Ambient clinical visit recording will soon power emerging artificial intelligence–enabled
technologies to support patients, clinicians, and health systems. To realize the potential of
such routine encounter recording, we must prevent and ameliorate unintended yet foresee-
able harms. We focus on three areas of concern and offer strategies to mitigate them: burden
to clinician–patient relationships, fairness in access and performance quality, and commod-
itization. We are optimistic about ambient recording technology and its potential to have a
positive impact on health care communication, relationships, and decision-making, all with
the patient voice at its center, as long as it is applied carefully and equitably.