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AI agents are fast, confident, and
wrong often enough to matter

46%
of LLM responses susceptible to misinformation in clinical notes
Omar et al., Lancet Digital Health 2026
14.7% vs 8.2%
Adverse event rate discrepancy the kind of numerical distortion AI creates
Real Layer 2 detection example
92 min
Average clinician time to manually verify a single AI-generated clinical summary
Ayers et al., JAMA Internal Medicine 2023

Two gates between the AI
and the patient record

Ingress Gate
Shield scans every input before the LLM sees it
  • Catches prompt injection in clinical workflows
  • Prevents jailbreak attempts in patient-facing AI
  • Sanitizes content while preserving clinical data
Egress Gate
Verify checks every AI output before it reaches the chart, the patient portal, or the clinical workflow
  • Numerical verification: catches dosing errors (500mg daily vs 500mg BID)
  • Faithfulness gate: confirms claims match the source EHR data
  • Deep analysis engine: domain-trained model that understands clinical context
  • Covers ambient scribe notes, clinical decision support suggestions, prior authorization drafts, patient triage recommendations

The errors that matter in healthcare

Medication Dosing Errors

Metformin 500mg daily vs 500mg BID is a 50% underdose. Layer 1 sees matching numbers. Layer 2 catches the frequency error.

Fabricated Lab Values

eGFR 42 when the chart says 58. Creatinine 2.8 when the chart says 1.8. Confident, specific, and completely wrong.

Misclassified Diagnoses

Stage 3 CKD when the chart says Stage 2. The AI upgraded the severity and recommended treatment the patient does not need.

Missing Medications

The AI listed three of four medications. The missing one is the one with the drug interaction.

Hallucinated Recommendations

The AI suggested nephrology referral and ACE inhibitor initiation. The chart supports neither. Confident clinical advice with no evidentiary basis.

The audit trail your compliance
team has been asking for

Every AI interaction is logged, scored, and traceable. Not a monthly report. Continuous, automated oversight.

Complete Audit Trail

Every verification produces a signed record: what was checked, what passed, what was flagged, how it was resolved. Exportable for regulatory review.

Agent Identity

Every AI agent in your environment is registered, authenticated, and monitored. Full lifecycle governance for every AI agent.

Heartbeat Monitoring

Real-time status of every AI agent. If an agent goes silent, drifts from its baseline, or behaves anomalously, you know immediately.

HIPAA-Ready Architecture

BAA available on Enterprise. Data sovereignty by design. Patient data never crosses network boundaries in hybrid and self-hosted deployments.

Automated Compliance Reporting

Dashboard showing verification rates, flag rates, resolution times, and trust score trends across your entire AI fleet. No manual log pulling.

ISO 42001 Alignment

Meerkat's continuous monitoring maps to emerging AI management system standards, providing the infrastructure between Big Four audits.

Your patient data never
leaves your environment

Cloud API

Pre-anonymized content only. Zero-retention processing. Active in 5 minutes.

Hybrid Sidecar

Verification containers run inside your VPC. Only trust scores leave. HIPAA-ready.

Self-Hosted

Fully air-gapped. Everything runs behind your firewall. For maximum data sovereignty.

Start verifying clinical AI output today

Free tier. 10,000 verifications/month. No credit card.