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> As a nurse, you end up relying on intuition a lot. It’s in the way a patient says something, or just a feeling you get from how they look There is a longstan

> As a nurse, you end up relying on intuition a lot. It’s in the way a patient says something, or just a feeling you get from how they look There is a longstanding tension between those who believe human intuition is trustworthy, and the “checklist manifesto” folks. Personally I want room for both, there are plenty of cases where for example the nurse/doctor’s intuition fails and they forget to ask about travel or outdoor activities and miss some obvious tropical disease, or something situational like Lyme’s. I’ve spent a fair amount of time in a hospital and the human touch is really invaluable. My hope is that AI can displace the busywork and leave nurses more time to do the actual care. But a concrete example of the thing an AI will struggle with is looking at the overlapping pain med schedule, spotting that the patient has not been exhibiting or complaining of pain, and delaying one med a couple hours from the scheduled time to make the night schedule more pleasant for the patient. It’s hard to quantify the tradeoffs here! (Maybe you could argue the patient should be given a digital menu to request this kind of thing…)

RHSeeger 2y ago
It's interesting to me because AI and intuition serve some of the same purpose; to help the person being served find the answer. And both have similar limitations in that you need to verify what they're telling you. - If your gut tells you it's Lyme Disease, you don't just check it off as Lyme Disease and call it a day. You run tests to find out if it is - If the AI tells you it it's Lyme Disease, you don't just check it off as Lyme Disease and call it a day. You run tests to find out if it is AI should (almost?) never be used as the system of record. But it can be amazing in saving time; by guiding you to the right answer.
8338550bff96 2y ago
None of this has to do with. AI. At all. This is politics and policy
edanm 2y ago
> There is a longstanding tension between those who believe human intuition is trustworthy, and the “checklist manifesto” folks. I really think this is a false dichotomy. Both are needed. I even vaguely remember from the Checklist Manifesto book, that one of the checklist items was specifically designed to make sure people actually talk to each other and share plans/thoughts/concerns before things like surgeries, which seems like a great way to make sure that intuition gets heard.

RHSeeger 2y ago

It's interesting to me because AI and intuition serve some of the same purpose; to help the person being served find the answer. And both have similar limitations in that you need to verify what they're telling you. - If your gut tells you it's Lyme Disease, you don't just check it off as Lyme Disease and call it a day. You run tests to find out if it is - If the AI tells you it it's Lyme Disease, you don't just check it off as Lyme Disease and call it a day. You run tests to find out if it is AI should (almost?) never be used as the system of record. But it can be amazing in saving time; by guiding you to the right answer.

8338550bff96 2y ago

None of this has to do with. AI. At all. This is politics and policy

edanm 2y ago

> There is a longstanding tension between those who believe human intuition is trustworthy, and the “checklist manifesto” folks. I really think this is a false dichotomy. Both are needed. I even vaguely remember from the Checklist Manifesto book, that one of the checklist items was specifically designed to make sure people actually talk to each other and share plans/thoughts/concerns before things like surgeries, which seems like a great way to make sure that intuition gets heard.