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Possibly a Dog

@mpesce In fact, several ways to do AI wrong!

Three horrible decisions by management to replace thoughful human labor with automated inscrutable slop.. the #ai #enshittification of #healthcare has begun 😱

1. Replacing an effective tracking system that nurses developed to coordinate their patients' needs with their own workloads: "The upshot was, it took away our ability to advocate for patients. We couldn’t point to a score and say, ‘This patient is too sick, I need to focus on them alone,’ because the numbers didn’t help us make that case anymore. They didn’t tell us if a patient was low, medium, or high need. They just gave patients a seemingly random score that nobody understood, on a scale of one to infinity."

2. The *whole point* of writing case notes is to *verify* them as you do, to make sure the record matches reality, and give it a onceover with an expert eye. A scribe must be a *human*, not an "Ambient Documentation" AI -- if the doctors are too burned out to do it, then *give them less work* and *hire expert humans* to assist them and let them skim the resulting docs together.

3. Annoying AI alerts, a dystopian parody of the checklist system that real doctors invented to catch errors, improve outcomes, and train staff.

AI-everywhere management is just tightening the ratchet on everyone, taking away human agency and creativity and education and expertise, and in addition to sucking the joy out of jobs, and violating patient privacy, these moves are *definitely* going to kill people.

codastory.com/stayonthestory/n

1 comment
Possibly a Dog

@mpesce "As a seasoned nurse, I’ve learned to recognize patterns and anticipate potential outcomes based on what I see. New nurses don’t have that intuition or forethought yet; developing critical thinking is part of their training. When they experience different situations, they start to understand that instinctively.
"In the future, with AI, and alerts pinging them all day reminding them how to do their job, new cohorts of nurses might not develop that same intuition. Critical thinking is being shifted elsewhere — to the machine."

codastory.com/stayonthestory/n

#AI #enshittification #healthcare

@mpesce "As a seasoned nurse, I’ve learned to recognize patterns and anticipate potential outcomes based on what I see. New nurses don’t have that intuition or forethought yet; developing critical thinking is part of their training. When they experience different situations, they start to understand that instinctively.
"In the future, with AI, and alerts pinging them all day reminding them how to do their job, new cohorts of nurses might not develop that same intuition. Critical thinking is being...

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