Overview

The demo always works. The system almost never does. Everyone is talking about what AI can do. This is the book about how to make it actually work where it matters - in the messy, regulated, high-stakes places where being wrong has consequences. Most artificial intelligence never makes it out of the lab. By recent estimates, the large majority of corporate AI pilots produce no measurable impact and quietly die in ""pilot purgatory."" They are not killed by bad models. They are killed by the last mile: the brutal final stretch between a model that dazzles in a demo and a system a real person will rely on at two in the morning. Drawing on years of putting AI to work inside the operating room, technology founder and computer scientist Paulo Pinheiro, PhD, lays out the operator's playbook for crossing that gap - trust, reliability at the edge, workflow, regulation, and the economics that actually close. Along the way it argues five things that sound wrong and are right: accuracy is not adoption; the last one percent is ninety percent of the work; augment, don't replace; the money is in throughput, not headcount; and constraints are a moat. The demo is cheap. The system is expensive. This is how you build the expensive part - the part no one can take from you.

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