Guardrails for GenAI drafted replies in patient portal messaging.
editorial · Level V
Where this comes from
- Record sourced from PubMed, PMID 41942581.
- Also identified by DOI 10.1038/s41746-026-02621-6 and PMC identifier 13053716.
- Licence recorded as CC BY-NC-ND.
- Because redistribution is not established, this page shows the abstract only. Follow the links below for the full text.
Abstract
GenAI is increasingly used to draft replies to patient portal messages to reduce clinician workload. Evidence shows modest utilization and measurable workflow effects, alongside safety risks when clinicians miss errors or accept drafts with minimal editing. As deployments scale with deeper EHR integration and expanding transparency mandates, this Comment proposes governance that preserves efficiency without normalizing unsafe delegation: scoped use, risk tiering, accountable human authorship, auditability, and patient-facing transparency.