Guardrails for GenAI drafted replies in patient portal messaging
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.
Fields of Study & Subjects
Electronic Health Records Systems
Biomedical Text Mining and Ontologies
Scientific Computing and Data Management
Publication details
- Journal / source
- npj Digital Medicine
- Publisher
- Springer Science and Business Media LLC
- Volume
- 9
- Issue
- 1
- Publication date
- 6 April 2026
- Language
- EN