Vibe-coded healthcare AI | Why demos break the moment a real clinic tests them

I keep seeing healthcare AI prototypes that look solid in a demo, then fall apart the second a real clinic tries to pilot them. Not because the model is bad, but because the boring stuff was skipped, PHI boundaries, access control, audit logs, uptime, integrations.

Curious what people here have seen fail first when moving from demo to pilot Source

• PHI handling and vendor BAAs
• auth and role based access
• logging and monitoring
• EHR integrations that looked easy on paper

Feels like most teams underestimate how fast “it works on my machine” turns into rewrites once compliance and real workflows show up. What usually forces the first rebuild in your experience?