At the DMEA Satellite Conference organized by GMDS and BVMI, Medexter’s CEO and Scientific Director, Klaus-Peter Adlassnig, gave a presentation on "Zero-failure strategy for automated clinical decision support". This invited talk was part of the GMDS workshop on "Decision support in health care". Discussions in this workshop ranged from acceptance issues of clinical decision support, machine vs. knowledge-based artificial intelligence to responsible use of ChatGPT.