At the end of 2021, four colonoscopy centers in Poland started using an AI system that flags possible polyps on the screen during the procedure. The doctors involved were experienced. Each had performed more than 2,000 colonoscopies. Researchers then looked at how those same doctors did when they worked without the tool. Before the AI […]
Follow a single AI-drafted document through an ordinary company. A program manager asks an assistant to summarize three vendor proposals ahead of a steering committee. The summary is clean, well organized, and confident. It also carries forward a pricing assumption from last year’s proposal, because that version was sitting in the same folder. Nobody catches […]
Earlier this year, the COO of a financial services firm put his AI adoption dashboard on the screen with obvious pride. It was a good dashboard. Seat utilization at ninety-four percent. Weekly active users trending up for six straight months. Prompts per user, documents generated, estimated hours saved, all of it broken out by function […]
Agentic AI is an org design problem wearing a technology costume. Deploying agents without defined authority scopes, named owners, and escalation paths is the same mistake as hiring without a job description. Here is the decision rights framework enterprises need before autonomy scales.
When AI makes output cheap, the scarce skill moves to the edges of the work: framing the right problem and pressure-testing the answer. Here is what the judgment premium is and where organizations should be building it deliberately.
Picture a scenario that’s becoming increasingly common. The head of transformation at a Fortune 500 manufacturer pulls a trusted advisor aside after a steering committee meeting and says something that’s surfacing with growing frequency across the field: “Our governance model is fighting the work.” Her organization is eighteen months into a multi-year operating model transformation. […]
A chief operating officer at a midmarket industrial company told me recently that her organization had deployed over forty AI-powered tools across the enterprise in the past eighteen months. Productivity dashboards, predictive maintenance models, automated customer service agents, AI-assisted procurement workflows. The technology worked. The results were promising. And yet, three separate business units had […]
The paradox of artificial intelligence adoption in large organizations has become strikingly clear: while executives trumpet AI as essential to competitive survival, fewer than 30% of enterprise AI initiatives make it beyond the pilot phase. The culprit isn’t the technology—it’s the people. AI resistance follows predictable patterns across organizations. The good news? So do the […]
Jesse Jacoby
