· Lex Hamilton
AI Scribe Patient Consent: What a Defensible Consent Flow Requires
What consent for an ambient AI scribe actually requires: recording, transmission, retention, and a consent record the documentation tool did not write.
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Notes on clinical AI safety.
Writing on clinical AI safety from Orinyx: verifying medication recommendations against FDA labeling, pharmacology, and federal guidance before a doctor signs.
· Lex Hamilton
Automation Bias in Clinical AI: What Happens When Humans Stop Checking
What automation bias is, the evidence that human review atrophies when AI checks AI, and how hospitals can keep verification real. Sourced for CMIOs.
Read article →· Lex Hamilton
Benchmarking Clinical AI: What We Measure, What We Withhold, and What Changes for Agents
How Orinyx benchmarks clinical AI: catch, false-flag, and abstain rates, hash-pinned case sets, rotation policy, and the measures planned for agentic systems.
Read article →· Lex Hamilton
When Medicare starts paying for outcomes, the evidence becomes the product
CMS has proposed a named Medicare payment category for clinical software, and signaled that future payment rates will track impact on patient outcomes. That turns a vendor's evidence package into a financial instrument, and raises a question procurement has not had to ask before: who measures the outcome that determines the payment?
Read article →· Lex Hamilton
When an AI Has a Stake in Its Own Recommendation
An AI can be correct and conflicted at once. Why Illinois now requires conflict-free AI auditors, and what clinical AI procurement should ask for.
Read article →· Lex Hamilton
Why an AI System Can't Audit Its Own Output
An AI system can't verify its own output: generator and checker share the same blind spots. Why clinical AI needs independent verification.
Read article →· Lex Hamilton
Why you can't make clinical AI accurate enough to skip governance
A higher accuracy score doesn't close the clinical AI safety gap. Here's what governance does that model training cannot, and why the FDA's 2026 CDS deregulation makes this urgent.
Read article →· Lex Hamilton
Transcript-faithful is not the same as clinically correct
A transcript-faithful clinical note can still be clinically wrong. Why that gap matters for AI governance, from Orinyx, an independent safety layer for clinical AI.
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