New11 min read
Absence Is the Failure Mode
An audit of three deployed AI scribes found one note in three carries a verified failure, and the dominant error is omission: information the clinician encounter established that the note never records. The standard fix, an LLM judge reading the note against the transcript, is near coin-flip at detecting exactly that class - judges verify presence, not absence. The fix is not a better judge. It is a restructured task: enumerate the facts, then check each one.
