Augnito: Augnito is a voice AI platform for clinical documentation, offering medical speech-to-text dictation and an ambient AI scribe that turns clinician-patient conversations into structured notes. OpenOats: Open-source macOS meeting note-taker that transcribes calls locally and surfaces relevant talking points from your own notes in real time. Here's where each one pulls ahead on pricing, features, and the meetings it suits best.
How Hosiqo compares and tests toolsFinal recommendation
Shortlist Augnito when clinicians dictating reports, discharge summaries, and imaging notes hands-free matters most, and OpenOats when privately transcribing meetings on a mac without sending audio to the cloud matters most. Trial each on a few real meetings before you commit — the better fit usually shows fast.
Augnito is a voice AI platform for clinical documentation, offering medical speech-to-text dictation and an ambient AI scribe that turns clinician-patient conversations into structured notes.
Open-source macOS meeting note-taker that transcribes calls locally and surfaces relevant talking points from your own notes in real time.
Augnito is a healthcare voice AI company (founded 2020, co-developed with Scribetech) focused on clinical documentation. Its two main products are Augnito Spectra, a medical speech-to-text engine for real-time dictation and voice commands, and Augnito Omni, an ambient AI scribe that captures clinician-patient conversations and structures them into EMR-ready notes such as SOAP notes. Capture is microphone-based: clinicians dictate directly, or Omni listens ambiently to natural conversation, with no voice-profile training required. The vendor states accent-agnostic recognition across 55+ clinical specialties, with Omni supporting 37+ languages. It is delivered as cloud-based SaaS and runs on desktop workstations, a mobile app, and a Chrome browser extension, with an on-premises deployment option for Spectra. Augnito integrates with third-party EMR/EHR, RIS, and PACS systems (including Epic and Cerner) without requiring native integration, and includes a Smart Editor plus customizable templates. It holds HIPAA, SOC 2 Type II, and ISO 27001 certifications. It is intended for doctors, radiologists, GPs, nurses, surgeons, and healthcare enterprises.
Best suited for
OpenOats is an open-source macOS meeting note-taker, created by Yazin Akkawi (the project was previously named OpenGranola before being renamed), that sits alongside your calls and both transcribes the conversation and helps you contribute to it. It captures both sides of a meeting and transcribes audio locally on Apple Silicon so audio never leaves the device, while in real time it searches your own markdown or plain-text knowledge base to surface relevant talking points and things worth saying during the discussion. The application window is hidden from screen sharing by default, which lets it stay private during video calls, and transcripts and session logs are auto-saved locally. OpenOats supports both fully local operation through Ollama and cloud providers such as OpenRouter and Voyage AI, so users can choose between complete offline privacy and hosted models. It is written primarily in Swift, distributed under the MIT license, and actively maintained with very frequent releases. The project documents itself at openoats.com and targets users who want a privacy-respecting, self-hostable alternative to cloud meeting copilots, combining live transcription with a retrieval layer over personal notes rather than only producing an after-the-fact summary. Pricing varies by plan. Check the official website for current pricing.
Best suited for
Augnito is custom pricing (contact sales); OpenOats is a free tier with paid upgrades (freemium). Always confirm current pricing on each vendor's site before buying.
| Feature | Augnito | OpenOats |
|---|---|---|
| Core capability | Medical speech-to-text dictation with voice commands (Augnito Spectra) | Real-time local transcription of both sides of a conversation on Apple Silicon |
| Standout feature | Ambient AI scribe that structures clinician-patient conversations into notes (Augnito Omni) | Live retrieval of relevant talking points from your own notes during meetings |
| Team usage | Accent-agnostic recognition with no voice-profile training, across 55+ clinical specialties | Window hidden from screen sharing by default for privacy on calls |
| Integrations | Multilingual ambient capture supporting 37+ languages | Auto-saved transcripts and session logs to local files |
| Languages & capture | Works with third-party EMR/EHR, RIS, and PACS without native integration | Works fully local via Ollama or with cloud models (OpenRouter, Voyage AI) |
| Best-fit workflow | Customizable templates and SOAP-note formats with a built-in Smart Editor | MIT-licensed, self-hostable Swift application |
Augnito
Choose Augnito if you need clinicians dictating reports, discharge summaries, and imaging notes hands-free — strengths include specialized for healthcare with broad emr/ehr/ris/pacs compatibility and no native integration required.
OpenOats
Choose OpenOats if you need getting live, context-aware prompts from your own notes during sales or customer calls — strengths include local on-device transcription keeps meeting audio private.
Augnito
OpenOats
It depends on your workflow. Augnito is strong for clinicians dictating reports, discharge summaries, and imaging notes hands-free, while OpenOats is strong for getting live, context-aware prompts from your own notes during sales or customer calls. Both transcribe and summarize meetings.
Augnito is custom pricing and OpenOats is a free tier with paid upgrades. Check each vendor's pricing page for the latest plans and free-tier limits.
Yes. Many teams run more than one meeting assistant when the workflows are complementary.
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