Guardrails First: Rethinking Safety in Healthcare AI

AI Engineer · youtube · 2026-08-19

Rashi Agrawal discusses safety engineering practices for healthcare AI, citing risks like toxic advice and under-triaging emergencies. She argues safety must be an architectural decision: PHI should be stripped at pipeline boundaries, and deterministic rules (like routing to 911) must live in a code layer above the model. She emphasizes that if labs don't trust prompts as a security boundary, developers shouldn't either, advocating instead for a continuous evaluation layer for live traffic.

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