[burnte]

> got an erroneous Type II diabetes diagnosis dropped into the note by the AI scribe at my last appointment because my PCP discussed the A1C test he was ordering.

No, you got an inaccurate diagnoses because your doctor didn't do their job. It's the provider's job to check notes, and this would have gotten that provider a visit with their clinical director at my org.

[stephenbez]

By that line of thinking, even if AI scribes are terrible, you can only blame the doctor because they didn’t check their notes.

In this case as the patient, all you care is there was an inaccurate diagnosis in your notes. If the doctor were typing them up by hand, presumably that would not have happened.

Similarly if Tesla Self Driving cars got into collisions at 3x the rate of non-self driving, would you defend Tesla because all issues are the drivers fault who are supposed to have their hands on the wheels and paying attention?

[burnte]

> By that line of thinking, even if AI scribes are terrible, you can only blame the doctor because they didn’t check their notes.

Same for any profession. If you use bad tools expect bad outcomes. Yes, I work in a company that expects employees to do their work well, and there are consequences to bad performance.

> In this case as the patient, all you care is there was an inaccurate diagnosis in your notes. If the doctor were typing them up by hand, presumably that would not have happened.

Doctors can absolutely mischart by hand. Human error is one of many reasons we moved to electronic charting. We have providers who love the tool and we see benefits from them having it, and some providers don't want it, so they don't have to use it. I've seen people say they feel it's slower, didn't like the output, and one provider simply enjoys charting. They're all good providers too.

> Similarly if Tesla Self Driving cars got into collisions at 3x the rate of non-self driving, would you defend Tesla because all issues are the drivers fault who are supposed to have their hands on the wheels and paying attention?

Bad analogy, since FSD is supposed to work without the human in the loop. This tool EXPLICITLY is to be operated and checked by a human.

That said, I wouldn't defend Tesla at all, however yes I would state that if you are supposed to monitor a "self driving" car and get into an accident, you failed. In that case I'd say it's safer to just manually drive, and many of our providers choose to chart manually.