Clinical AI Safety · Beta

Every clinical AI decision. Verified.

Orinyx sits between any clinical AI tool and the patient record, checking every medication recommendation against FDA labeling, clinical pharmacology, and federal safety guidance, in real time, before the doctor signs.

  • FDA labeling
  • Clinical pharmacology
  • Federal guidance
  • HIPAA-safe

Backed by

AWS Startups

What happens now

An AI recommended aspirin 325mg daily to prevent heart attacks. It called the recommendation guideline-consistent. That guideline was reversed in 2022. The updated guidance says do not start this because bleeding risk outweighs the benefit. Nobody caught it. No record of what the AI said. No check before it reached the doctor.

0%

of US physicians use AI for clinical decisions

1–0%

medication error rate from clinical AI

$0.0M

average lawsuit from a bad AI recommendation

0 in 0

hospital AI projects that exit testing

See it in action

When a recommendation isn't supported, it gets flagged. With sources.

ORINYX · CONSOLE
v0.4.2
847 clinical AI decisions reviewed · last 24 hours · 31% flaggedLIVE
MAJOR · FLAGGED · REVIEW REQUIREDdecision #5BE2-A1
Clinician query
Patient on apixaban, can I also prescribe clarithromycin for a lung infection?
AI recommendation
"Yes, give both. Monitor INR."
Issues detected · 2
  • Fabricated monitoring: INR is only relevant for warfarin, not apixaban. The recommended monitoring parameter does not apply to this drug class.
  • Missed FDA label: Apixaban + clarithromycin requires 50% dose reduction.
    SOURCE: FDA LABEL, APIXABAN (ELIQUIS) §7.1
2025-04-23T14:22:08Z · routed via epic-aoc-prod-12audit log · orc://logs/2025-04-23/5BE2-A1

Want to see this run on a real flagged decision from your AI environment? Schedule a demo →

How it works

Three steps. Every recommendation. Every time.

01

Install one layer

One layer between any AI tool and the EHR. No clinician workflow change.

02

Check every recommendation

Every recommendation is checked against FDA drug labeling, clinical pharmacology, and federal medication safety guidance.

03

Flag, source, log

Unsupported recommendations are flagged Minor, Moderate, or Major. Supported ones pass through with source attached. Every output is logged for audit.

Security by design

The patient record never leaves your control.

Runs in your environment

Deploy on-prem or in your private cloud. PHI stays behind your firewall.

Read-only on the record

Orinyx checks the recommendation. It never writes to the chart.

Full audit trail

Every check signed and timestamped, ready when compliance asks.

Schedule a demo

See Orinyx live. Pick a time.

30 minutes with the founder. We'll walk through the console on a real flagged decision and answer anything specific to your AI environment.

30 minutes · opens in a new tabBook a demo →

Frequently asked questions.

The questions hospital risk officers, CMIOs, and clinical leadership ask first.