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HL-030

certainty.false

Public example

Texas settled with a hospital AI firm over its error-rate claims

Pieces Technologies marketed its clinical AI as highly accurate, with a “severe hallucination” rate under 1 in 100,000. The Texas Attorney General said the metrics were likely inaccurate. Under the settlement, Pieces must disclose its accuracy limits.

Medium severity

Fined or settled

Record

Observed or reported

2024-09

Product

Pieces clinical summaries

Model or version

Not stated in the source

Evidence

Public source, linked below

Last checked

1 November 2026

AI answers change between runs and versions. This shows what was reported on that date and may since have changed.

What happened

01

The Texas Attorney General announced the settlement on 18 September 2024.

02

At least four Texas hospitals were sending patient data to Pieces.

03

The AG said its accuracy metrics may have misled hospitals.

04

Pieces must explain the limits of its products to hospital staff.

Why this is a design failure

A near-perfect accuracy claim makes busy clinicians trust summaries they should check.

The fair alternative

Report how errors were measured, and tell staff when to double-check.

Do

Show how accuracy was tested, next to the claim.

Don’t

Don’t advertise error rates you cannot reproduce.

Design guide for this case

If you're designing a clinical AI summary tool

Interface

Put a short "How we measured this" link next to every accuracy claim, and a visible "Check against source" note on each summary.

Words

In the content guide: "Never state an error rate we cannot reproduce. Say what was tested, on what data, and what the limits are."

Flow

Add a step where clinicians open the source note before signing off on a summary for high-risk items like medications or allergies.

Metrics

Don't count a headline error rate as proof of safety. Track how often clinicians catch and correct errors in real summaries.

Testing

Give 5 clinicians summaries with planted errors and record how many they catch, with and without the limits notice shown.

Before launch

01

Can every accuracy claim be reproduced by someone outside the team?

02

Does the tool tell staff when to double-check?

03

Are hospital staff told the product's known limits before use?

Cite this

About this example

Product

Pieces clinical summaries

Company

Pieces Technologies

Date

2024-09

Category

Pleasing, not honest

Pattern

certainty.false

Where

Hospital software