> I would think for compliance reasons hospitals would not want to alter the records and only go by transcripts, but what do I know...

Transcription is both too good, and not good enough. The magic generative content only makes it worse.

Too good: a lot of commercial settings forbid persistent transcription because it makes an easily discoverable record of specific details. Thats a business risk that can be mitigated simply by having participant notes or summaries where the secretary can omit sensitive discussion or present consensus without specifics. And notes/summaries also introduce a interpretive defense with some “strategic ambiguity.”

Not good enough: if you look at STT its still probabilistic. The actual evaluation output will have just much data about alternate words/phrases as the selected choice. That leaves lots of room for creating alternate impressions or representing words that werent actually spoken. The fact that people _think_ a STT transcript is authoritative only makes this worse.

When you add generative inference in top (eg summarization) you exacerbate both problems. I suspect that counsel is more accepting of summaries as its less likely to contain specific discoverable terms, likely to diffuse responsibility and specificity, and your judge/jury will be more amenable to “the ai summary is wrong” than “the transcription selected the wrong vowels.”