**5.4 Governance of the model**

Given patient safety concerns, the governance of a sepsis deterioration model falls under the jurisdiction of a medical executive committee (MEC). Additionally, hospitals now have sepsis steering sub-committees and patient safety committees in advisory roles. Patient risk—especially with respect to false negatives—should be presented and all non-treatment decisions that lead to poor patient outcomes should be examined on a quarterly basis at minimum to ensure patient safety.

Machine learning is how a computer learns to predict a particular outcome based on prior data. Artificial intelligence (AI) is the ability to take the information and translate it into an actionable insight. There remains weariness of AI and fear that it will replace human decision-making capacity. As shown in the development of the model above, AI takes human-derived knowledge but augments the ability to act on that knowledge via computing power. AI is a good servant but a terrible master—all treatment and nontreatment decisions remain with a licensed independent practitioner.
