You left out “The entire concept was developed as an ER spin-off”. Context matters but if you want to harp on a single aspect? Episode format choice changed absolutely everything. LOL.
Sure.
But the words in the current show was written by the two main people running the show now. Not by Crichton or anyone from his estate.
His widow cannot claim ownership of any part of The Pitt, unless she wants to also claim ownership of every show since ER that has involved an emergency department.