Practice

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Who is responsible when an AI scribe gets the note wrong?

You are. The vendor wrote the draft. You signed it.

You are. The vendor wrote the draft, but you signed it. Clinicians across specialties say so. A psychologist worried about being sued over something the tool invented. A podiatrist who runs a two-person practice found it making up medication doses. A counselor put it plainly: if a client sues, the software company is not the one answering. Colorado's new law now writes this down for therapists.

What kinds of errors do clinicians report?

Invented doses. A lesion percentage recorded wrongly in a surgical consultation, which a surgeon noted carries medicolegal weight. Facts that were never said. The large trials see the same shape at scale.

In a randomized trial of two AI scribes at a large California health system, covering 238 physicians in 14 specialties and 72,369 visits, physicians rated clinically significant inaccuracies as occurring occasionally. The error types they reported were omissions (12 reports), formatting problems (11), pronoun errors that misgendered patients (8), and confusion between yes and no (5).

Doesn't the vendor share the risk?

Rarely in any way that helps you. Your signature is on the note. Consent templates supplied by software companies often say, in small print, that they are for reference only and that making them fit your situation is your job. Colorado's HB26-1195 lets therapists use AI for administrative support only where the professional keeps responsibility for reviewing its output.

How do I protect myself?

Read every draft before you sign it, and read the numbers first: doses, percentages, sides, dates. Check every negative, because a dropped no reverses a finding. And keep the assessment and plan yourself, because the part of the note with the most consequence is the part you should write.

Does a human scribe change this?

No. Signing a note has always meant attesting to it, whoever typed it. The difference with software is volume: it drafts every note, so the habit of checking has to hold every time.

The short version

The clinician who signs the note owns it, whoever drafted it. Read every AI draft before you sign, numbers and negatives first. For practices, Solanto will write the history and leave the judgment to you, in Cloud mode or in Private Mode, where the note never leaves your device.

The price is on the page, not behind a call. Early access is open: solanto.ai/pricing

Ask a colleague what the last error they caught in an AI draft was. Then ask what they would have signed if they had not caught it.

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