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[–] 1 point 2 months ago* (last edited 2 months ago)

I know a bot posted this but can we keep Lemmy clickbait free please? Just downvote all the low effort clickbait titles?

Edit: to save you a click… The AI transcriber hallucinated that she was micro-dosing magic mushrooms and the doctor obviously didn’t bother to read the transcript. Post kidney surgery bleeding was blamed on her ‘drug use’

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  • 48 comments in c/technology@lemmy.world view that post
    [–] 41 points 2 months ago (2 children)

    As far as I'm concerned, using AI of any sort inside of a doctor's office is a grave violation of HIPAA

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  • [+] 4 points 2 months ago
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  • [–] 12 points 2 months ago (-1 children)

    If she didn't care about HIPAA, I'm glad she lost the job lol.

    If only we could fire AI too.

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  • [+] -9 points 2 months ago (2 children)

    Ai transcription is everywhere. You cant get away from it

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  • [–] 14 points 2 months ago

    Speech-to-text (a type of AI) has been around for a fair good years, but now they're being paired with generative AI. This is the kind of thing that shouldn't be paired with a generative LLM. A language model to identify words? Yes. Generative? No.

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    [–] 37 points 2 months ago

    TL;DR: AI transcript said I’d been a smoker since the age of 11, never smoked a day in my life.

    My doctor asked me if she could use AI transcription software because she had hand surgery and couldn’t type. I said yes and reviewed the statements and while it was fairly accurate, it did have one egregious error on it.

    When asked if I had ever smoked, in person, I replied with a simple “no,” and did not proceed to have any follow up conversation until her next question. The AI transcript for mysterious reasons decided my answer was “yes, since the age of 11.” 💀💀💀

    Had to message them to fix it and while they did fix it asap, my first instinct wasn’t to check the transcript and I only did so out of curiosity. I can’t imagine what other people’s experiences may be.

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  • [–] 26 points 2 months ago

    Article:

    Error by AI scribe during medical appointment leaves patient devastated

    By the Specialist Reporting Team's Paige Cockburn

    Posted 13 Aug 2026 at 2:55pm13 August 2026 at 2:55pm, updated 13 Aug 2026 at 4:04pm13 August 2026 at 4:04pm

    A woman sits with her hands resting under her chin. She is wearing glasses and a colourful scarf and has short dark hair.

    An error in Rebecca Green's medical records falsely claimed she had taken psychedelic mushrooms. (ABC News: Madeline Grace)

    When Rebecca Green arrived for her first appointment with a urologist, she was asked whether she consented to having the appointment transcribed by artificial intelligence (AI).

    She said yes without hesitation.

    "I don't want to be in her bad books or be that annoying patient who takes up more of her time," she said.

    But that decision would cause her a lot of stress, with the AI scribe making up the serious but false claim that Ms Green was taking illegal drugs.

    "I was gobsmacked and in tears … it made up that I take [psychedelic] mushrooms. I have never done mushrooms in my life,"

    she said.

    More GPs and hospitals are using AI scribes. What are the risks?

    doctor generic

    AI tools are becoming more prevalent in healthcare, helping overworked doctors to carry the workload. But it has come with concerns.

    New research by a privacy watchdog has raised serious concerns about AI being used in medical settings due to its propensity to "hallucinate" false symptoms or conditions, and warned patients were at risk.

    Ms Green only picked up the mistake after her kidney stone surgery in March, when she read the post-operative letter her specialist sent to her GP.

    It stated Ms Green micro-dosed mushrooms and that could be the reason for prior bleeding around the kidneys.

    "For this letter to say something that wasn't based in any evidence but could potentially have huge consequences for me … it was quite scary," she said.

    "It felt very impersonal to me. I wasn't getting the level of care and familiarity from the doctor that I would be hoping for in such a vulnerable situation."

    A woman wearing glasses and a black sleeveless top sits looking at a piece of paper with writing on it. Kitchen behind her.

    Rebecca Green discovered the error on her medical record after reading a post-operative letter from her specialist.  (ABC News: Madeline Grace)

    Ms Green was particularly stressed as she was receiving workers' compensation and felt any mention of illegal drugs on her medical record could impact her case.

    Australia's peak regulator of medical practitioners, AHPRA, said clinicians must always check all output from an AI scribe for accuracy to ensure they meet their professional obligations. Ms Green said it was clear her doctor did not do this.

    "If you had checked that letter you would have been able to correct that before it was sent out … why aren't you in tune with each of your patients and what's going on?"

    What to know before saying yes to your doctor using AI

    A generic image of a female doctor talking to an unidentifiable male patient

    Health practitioners are using generative AI to help them record and summarise patient information, but some patients are saying no.

    After Ms Green made a complaint, the urologist sent a letter apologising.

    "Please be assured that we take the accuracy of our documentation very seriously, and we are truly sorry that this occurred," the letter stated.

    The doctor said she had not been able to determine how the claim about mushrooms came to be included, but it appeared to be from an error during the "dictation or transcription process".

    The urologist corrected the correspondence and in her letter said she would review how AI was used in her practice.

    The doctor did not provide any responses to the ABC's questions about what changes, if any, have been made since.

    AI confuses which breast has cancer

    Ms Green feels lucky she spotted the error, but is worried some people might not be aware of mistakes on their medical record, which could have repercussions for their health, their career or their insurance.

    This week the ABC revealed instances where private health insurers were asking providers for their patients' full clinical history as part of "aggressive" auditing practices.

    AI scribes have become prevalent within the healthcare sector. The Royal Australian College of GPs (RACGP) last year estimated that 40 per cent of GPs were regularly using them, but that number was considered conservative.

    A woman with her tied back is seen from behind, she is facing a man in a suit who is sitting in front of a computer.

    The peak body for GPs in Australia has estimated that 40 per cent are regularly using AI scribes at work. (ABC News: Tim Swanston)

    Research shows having AI transcribe an appointment can reduce the administrative burden for GPs and allow them to focus more on their patient, rather than the computer.

    But for every benefit, there are risks.

    A recent report by advocacy group Digital Rights Watch (DRW) found Australians were being exposed to unregulated AI medical scribes, sometimes without their consent, and errors had the potential to change clinical decision-making.

    Do you have a story to share about AI in health care?

    Email Paige Cockburn at cockburn.paige@abc.net.au

    Examples of mistakes found in the DRW report included a case where a scribe recorded the wrong breast in a diagnosis of breast cancer and said someone had epilepsy, when they did not.

    Chief executive of the Consumers Health Forum of Australia Elizabeth Deveny said she often heard complaints of AI mixing up words and patients only finding out by chance.

    "People report both frustration in finding the original source of the error and then getting the record changed," she said.

    Profile photo of a woman with short blond hair in a green blazer and white shirt and red lipstick.

    Elizabeth Deveny says it is frustrating for patients who have to get their records fixed when errors are made. (ABC News: Darryl Torpy)

    Dr Deveny, who is currently involved in a major research project on AI medical scribes, said doctors may be too trusting of AI.

    "There's evidence that for the first few weeks of using AI, [people] check things pretty carefully and then at a point they stop checking because they assume it will be right."

    Perth GP Sean Stevens, who has been using a scribe for three years, said it was incumbent on the doctor to check every transcript, but believed the technology was becoming more accurate.

    "Three years ago, I would have to correct multiple things on each transcription. These days it's like one correction every third or fourth transcription."

    A man wearing a dark coloured shirt smiles with his mouth open. He has short dark, cropped hair and there are plants behind him.

    Sean Stevens says AI transcriptions are getting more accurate, but doctors still need to check them. (Supplied)

    Dr Stevens is a big advocate of tech; he is the RACGP's Digital Health and Innovation chair as well as an advisor for one of the biggest AI scribes, but he admits AI has its weaknesses and can produce incorrect results that sound plausible.

    "The classic is, it will get the side of the body incorrect and say right when you've said left … so you need to check things pretty closely, especially things like drug doses,"

    he said.

    He said using AI did not mean he could squeeze more patients in, but it allowed him to run on time more often and produce more thorough referrals.

    Consenting to AI's involvement

    The DRW found huge discrepancies in how consent is being obtained, with some doctors only putting a sign in the waiting room, which does not meet privacy law requirements.

    Other times consent must be given when the appointment is booked online, and alarmingly some patients are even being refused appointments if they do not consent.

    Dr Deveny said consent must be enthusiastic and fully informed, and patients should feel comfortable asking questions, even if it feels intimidating.

    What the Consumer Health Forum recommends asking at your next medical appointment:

    • Are you using AI today and if so, what are you using it for?
    • Will the doctor review everything before it goes into my record?
    • Will I be able to get a copy of the notes if I want them?
    • What's the process if I think something's wrong?

    The DRW report also identified that people might not be forthcoming about sensitive issues, like family violence, when they know AI is listening.

    Dr Stevens said that was why he asked for consent in every appointment, even with regular patients.

    "It's very important patients disclose any and all things that are relevant to their health … and that they know they can say no [to AI] … as a doctor you have to respect that," he said.

    TGA flags breaches will be dealt with

    There are around a dozen AI medical scribes available in Australia, but none are approved by the regulator — the Therapeutic Goods Administration (TGA) — because if the product claims to be solely for transcription and summarising, it is exempt from oversight.

    The TGA only considers tools that do things like suggesting a diagnosis or treatment plan as a "medical device".

    AI changing the way GPs tend to their patients

    A doctor talks to a patient in an office.

    Some GPs are now relying on artificial intelligence to take notes during patient consultations. So, how safe is our sensitive information?

    Currently, no AI scribes have gone through the regulation process, despite some claiming to offer clinical suggestions.

    The TGA has acknowledged this means some scribes were potentially in breach of the law.

    The TGA has spent the last year reviewing AI scribes and says its findings will be released in the coming weeks, and any breaches will be acted upon.

    Chief executive of Patients Australia Lisa Robins believed all scribes should be regulated, as summarising a patient still involved decision-making by AI.

    Dr Stevens had concerns that extending regulation would only stifle future innovation.

    The DRW is calling on the newly established AI Safety Institute to test AI scribes and publish a list of approved tools.

    This would be similar to New Zealand's approach, where the national AI advisory group reviewed tools and last year gave approval for clinicians to use two AI tools: Heidi Health and iMed.

    Ms Deveny said ensuring doctors were using AI safely could also be enforced in other ways, such as compulsory checks and balances built into the software, or during practice accreditation, which happens every three years.

    Portrait of a woman with short brown hair she is wearing glasses and a colourful scarf and looks straight ahead, non-smiling.

    The error on her medical record has left Rebecca Green reconsidering if she would give consent to AI transcription again.  (ABC News: Madeline Grace)

    Ms Green said her trust in AI has been splintered by what happened and now would only give consent for AI if she had an established relationship with the doctor.

    "I love AI … but the essential ingredient is the human. At the end of the day what's happened here is more about the lack of human involvement,"

    she said.

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  • [–] 59 points 2 months ago (3 children)

    Australia's peak regulator of medical practitioners, AHPRA, said clinicians must always check all output from an AI scribe for accuracy to ensure they meet their professional obligations.

    Show me one single AI user that checks the output of their AI, and I will show you my unicorn

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  • [–] 14 points 2 months ago

    The patient was devastated? You should have seen how many times the AI apologized.

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  • [–] 7 points 2 months ago

    Wow. They are streamlining US "healthcare" by putting the AI claim-denier 5000 INSIDE the exam rooms.

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  • [–] 13 points 2 months ago

    Just say no.

    We use a software to help us take notes is that okay? FUCK NO.

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  • [–] 5 points 2 months ago

    Please just bring back traditional voice to text, with its dumb but decipherable errors instead of these plausible left field LLM "hallucinations".

    I'd rather the computer write that I'm coming in for a "score throat and fever" than the sort of random ass shit LLMs can throw in there.

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  • [–] 7 points 2 months ago (2 children)

    I read "medieval" appointment and was thoroughly confused, and intrigued.

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  • [–] 8 points 2 months ago* (last edited 2 months ago) (16 children)

    I've used AI for medical transcription before and it is absolutely incredible. It's not just a word for word text, but a detailed clinical breakdown of everything discussed.

    All you have to do is simply read the damn thing thoroughly and correct whatever minor errors pop up.

    Takes 95% less time.

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  • [–] 52 points 2 months ago (4 children)

    I'm unsure if there's an ethical issue with putting patients medical records in the data machine.

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  • [–] 21 points 2 months ago

    There exists online and offline ML.

    Transcription is not a task that needs a full blown LLM, summarization probably does, and if being done offline or on a server with trusted verifiable lack of logging should be fine. That does not mean send it to ChatGPT API.

    I would hope they store the raw conversation file encrypted with patient records so they can retranscribe later as tools improve.

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  • [–] 4 points 2 months ago

    It needs to be a system and a contractual framework that complies with the medical privacy regulations of the place where it's being used (in the US, HIPAA). I have some doubts about whether specific companies or people will actually comply, or the enforcement of those laws by certain governmental authorities, but I don't think it's conceptually impossible to have this kind of tech be compliant with those types of regulations.

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  • [–] 3 points 2 months ago* (1 child)

    Medical AI has guardrails out the wazoo. By the time it’s made available to a physician, it’s probably been reviewed by a council, vetted by IT, and negotiated heavily by Legal. If the data leaves the premises, it’ll be thoroughly protected and isolated.

    That said, fuck AI. I’d give up medical transcription to get the environment, economy, and sanity back. Musk’s data center is running dozens of natural gas turbines in a low-income, primarily Black neighborhood 11 miles down the road from St. Jude Children’s Research Hospital. It’s positively ghoulish.

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  • [–] 10 points 2 months ago* (last edited 2 months ago) (1 child)

    Horseshit. Medical AI is using Oracle services. Larry mother fucking Elison is storing and processing this data.

    The medical industry seems so ignorant about this. They think the argument is just about AI. It’s also about the fact that I don’t trust the people you’re partnered with.

    I get so pissed when the AI consent is baked into other paperwork with no opt out. I will leave.

    Edit: https://www.oracle.com/customers/beacon-health/

    Edit: they might not all be, but I’m not authorizing your arbitrary “AI use” clause. You might as well be, now or at some point down the road.

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  • [–] 1 point 2 months ago

    The agreement is only as good as the hospital’s vetting, so I may be a little optimistic after seeing a very thorough and protracted process on my side. If you work for a healthcare system that’s okay with Beacon and Oracle, then it may be time to evaluate whether they’re a good healthcare system to work for.

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  • [–] 30 points 2 months ago

    All you have to do is fire the human who is trained and rarely makes a mistake and replace them with a paid machine that almost always makes a mistake and double check everything yourself (or hire another human to double check it) because someone’s life literally depends on the entirety of the text being absolutely correct.

    AI does work at a level that makes unpaid interns look like career professionals. All for the low cost of completely fucking the environment.

    Glad you like it.

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  • [–] 20 points 2 months ago (8 children)

    Exactly. It is a tool for professionals to use to speed up existing processes. It is not a replacement for people, regardless of what the marketers tell you so you buy their product. I don't understand how there aren't thousands of lawsuits against these AI companies for their blatantly false advertising.

    AI keeps proving this day by day when people try to make it a replacement and have it blow up in their faces every day.

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  • [–] 3 points 2 months ago (2 children)

    blatantly false advertising.

    SEC is neutered, what makes you think anyone in charge of advertising rules hasn't been replaced by a 17 year old called Goebbels Gobbler or something with a DOGE laptop.

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  • [–] -5 points 2 months ago (4 children)

    Hell, I just found out a few months ago my father’s office (he’s a lawyer) still did transcriptions of court proceedings manually! Full blown lawyers wasting expensive man hours doing that. As soon as I found out I got some random whisper cpp frontend and slapped it on a random computer

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  • [–] 6 points 2 months ago (2 children)

    As long as they still have someone verifying and correcting mistakes, that's a decent solution. It doesn't need to be complicated. Whisper is by no means perfect, but from my experience it handles 90% fine, only having to listen and correct 10% is a huge improvement over transcribing everything manually.

    The issues with so much of the current AI use is implementations that completely remove trained human oversight from the equation because the AI companies position it as a complete replacement for employees.

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  • [–] 2 points 2 months ago (1 child)

    from my experience it handles 90% fine, only having to listen and correct 10% is a huge improvement over transcribing everything manually.

    I'm curious how this is supposed to work? How do you only listen to 10%? How are you supposed to know which 10% to listen to? Wouldn't you still need to listen to it all to find that 10%?

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  • [–] 2 points 2 months ago

    Luckily, I know something that would probably help her get over the trauma...

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  • [–] 2 points 2 months ago

    I'm looking at her and telling you she's done shrooms in her college days.

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  • [+] -6 points 2 months ago* (last edited 2 months ago) (8 children)

    All these articles, nobody posting error budgets or Delta's with real doctors in this shit.

    But we all know doctors are perfect with perfect notes every time and every nurse who gives you a dose 🤷‍♂️

    God forbid that doctor take 2 minutes to confirm accuracy.

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  • [–] 12 points 2 months ago (1 child)

    but it's 90% accurate!

    Ignoring that this means that one in every ten patients is getting inaccurate notes.

    This will literally lead to people dying.

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  • [–] -1 points 2 months ago (2 children)

    It's a fair point. Unpopular in this community, but fair. Of course, nuance is rarely rewarded in online discussion

    "If you're not with us, you're against us. Huh. If you're not an apple, you're a banana."

    -Terry Pratchett, Thud

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  • [–] -1 points 2 months ago

    Fediverse has turned into the truth social of disenfranchised progressives. Don't get me wrong I agree with many themes in this place, but the tribalism and unwillingness to refrain from immediately labeling a topic or person a total bad actor is pretty high. Everyone is a mustache twirling billionaire, redneck who hates trans and are Nazis, or a progressive hero.

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  • [+] -8 points 2 months ago* (last edited 2 months ago) (3 children)

    You have a single example of it going wrong.

    Meanwhile, outside of fantasy land, mistake rates are going down as doctors use AI because it's more accurate than humans. Things are better because technology is better.

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  • [–] 8 points 2 months ago (2 children)

    I can tell you didn't read the article if you think it only discusses a single incident. Odd how you can so enthusiastically claim that it's just overblown nonsense without even reading it. Sounds exactly like the doctor here making claims about something they even didn't read or verify.

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  • 16 comments in c/enshitification@slrpnk.net view that post
    [–] 14 points 2 months ago*

    "I was gobsmacked and in tears … it made up that I take [psychedelic] mushrooms. I have never done mushrooms in my life,"

    bruh

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  • [–] 11 points 2 months ago (10 children)

    It stated Ms Green micro-dosed mushrooms and that could be the reason for prior bleeding around the kidneys.

    I want to know if the AI also hallucinated the connection between psilocybin mushrooms and kidney bleeding (!), or if this was hallucinated by the human doctor.

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  • [–] 9 points 2 months ago (7 children)

    There is only a handful of known cases where people suffer from acute kidney injury after consuming psychedelic mushrooms.

    Looking at the published cases, I know of 3. In the first case, it turned out the patient had actually consumed Cortinarius, which contains an "amatoxin", a harmful substance found in Amanita and (similarly) im Cortinarius mushrooms.

    In the second case, the woman claims she only ingested psychedelic mushrooms, which unfortunately were no longer available for lab testing, but mentioned she did not experience any psychedelic effects.

    The third case is a teenager who did in fact consume P. cubensis, which were available later on for lab testing. His buddies consumed the same mushrooms and did not have any issues. There might be an unknown predisposition, or a suspected cross-contamination.

    I am not anyone's doctor, but across the long history of mushroom usage and given the known facts about the cases we do know about (actual Cortinarius ingestion, no psychedelic effects etc.), mushrooms can be considered rather safe to consume, if they are grown and prepared properly. This is consistent with current research, i. e. not just a personal opinion of mine.

    https://pmc.ncbi.nlm.nih.gov/articles/PMC6322052/

    https://journals.lww.com/jasn/fulltext/10.1681/asn.20223311s1895a~a-rare-case-of-magic-mushroom-psilocybin-related-aki-and

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  • [–] 5 points 2 months ago* (6 children)

    shrooms aren't a threat. AI in doctors notes is one tho.

    Guess which one will see legislation first?

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  • [–] 5 points 2 months ago (5 children)

    Guess which one will see legislation first?

    The one that gives hallucinations

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  • [–] 1 point 2 months ago (4 children)

    yeah this is another thing that pisses me off about ai. Living things hallucinate. AI lies.

    it doesn't have the ability to hallucinate, it lacks the wetware. they want to use that label though because it's humanizing, and helps to cover up their incompetent lying chatbot behavior. hallucinate is also very fuzzy - who's to blame, the shitware mfgr, the prompt dolt, the training corpus, the inference assholes, who knows.... one of many garbage terms shanghai'd by LLMs to make them seem less incompetent and more human-like.

    LLMs don't hallucinate, they lie when they can't reach a verifiable answer. And then suckers pay money for it.

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  • [–] 2 points 2 months ago (3 children)

    Saying it's lying is even more anthropomorphic. If people were honest (on both sides), they would just call it software error.

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  • [–] 1 point 2 months ago (2 children)

    I say it's lying because it doesn't simply offer up one incorrect answer, it'll keep feeding more after the first error.

    if it stopped at one, I'd call it an error. the fact that they keep pushing more incorrect garbage out after the first failure to me seems deliberate and malicious.

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  • [–] 1 point 2 months ago (1 child)

    Living things hallucinate. AI lies.

    Look, living things lie. A rock doesn't lie and doesn't hallucinate. You say it's stupid to say it hallucinated (which I agree with) but then you do the exact same behavior with lying just for opposite reasons. I get it, saying it lies makes it seem malicious and you hate it and all that. In the end though, it's an inert tool, it's an advanced auto complete. It isn't conscious, it doesn't lie, it doesn't hallucinate.

    In any case, I was just trying to be clever.

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  • [–] 1 point 2 months ago

    I get it, saying it lies makes it seem malicious and you hate it and all that. In the end though, it’s an inert tool, it’s an advanced auto complete. It isn’t conscious, it doesn’t lie, it doesn’t hallucinate.

    it's malicious that the vendors portray it as hallucination.

    LLMs are not AI.

    Calling it an inert tool at this point would be shortsighted, it is an advanced autocomplete, and I tend to roll dario/altman's 'excessively inaccurate portrayal' of these failures as hallucination as a lie.

    in any case, it's all garbage.

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  • [–] 2 points 2 months ago (1 child)

    Right? Ive heavily researched this and there is whispers on reddit around heart problems (with heavier use and maybe two reports total), ive never seen bleeding around kidneys..

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  • [–] 1 point 2 months ago

    Yeah, I'm pretty sure heart problems are a thing but kidney problems seems like misidentification and not a problem with the actual psilocybin mushrooms themselves.

    https://www.psypost.org/scientists-raise-concerns-about-the-potential-link-between-chronic-microdosing-of-psychedelics-and-valvular-heart-disease/

    My personal opinion is that for macrodosing you're probably fine because tolerance naturally limits how often you can trip, but if you microdose every day you should probably be worried about what the constant exposure is doing to your heart valves.

    It is somewhat ominous that Dr. Shulgin himself needed heart valve surgery, but he's an outlier and that's anecdotal evidence anyway.

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  • [–] 8 points 2 months ago (2 children)

    I wonder how many will be killed by AI Slop... and if we'll ever be able to quantify it.

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  • [–] 2 points 2 months ago*

    On some sidenote news, oracle pushing AI into the health sector.

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  • 7 comments in c/australia@aussie.zone view that post
    [–] 28 points 3 months ago

    "Please be assured that we take the accuracy of our documentation very seriously, and we are truly sorry that this occurred," the letter stated.

    Yeah. That's why you do AI: because you take your patients' documentation really seriously...

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  • [–] 44 points 3 months ago

    Dumbest part about this is that auditory dictation software has existed for DECADES and WORKS. It's even based on machiblne learning models, just ones that have been trained for that specific purpose, not this LLM human-impersonating trash.

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  • [–] 20 points 3 months ago (2 children)

    I love how the article just glosses over the fact that this woman reported doctors were treating her poorly because her notes mentioned she'd consumed psychoactive substances. Like apparently that's just an acceptable and a valid way to treat patients.

    I know healthcare workers get compassion fatigue but it's just fucking depressing how normalised shitty behaviour is from them towards the vulnerable people rekying on them.

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  • [–] 9 points 3 months ago

    This type of hallucination is a problem, but is not my biggest concern.

    I just want to converse with a human who is listening to me. It's a bonus if that person has some familiarity with me but it's not essential.

    I certainly do not want an LLM inferring what might be wrong with me.

    I feel like this shouldn't be too much to ask, but it's becoming that way.

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  • 6 comments in c/medicine@mander.xyz view that post
    [–] 27 points 2 months ago (1 child)

    Clinicians should be well educated on how this technology works but they aren’t. They’re given basic legal liability nagging (which, tbf, absolutely says to review the output). For my own doctors almost all of them use this and I refuse consent every time they can’t answer very basic questions: are recordings encrypted end to end, or at all? Are recordings destroyed after generation, or at all? Are the recordings processed by the emr vendor (typically epic or oracle) or a third party? Who is the third party? Are generated notes used for reinforcement learning and/or model refinement? Etc. so then it’s quite easy to say no; I will not consent to a technology that you don’t understand the basic security of because you don’t “do computers”

    The penalties for violating this should be severe and supervision is even more necessary. I know for a fact when you use these tools you must attest that you reviewed the output for accuracy with every single note submission, because the people selling the models don’t want to touch that liability at all. What does this matter though if enforcement never occurs? The government is severely lacking at managing this kind of behavior. The only hope is insurers going at it, not out of altruism but because it gives them a reason to revoke payment for services

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  • [–] 6 points 2 months ago

    Exactly. I can really imagine these tools van be helpful and save time, but ffs don't just blindly trust everything like that. If you brought in a new coworker to transcribe for you you'd also first just see if it's OK, right?

    And yeah, not sure if we can ever fully trust such an AI (actually maybe humans as well?) so reviewing and supervision will be necessary.

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  • [–] 10 points 2 months ago

    If only someone could've seen this coming!!! /$

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  • [–] 7 points 2 months ago

    I've seen enough errors made by humans that I always check my record after an appointment.

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  • [–] 4 points 2 months ago (1 child)

    She wonders why she isn't getting the familiarity she wants from her doctor, and feels that the dr didn't review the notes well enough. Well that's probably because the doctor sees dozens of patients a week and doesn't have time / isn't paid to do notes. Medical errors aren't new, they're very common. Picking a few cases of AI errors is meaningless - stats on error levels with and without AI would be more useful.

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  • [–] [S] 9 points 2 months ago

    From what I got talking to friends who work in the field, the problem starts at this point

    doesn't have time / isn't paid to do notes

    Insurance and bureaucratic pressures have increased the number and size of notes that doctors are expected to create. Then, instead of hiring scribes or compensating doctors appropriately for taking notes, they are expected to meet those ever increasing requirements with the limited time that they have.

    We already had audio processing "AI", and doctors have been using them for years. That's actually one area where the recent advances around open models have really helped, because now it's cheaper and easier to run those systems locally and doctors (or scribes) can document faster than typing.

    IMO it should be the administrative body that should be apologizing for this one.

    The part I disagree with is this

    Picking a few cases of AI errors is meaningless - stats on error levels with and without AI would be more useful.

    This would be fair if we were comparing typed notes to speach-to-text notes. However when talking about these LLM systems, the type of error that a doctor makes is different from the types of errors an LLM makes, and so the scale of the damage can be much higher. A doctor isn't going to hallucinate new conditions, or make up that a patient is being abused (or abusing a child) out of nowhere. I don't have a source on the later, but it's something I remember from a research article that was shared here in the past. That kind of thing can have severe consequences on a person because doctors are often relied on as experts to determine how someone should be treated by other systems (civil/legal etc).

    Also, human errors are generally predictable and so we can create some safeguards against them. For example, writing 5mg instead of 5.0 mg in hand written charts, double checking numbers during shift changes, etc. It's another thing to try and account for unpredictable hallucinations.

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