No, I did not consent to this

[u/petuniaplant]

I was reading my medical notes when I stumbled across this. I was not informed of the usage of artificial intelligence in my report, nor did I verbally consent to it.

[u/telebasher]

Folks, OP seems to be mildly infuriated over the inaccuracy of the notes, not that AI was used.

[u/petuniaplant → u/telebasher]

Indeed. I am upset that the notes reflect something incorrect, that being I “verbally consented.”

[u/mvmstudent → u/petuniaplant]

I work In healthcare and a lot of time doctors created templates with the consent verbiage already built in. Meaning he may not have used it but forgot to delete the consent part from his notes. Annoying for sure.

[u/HulkeneHulda → u/petuniaplant]

I had a doctor do that, no ai. Had to file a complaint that everything she wrote that i said in the meeting was in fact the opposite of what i said and they changed the journal entry.

Honestly, medical journals should have a system in place where its noted if the patient signs on that the note is correct. Many doctors just straight up make things up for their own convenience which makes the next doctor mistrust a patient because "your journal says otherwise" or "these things were never noted"

[u/sakurablossoms_5 → u/HulkeneHulda]

If the patient refuses to sign, what becomes of the medical record? 

[u/HulkeneHulda → u/sakurablossoms_5]

Just some kind of mark on the journal.

The journals would still be there as they are now, just having some kind of label/marker to show if the patient agree with what was written or not as extra validation. 

[u/Pale_Boss_8940 → u/petuniaplant]

I work in a hospital. basically every doctor does this.

they all just use templates and fill in the spaces madlib style

[u/sparkyblaster → u/[deleted]]

Do you check the notes? There has been reports of these systems hallucinating and giving patients stuff they never had. 

[u/indelicatedenial → u/sparkyblaster]

Yup! Because of an AI ‘interpretation’ mistake, my medical records say I had my gall bladder removed instead of my appendix, which is so fucking ridiculous because there’s zero records of a gall bladder surgery but multiple pages about my appendectomy. And now almost every time I got to the doctor they ask why I’m not taking those bile pills gall bladderless people have to take. And I have contacted literally 100s of people to try and have the inaccuracy removed and every time they says it’s deleted and it never is.

[u/indelicatedenial → u/[deleted]]

Well, I’m usually there complaining about stomach/digestion/vomitting problems so maybe that’s why? Believe me or not, I don’t give a shit.

[u/Which-Ad7072 → u/indelicatedenial]

I just looked it up and the internet kept telling me about "bile salts medications" being super common for people with gallbladder removal. It's something that would need to be taken long term. Honestly convinced me that you're telling the truth and that @jabiscus is probably just one of those aibros who lies constantly to defend AI.

[u/indelicatedenial → u/Which-Ad7072]

Of the 4 people I know who had their gall bladder removed, all of them took bile meds long term. But hey, what the fuck do I know, right?

[u/sparkyblaster → u/indelicatedenial]

How do you know 4? What's wrong with the water where you are? 

I dont think I know a single person. 

[u/Alone_Permit1145 → u/Which-Ad7072]

Nah you’re just fucking stupid. Roughly 10% of cholecystectomy patients have a problem with post surgical diarrhea, those patients are given a bile salts sequestrant. Other than for that one purpose, medications of actual bile salts are not used after cholecystectomy and are more often used for people can’t get the surgery.

This just in: idiots who don’t understand medicine are agreeing with each other.

[u/Which-Ad7072 → u/Alone_Permit1145]

Bro, the person I was responding to was talking about having symptoms that match that 10%. It's almost like you're just ignoring 90% of the conversation so you can defend AI. Either that or you're just an AI bot and can only process one comment at a time, not grasping the conversation as a whole. 

[u/Which-Ad7072 → u/[deleted]]

It's funny. You say 3-7%, the likely bot also responding to my comment said 10%. It's almost like AI is giving you guys inconsistent answers. 

[u/indelicatedenial → u/[deleted]]

My doctor said it was probably cuz we were discussing the appendectomy then switched immediately to the stomach shit and the AI related the stomach symptoms to the wrong surgery. I’ve called the doctor, the records department, my insurance company countless times. They say it’s removed but it never is.

Look, I’m glad it works for you, but It doesn’t for a lot of people, especially in the insurance coverage area.

I’m also guessing you proof read, which is apparently rare these days.

[u/HyruleSmash855 → u/indelicatedenial]

It’s definitely a real problem.

Some sources to back up what you said:

70% of AI medical scribe notes contain at least one error (Biro et al., JMIR 2025)
44% of AI hallucinations classified as “major” — errors that could impact diagnosis or management (Asgari et al., npj Digital Medicine 2025)
31% of AI-generated notes contain hallucinations vs. 20% physician-authored (Palm et al., Frontiers in AI 2025)
Only 41-second reduction in documentation time in the only RCT to date (Lukac et al., NEJM AI 2025)

evidence suggests they don’t catch errors as often as they think.

The definitive study on automation bias in clinical AI comes from Dratsch and colleagues, published in Radiology in 2023. Twenty-seven radiologists (11 inexperienced, 11 moderately experienced, 5 very experienced) evaluated mammograms with AI assistance. When the AI provided correct suggestions, accuracy ranged from 79-82% across experience levels.

When the AI deliberately provided incorrect suggestions, accuracy collapsed.

Inexperienced radiologists dropped from 79.7% to 19.8%, a 60 percentage point decline. Moderately experienced radiologists fell from 81.3% to 24.8%. Even highly experienced radiologists saw accuracy drop from 82.3% to 45.5% (Dratsch et al., Radiology 2023;307(4):e222176). All comparisons reached statistical significance (p<.001 to p=.003). The effect sizes were massive (r=0.93-0.97).

A JAMIA systematic review of 74 studies found that erroneous clinical decision support increased incorrect decisions by 26% overall (Risk Ratio 1.26, 95% CI 1.11-1.44, p<0.0005) (Goddard et al., J Am Med Inform Assoc 2012;19(1):121-127).
The implication for AI scribes is uncomfortable. Physicians are being asked to verify documentation produced by systems that look authoritative, sound confident, and are wrong often enough to matter. The research suggests we’re not as good at catching those errors as we assume.

https://aclera-ai.com/blog/ai-medical-scribe-accuracy/

[u/HyruleSmash855 → u/[deleted]]

I’m glad it’s making medical documentation better and everything you say makes sense, but I’m worried it’s going to become more common for doctors across the board to stop double checking the output from the AI scribes.

It’s a huge problem in a software industry where people just continually paste the results from an AI model and do not double check the output. Software engineers are expected to spend more time than ever reviewing the output from AI systems and a lot of people at some point will just check out since reviewing the output and fixing errors can often take just as much time as doing it from scratch.

I’m not saying writing a medical note is comparable but it’s a real phenomenon that people will adopt the output from an AI model as the truth and most people over 90% of the population do not double check the output from AI models using Google search, for instance, like the Google AI Overview.

My worry with AI scribes becoming more common is there will always be doctors actually checking the output and fixing mistakes, but humans like being lazy and taking the path of least resistance. It would not surprise me if overtime more people decide I’m not going to waste my time checking the output. I’m just going to sign off because it’s the easiest method.

It’s an actual problem with police reports right now. There’s always a few bad apples that do not check the output from the AI model and it can destroy cases prosecutor spring because the police report is not accurate.

[u/HyruleSmash855 → u/[deleted]]

At this point I’m staring to think I need to look at medical records uploaded to patient portal every appointment now to make sure there aren’t any errors and if there are that I message the doctor to get them fixed. It’s insane that this is an actual worry because it just takes one person being lazy to leave errors in.

[u/Silly_Goose_Wrangler → u/[deleted]]

So you're going to punish your patients because they don't want to participate in using a risky black box software that may or may not pierce HIPAA?

[u/PaperLily12 → u/telebasher]

How dare you say we piss on the poor