Insights

Thinking on AI systems,
clinical infrastructure, and compliance.

For teams building AI systems that need to hold up under patient data, compliance, and real-world use.

Editorial illustration: a glowing green checkmark standing over cracked ground with fire underneath in a healthcare data control room AI Architecture

Thirteen pull requests. Twenty defects. Zero failing tests.

The suite was green. Ninety percent coverage. Then I pulled thirteen merged PRs and found twenty structural defects, including a cross-tenant leak in a HIPAA platform. This is what agents do to a codebase that was already rotting.

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Sam Morhaim
7 min read
A high-fidelity digital transition from chaotic mesh to structured circuit architecture AI Architecture

From Vibe Code to Stable Code: Why Your Healthcare AI Prototype Needs a Production-Ready Core

Learn why moving from AI-generated vibe code to production-grade stable code is critical for healthcare AI companies and…

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Sam Morhaim
6 min read
Cinematic illustration: a lone engineer standing at a junction where two paths diverge: a clean orderly path of structured blocks on one side and a dazzling tangled neon spiral on the other, against a dark navy background Strategy

The boring choice I didn't make

Years ago I picked the shiny database instead of the boring one that actually fit the problem. Here's what it cost me,…

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Sam Morhaim
5 min read
Editorial illustration: a software engineer pushing a dumpster overflowing with papers toward a glowing teal AI engine AI Architecture

Congrats, your bad ideas now ship in record time.

Fable shipped a sprint in a day and a half that Opus 4.8 had been grinding through for weeks. The lesson is the old one.…

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Sam Morhaim
5 min read
Editorial illustration: a row of teal-glowing test pipelines with one amber flagged mid-stream AI Architecture

How to Actually Test Whether Your Clinical AI Is Reliable

Most clinical AI teams test the wrong thing, the wrong way. Here's what reliability testing actually looks like —…

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Sam Morhaim
11 min read
Editorial illustration: a small glowing teal gear at the center of a much larger machine sitting in shadow Strategy

The Model Was Never the Hard Part

Three studies dropped this spring. Three angles, one story. The model stopped being the hard part — everything around it…

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Sam Morhaim
7 min read
Abstract visualization of a pristine source document being transformed into a fragmented, refracted output — representing the gap between correct retrieval and incorrect interpretation AI Architecture

Right Retrieval, Wrong Answer: The Failure Mode Most Clinical AI Teams Aren't Watching

Your RAG retrieved the right document. Your eval said retrieval was great. Then the model paraphrased a key qualifier…

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Sam Morhaim
9 min read

More Articles

Editorial illustration: a network diagram of nodes and data flows with one node highlighted amber
Case Study

Two Weeks, One Map, and the Deal That Almost Didn't Happen

A founder with the biggest hospital deal of his life on the table and no way to answer the security… read more

Sam Morhaim 6 min read
Abstract data flow visualization showing identical inputs diverging into multiple unpredictable output paths, representing non-deterministic clinical AI behavior
AI Architecture

Clinical AI Has a Cause and Effect Problem

Traditional software runs on cause and effect — same input, same output. Clinical AI doesn't. And in… read more

Sam Morhaim 8 min read
Software architect and doctor reviewing clinical AI system architecture on dual monitors in a modern hospital office
AI Architecture

What Actually Happens in an Architecture Review

Most people selling consulting services keep the deliverable vague. I think that's backwards. Here's… read more

Sam Morhaim 9 min read
Two doctors reviewing a clinical AI system architecture diagram on a large wall-mounted display in a modern hospital innovation lab
AI Architecture

What a Clinical-Grade AI System Actually Looks Like

Enough about how clinical AI breaks. Here's what a system that actually works looks like — the… read more

Sam Morhaim 10 min read
Abstract visualization of lab documents flowing through OCR and AI verification stages with green success and red failure indicators
AI Architecture

What 4 Months of Delay Taught Me About Testing Clinical AI

Our lab parsing pipeline passed hundreds of tests. Then a partner ran two labs we'd never seen and… read more

Sam Morhaim 10 min read

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