Medical directors and quality leads accountable for clinical output
Clinical safety
The safety position is a short list of rules that hold in every workflow, not a per-feature promise.
Invariants
Human sign-off
Clinical content leaves draft state only through a named clinician.
Traceability
Every generated element links back to record entries.
No silent change
Automation never edits signed content; it proposes an amendment.
Recorded overrides
Bypassing a check requires a reason that stays in the audit trail.
The six questions
- What is it?
- A set of invariants applied to every automated output that touches care.
- Who is it for?
- Medical directors, quality leads and clinicians who sign.
- Which problem does it solve?
- Without invariants, safety depends on which feature you happen to be using and on how carefully it was configured.
- How does it work?
- No diagnosis, prescription, triage outcome or discharge is issued without a clinician's signature. Generated clinical text is marked as draft until signed. Overrides of a rule are recorded with author, time and reason.
- How is it different?
- These rules cannot be switched off per site or per user; a stricter local rule can be added, never a looser one.
- What is the proof?
- Any signed clinical document shows who signed it, when, and what the draft said before signature.
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The safety position is a short list of rules that hold in every workflow, not a per-feature promise.
Medical review: 2026-08-24