Digital Scribes, Legal Signatures: AI-Generated Records in Medical Malpractice


  1. See, for example, Yue Fei and Pablo Tseng, “The liabilities for AI in healthcare” The National (2 September 2022), accessed at https://nationalmagazine.ca/en-ca/articles/law/opinion/2022/the-liabilities-for-ai-in-healthcare; Dimitri Patrinos, “The Virtual Physician: Clarifying Medical Liability Issues in the Use of Remote Patient Monitoring” (2024) 62:1 Alberta Law Review 205; Bradley Henderson, Colleen Flood, and Teresa Scassa, “Artificial Intelligence in Canadian Healthcare: Will the Law Protect Us from Algorithmic Bias Resulting in Discrimination?” (2022) 19:2 Canadian Journal of Law and Technology 475.
  2. Richard K. Resnik et al, Royal College of Physicians and Surgeons of Canada’s Task Force Report on Artificial Intelligence and Emerging Digital Technologies (2020) at p. 3 and 34, accessed at https://www.royalcollege.ca/content/dam/document/membership-and-advocacy/2020-task-force-report-on-ai-and-emerging-digital-technologies-e.pdf.
  3. CMPA, “The medico-legal lens on AI use by Canadian physicians” (2024) accessed at https://www.cmpa-acpm.ca/en/research-policy/public-policy/the-medico-legal-lens-on-ai-use-by-canadian-physicians.
  4. CMPA, ibid; see also CMPA, “Considerations for adopting and implementing artificial intelligence (AI) in healthcare” (2024) accessed at https://www.cmpa-acpm.ca/en/education-events/good-practices/the-healthcare-system/considerations-for-adopting-and-implementing-artificial-intelligence-ai-in-healthcare.
  5. See Health Canada, “Guidance Document: Software as a Medical Device (SaMD): Definition and Classification” (2019) accessed at https://www.canada.ca/en/health-canada/services/drugs-health-products/medical-devices/application-information/guidance-documents/software-medical-device-guidance-document.html; Health Canada, “Pre-market guidance for machine learning-enabled medical devices” (2025) accessed at https://www.canada.ca/en/health-canada/services/drugs-health-products/medical-devices/application-information/guidance-documents/pre-market-guidance-machine-learning-enabled-medical-devices.html.
  6. Ibid; see also Michael Da Silva, Colleen Flood, and Matthew Herder, “Regulation of Health-Related Artificial Intelligence in Medical Devices: The Canadian Story” (2022) 55:3 UBC Law Review 635.
  7. See Mirja Mittermaier, Marium M. Raza, and Joseph C. Kvedar, “Bias in AI-based models for medical applications: challenges and mitigation strategies” (2023) Digital Medicine, accessed at https://www.nature.com/articles/s41746-023-00858-z.
  8. Consider, for instance, the coroner report for Stephen Pettitt, a retired music teacher who died in Newcastle, UK, after a routine heart surgery was performed using a DaVinci device: https://www.judiciary.uk/wp-content/uploads/2019/05/Stephen-Pettitt-2019-0037_Redacted.pdf. For a more recent example from the United States, see Re: Acclarent, Inc., Court of Appeals of Texas (Fort Worth) June 7, 2024, 2024 WL 2873617.
  9. Gilmore v Love, 2023 BCSC 1380, para. 55
  10. Supra, para. 54
  11. Juan C. Quiroz et al, “Challenges of developing a digital scribe to reduce clinical documentation burden” (2019) Digital Medicine, accessed at https://www.nature.com/articles/s41746-019-0190-1.
  12. CMPA, supra endnote 3.
  13. College of Physicians and Surgeons of BC, “Interim Guidance: Ethical Principles for Artificial Intelligence in Medicine” (April 11 2023) accessed at https://www.cpsbc.ca/files/pdf/IG-Artificial-Intelligence-in-Medicine.pdf.
  14. Rohit Singla et al, “Talking Smart: Conversational AI Streamlines Clinical Practice” (February 14 2024) accessed at https://thischangedmypractice.com/conversational-ai-streamlines-clinical-practice/.
  15. Kyle W. Eastwood et al, “Needs and expectations for artificial intelligence in emergency medicine according to Canadian physicians” (2023) BMC Health Services Research, accessed at https://pmc.ncbi.nlm.nih.gov/articles/PMC10369807/.
  16. MEDITECH, “Fraser Health to leverage generative AI for clinical documentation in MEDITECH Expanse EHR” (December 7 2023) accessed at https://ehr.meditech.com/news/fraser-health-to-leverage-generative-ai-for-clinical-documentation-in-meditech-expanse-ehr#:~:text=Fraser%20Health%20Authority%20(Surrey%2C%20B.C.,large%20language%20models%20(LLMs).
  17. Accessed at https://www.cpsbc.ca/files/pdf/HPA-Bylaws.pdf.
  18. See Rami Hatem, Brianna Simmons, and Joseph Thornton, “A Call to Address AI ‘Hallucinations’ and How Healthcare Professionals Can Mitigate their Risks” (2023) Cureus, accessed at https://pmc.ncbi.nlm.nih.gov/articles/PMC10552880/.
  19. 2016 BCSC 938
  20. 2005 BCSC 443, para. 62.
  21. RSBC 1996, c 124

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Lindsay McGivern

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