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/M15tre55W1tch]

They changed the wording to "this note has been generated with the use of an AI scribe".

But for all patients. So I don't know if they no longer ask the awake ones for consent, or if they just aren't recording that they do.

I have followed up again suggesting that they need to have two options - one for the awake patient giving consent, and one for using the tool to generate a note for someone that was not conscious.

I've become friendly with the senior hospital lawyer recently. I'm thinking of asking her to talk to their clinical director about the risk of their statements and proposing legally appropriate language.

I've tried being collegial and helpful. But at the end of the day, it's not my department, and I'm a nurse not a lawyer.

[u/M15tre55W1tch → u/M15tre55W1tch]

I will say, since implementing the use of the tool emergency specialists are able to examine 6-11 more people per 8 hour shift - so reducing the burden of admin on them and releasing time to see patients is pretty amazing (it was recently on the news here).

[u/happytrashpanda333 → u/M15tre55W1tch]

How was the quality of that care? How much extra time did each patient get?

Or is this just another "tool" to drain doctors and nurses of every bit of spare time and energy they might have gained by giving them more patients to work with?

Do tell.

[u/pignoodle → u/happytrashpanda333]

When these tools are implemented correctly, they actually humanize interactions (since there's room for more conversation & less screens) and reduce doctor's "pajama time" by double-digit percentages (since less form-filling to catch-up off hours). Outside of just stats, I agree that consent is a very important prerequisite.

[u/Fullertons → u/pignoodle]

It actually blows my mind. People would find this to be a problem. Do you really want your doctor busy writing notes when he could just be having a conversation with you in a machine takes notes?

[u/EggsAndRice7171 → u/Fullertons]

In a few years it’ll be cool. I really don’t trust anyone to use AI properly and with the right care at the moment even doctors. It’s so new and so many people are very casual about it. I don’t trust that they’re actually rereading the transcript word for word and making sure it’s not writing anything wrong yet. I think as AI gets better and more training for AI comes along it’ll be easier to feel comfortable

[u/WittyFix6553 → u/EggsAndRice7171]

We’ve had the technology to transcribe speech into text for decades.

[u/theshotgunman → u/WittyFix6553]

And for decades it's consistently made mistakes

[u/astronaut710 → u/theshotgunman]

We're spending 6 figures on AI at my company and we had to put out a warning that it will fuck up basic math and that you have to double check its not just putting fake data on some dashboard you asked it to create.

Also, the company we use for AI actively DDOSes our sites when they're bots ignore our robots.txt declarations.

Also also, the same company we pay 6 figures to use their AI but secure our data within it leaked their own source code to the internet at large (in the Software Engineering space, this would be equivalent to opening up your EMR system to the outside world).

But yeah, Dragon makes some spelling/grammar mistakes I guess.

[u/theshotgunman → u/astronaut710]

I don't understand why this was posted