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Trust AI Outputs or Require Human Review? Binary Business - BB-13

A hospital put a human review layer on every AI-generated patient summary. Six weeks later, reviewers were approving 97% without changes. One told me, "I stopped reading them after day three." That's not human oversight. That's a screensaver with a pulse.

In this episode, I break down when to trust AI outputs and when to require human review, including a four-rung "Trust Ladder" framework that tells you exactly how to scale oversight as AI performance improves.

What You'll Learn:
• Why humans are terrible reviewers of AI output (and the 4% error rate that ends careers)
• The editor getting paid $85/hour to change 11 words per article — "That's not quality control. That's an expensive ego edit."
• How an AI-generated contract clause got discovered during a deposition (the worst time to find out your AI made up law)
• Happy birthday, Karen — your compliance report is late because we were reviewing your cake emoji
• The senior manager who held proposals 48 hours so his "fingerprints" were on everything
• The Trust Ladder: Full review → Sampled → Exception → Audit (and how to define the criteria for climbing)

🎯 Download the free Binary Decision Scorecard: https://entrenovaai.com/scorecard

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Timestamps:
0:20 - Context: The Trust Question Nobody Wants to Answer
2:30 - Binary 1: Trust AI Outputs
5:15 - Binary 0: Require Human Review
7:45 - ABCD Breakdown
8:00 - Audience: Segment by Error Tolerance
10:15 - Build: Confidence Scoring and Exception-Based Review
12:30 - Convert: When Review Becomes a Power Position
14:30 - Deliver: The Trust Ladder Framework
16:30 - The Call: Catching Errors or Catching Feelings?

About William Guidry:
Will Guidry is CEO and Founder of EntreNova AI, a Houston-based Microsoft Cloud Solutions Partner. He helps operators build review architectures that match risk instead of defaulting to oversight theater, using the Binary Decision Scorecard framework.

Previous Episode: BB-12 - Change Culture or Change Tools First?
Next Episode: BB-14 - Optimize Individuals or Optimize Teams?

Binary Business is a business decision podcast for operators navigating AI.

Each 10-15 minute episode breaks one AI decision into a clear binary choice using the ABCD framework: Audience, Build, Convert, Deliver.

100 Episodes. 4 Seasons. One System.

Season 1 (Jan-Mar): Who AI decisions are for
Season 2 (Apr-Jun): How systems break when AI scales
Season 3 (Jul-Sep): Where AI moves money
Season 4 (Oct-Dec): How to execute AI decisions

New episodes drop every Tuesday & Thursday.

This isn't a podcast about AI hype. It's a framework for making high-stakes decisions in a world where AI is changing the rules.

Subscribe to follow the full arc. By Episode 100, you'll have a portable decision system that works for any business challenge.

🎯 Free Resource: Binary Decision Scorecard
https://go.binarybusiness.tech/gzkqjw9n-yt-pod-bb-01

💼 Work with Will:
https://app.usemotion.com/meet/willguidry/EntreNova-Will?d=30

🔗 LinkedIn:
https://linkedin.com/in/williamguidry

Binary Business. All signal. No noise.