"We used to answer the questions ourselves and we felt like we had control over it. We felt like we had agency. But one day, it was taken away from us. Instead, they bought this AI-powered program without notifying the unions, nurses, or representatives."
@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 š±
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 couldnāt point to a score and say, āThis patient is too sick, I need to focus on them alone,ā because the numbers didnāt help us make that case anymore. They didnāt 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.
https://www.codastory.com/stayonthestory/nursing-ai-hospitals-robots-capture/
@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 š±
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 couldnāt point to a score and say, āThis patient is too sick, I need to focus on them alone,ā because...