ECRI has named uncontrolled clinical AI the top patient safety hazard for 2025. This article explains why unchecked algorithms pose real risks at the bedside and what nurses must demand to protect patients, equity, and clinical judgment.

AI is transforming nursing practice with both promise and peril. With 64% of nurses wanting more AI tools and 44% of metro hospitals already adopting them, nursing leaders must navigate opportunities in clinical decision support, workflow automation, and education—while addressing critical risks around bias, data quality, and workforce impact. This article provides an evidence-based roadmap for responsible AI integration