Abstract
PURPOSE: This paper aims to explore the paradigm shift in leadership and strategic management driven by the integration of responsible artificial intelligence (AI) in healthcare. It explores the evolving role of leadership in adapting to AI technologies while ensuring ethical governance, transparency and accountability in healthcare decision-making. DESIGN/METHODOLOGY/APPROACH: This study conducts a comprehensive review of current literature, case studies and industry reports to evaluate the implications of responsible AI adoption in healthcare leadership. It focuses on key areas such as AI-driven decision-making, resource optimisation, crisis management and patient care, while also addressing challenges in integrating AI technologies effectively. FINDINGS: The integration of AI in healthcare is transforming leadership from traditional, experience-based decision-making to data-driven, AI-enhanced strategies. Responsible leadership emphasises addressing ethical concerns such as bias, transparency and accountability. AI technologies improve resource allocation, crisis management and patient care, but challenges such as workforce resistance and the need for upskilling healthcare professionals remain. PRACTICAL IMPLICATIONS: Healthcare leaders must adopt a responsible leadership framework that balances AI's potential with ethical and human-centred care principles. Recommendations include developing AI literacy programmes for healthcare professionals, ensuring inclusivity in AI algorithms and establishing governance policies that promote transparency and accountability in AI applications. ORIGINALITY/VALUE: This paper provides a critical, forward-looking perspective on how responsible AI can drive a paradigm shift in healthcare leadership. It offers novel insights into the integration of AI within healthcare organisations, emphasising the need for leadership that prioritises ethical AI usage and promotes patient well-being in a rapidly evolving digital landscape.