aceRegulating the drafting fiction: A qualitative content analysis of official guidance and regulator documents on AI scribe adoption and use in healthcare
Artificial intelligence scribes use automatic speech recognition and generative language models to document clinical consultations, but official expectations for safe adoption are scattered across privacy, professional, medical device, safety and health-system guidance. We conducted a qualitative content analysis of 74 unique English-language official documents issued by regulators, government bodies, medical colleges and health-system organisations. Documents were identified through a staged grey literature sea…
Official AI scribe guidance treats clinician verification as the central safeguard but does not specify the encounter-level support clinicians need to catch hallucination, omission, automation bias or model drift.
The study analyses official guidance documents, limited to English-language sources, so it does not measure actual AI scribe accuracy or clinical outcomes.
Evidence
- Peer-reviewedPLOS Digital Health2026-10-06
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Truvace Impact Record TRV-2026-1814, v1: “Regulating the drafting fiction: A qualitative content analysis of official guidance and regulator documents on AI scribe adoption and use in healthcare.” Truvace, 2026-10-18. /record/TRV-2026-1814 (accessed at citation time). sha256 e94455d192c09b14…
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