterns were observed in 82% of pre-manic episodes." Psychiatrists receive these insights with clear visualizations and trend analyses, helping them make informed decisions about early interventions.

The impact? We're now catching mood episodes 2–3 weeks earlier than before, giving clinicians crucial time to adjust treatment and often prevent full-blown episodes. What started as a pilot with 50 patients has shown remarkable results.

Looking Ahead: The Future of Healthcare Through XAI

The potential impact of XAI in healthcare extends far beyond improving existing systems — it's about fundamentally transforming how we approach patient care:

Preventive Care Revolution

  • Early detection through subtle pattern recognition
  • Personalized risk assessments with clear, actionable explanations
  • Proactive intervention recommendations based on transparent, data-driven insights

Democratized Medical Expertise

  • Bringing specialist-level insights to remote and underserved areas
  • Empowering primary care physicians with AI-backed diagnostic support
  • Reducing healthcare disparities through accessible, explainable AI tools

Enhanced Patient Engagement

  • Improved patient understanding and participation in healthcare decisions
  • Better treatment adherence through clear explanations
  • Increased trust in digital health solutions

Medical Research Acceleration

  • XAI revealing new patterns in disease progression
  • Faster drug discovery through interpretable AI insights
  • Better understanding of treatment effectiveness across different patient populations

Conclusion

As we continue to develop and deploy AI solutions in healthcare, one thing becomes increasingly clear: the future belongs to solutions that can explain themselves. At Momentum, we're committed to developing AI systems that don't just perform well – they build trust, enhance understanding, and ultimately improve patient care.

The journey toward explainable AI in healthcare isn't just about technology; it's about creating solutions that healthcare professionals can trust and patients can benefit from. This is the foundation upon which we're building the future of healthcare technology.

Want to learn how we're making AI more explainable and trustworthy in healthcare? Contact our team to discuss your project, or download our whitepaper on XAI implementation best practices.

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Piotr Sędzik