Clinician approval
This is the most important safety concept in Miraa. Read it in full.
Miraa generates draft content only. A clinician must review and approve it before it is used. The verification step is mandatory. Miraa is not a replacement for clinical judgment.
The principle
- Miraa produces draft notes, letters, referrals, tasks, and suggestions.
- Clinicians remain responsible for all clinical decisions.
- Clinicians must review and approve notes and clinical documents before use.
- AI output may be incomplete, incorrect, or missing context — including details that sound plausible but were never discussed.
- The verification step is mandatory for safe operation.
- Miraa must not be used as a replacement for clinical judgment.
Where approval appears in the product
After a consultation, Miraa presents the draft note in a review view. From there you read the draft, compare it against the transcript, edit it, and then approve it. Approval is a distinct, deliberate action — separate from generating or editing — so that finalising a note is always an intentional clinical decision. The note is not part of the finalised record until you approve it. See Finalising notes.
The same principle applies to other clinical outputs: draft referrals and letters are not sent until a clinician approves them, and any more automated behaviour stays gated and review-based. See Referrals.
Before approving a note — checklist
Check each item before you approve:
- Patient identity — the note is on the correct patient.
- Presenting complaint — captured accurately.
- Relevant history — correct, and not wrongly carried forward.
- Examination findings — match what you actually found.
- Assessment — reflects your clinical reasoning.
- Plan — correct and complete.
- Medication changes — drug, dose, route, and frequency are right.
- Referrals — correct recipient and reason.
- Follow-up tasks — timing and purpose are right.
- Safety-netting advice — present where appropriate.
- Anything inferred incorrectly — remove or correct anything Miraa may have assumed that isn’t accurate.
The assessment, plan, and medications carry the most clinical weight. If you read nothing else closely, read those.
Why AI drafts can be wrong
- Mishearings — the transcript can capture a wrong word, name, or number.
- Missing context — the draft only knows what was captured and recorded.
- Plausible invention — a fluent draft can include a detail that reads well but wasn’t actually discussed.
- Carry-forward — old or imported context can bring outdated information into a new draft. See Clinical context.
None of these are reasons not to use Miraa — they’re the reason the approval step exists. Your review catches them.
Good approval habits
- Read the whole note, not just the parts you expect.
- Never approve on appearance — fluent is not the same as correct.
- Edit freely before approving; that’s normal.
- Approve deliberately, knowing it’s your clinical sign-off.