3 ms·

The important question with any AI-related news story is what is the counterfactual. Sure, it sucks if your self driving car gets in a crash or your AI scribe

The important question with any AI-related news story is what is the counterfactual. Sure, it sucks if your self driving car gets in a crash or your AI scribe incorrectly transcribes something to your medical record. This is news now. What isn't news is humans getting into crashes or doctors making poor medical decisions as a result of low quality or missing notes.

kamranjon 2mo ago
I think if a real human doctor completely fabricated a drug usage history for one of their patients, that would also be news.
- paulv 2mo ago
  Exactly. When doctors make mistakes, they can be held accountable -- their malpractice insurance rates go up, their licenses are subject to suspension or revocation, they can go to jail (eg if they are pill mills) or they/the practice get a bad review. When AI makes mistakes, what happens? How is it held accountable?
  - ars 2mo ago
    Doctors make mistakes pretty much non-stop, and they are rarely held accountable because the system as a whole works OK. AI makes less mistakes than the doctors do (I read a lot of medical notes).
- ButlerianJihad 2mo ago
  fnord
  - inigyou 2mo ago
    You know they'd have to be your roommate for that to amount to a positive test, right? They, correctly, assumed that your excuse for having a cannabis-user's dosage of cannabis in you is that you are a cannabis user, not because your neighbor two houses away smokes it.
    - ButlerianJihad 2mo ago
      What the ever living fuck gave you the idea that they even tested me, bro? And why would they? And why would I be positive? Please fuck off with your shitty unfounded accusations!
- phil21 2mo ago
  > I think if a real human doctor completely fabricated a drug usage history for one of their patients, that would also be news. This happens every single day and is effectively never reported. For far more nefarious reasons than a simple scribing error. Drug seeking behavior enters notes all the time without much evidence and based entirely on a random doctor's (or even a triage nurse) hunch. A significant portion of those notes are outright false and incorrect. Once that is on your file and in a given medical system, you are marked for life.
  - inigyou 2mo ago
    They said drug usage, not drug seeking.

kamranjon 2mo ago

I think if a real human doctor completely fabricated a drug usage history for one of their patients, that would also be news.

paulv 2mo ago
Exactly. When doctors make mistakes, they can be held accountable -- their malpractice insurance rates go up, their licenses are subject to suspension or revocation, they can go to jail (eg if they are pill mills) or they/the practice get a bad review. When AI makes mistakes, what happens? How is it held accountable?
- ars 2mo ago
  Doctors make mistakes pretty much non-stop, and they are rarely held accountable because the system as a whole works OK. AI makes less mistakes than the doctors do (I read a lot of medical notes).
ButlerianJihad 2mo ago
fnord
- inigyou 2mo ago
  You know they'd have to be your roommate for that to amount to a positive test, right? They, correctly, assumed that your excuse for having a cannabis-user's dosage of cannabis in you is that you are a cannabis user, not because your neighbor two houses away smokes it.
  - ButlerianJihad 2mo ago
    What the ever living fuck gave you the idea that they even tested me, bro? And why would they? And why would I be positive? Please fuck off with your shitty unfounded accusations!
phil21 2mo ago
> I think if a real human doctor completely fabricated a drug usage history for one of their patients, that would also be news. This happens every single day and is effectively never reported. For far more nefarious reasons than a simple scribing error. Drug seeking behavior enters notes all the time without much evidence and based entirely on a random doctor's (or even a triage nurse) hunch. A significant portion of those notes are outright false and incorrect. Once that is on your file and in a given medical system, you are marked for life.
- inigyou 2mo ago
  They said drug usage, not drug seeking.