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  3. I don't want AI in my electronic medical record to try to summarize other clinicians' notes, or to listen in on my conversations with my patients to try to write my notes for me.

I don't want AI in my electronic medical record to try to summarize other clinicians' notes, or to listen in on my conversations with my patients to try to write my notes for me.

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emrllm
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  • Jennifer Hamilton, MD PhDJ Jennifer Hamilton, MD PhD

    I don't want AI in my electronic medical record to try to summarize other clinicians' notes, or to listen in on my conversations with my patients to try to write my notes for me.

    On days like this, with a big storm bearing down, I just want a plain old database to show me which of my patients will need their prescriptions refilled within the next 5 days, so that I can refill them now and patients can pick them up before the storm comes.

    Guess which I don't have?

    #AI
    #EMR
    #LLM

    Ciggy Bringer of SmokeC This user is from outside of this forum
    Ciggy Bringer of SmokeC This user is from outside of this forum
    Ciggy Bringer of Smoke
    wrote last edited by
    #3

    @jeneralist

    Helpdesker in Healthcare feels your pain on this! The daily issues with scanners, printers, emr account rights/passwords, and then tossing in 'my dictations on this encounter are wrong again cause Dax is broken again, I need an unlock'

    1 Reply Last reply
    0
    • 2xfoR 2xfo

      @jeneralist
      Yeah but the AI can find more codes to bill!
      (I am convinced any AI marketed to doctors offices will not be intended for the patient's benefit, probably not even the doctor's)

      Ciggy Bringer of SmokeC This user is from outside of this forum
      Ciggy Bringer of SmokeC This user is from outside of this forum
      Ciggy Bringer of Smoke
      wrote last edited by
      #4

      @RnDanger @jeneralist

      We have Thoughtful AI up in our Rev Cycle, nobody can explain what its doing and we keep hiring Rev Cyclers anyway

      Ciggy Bringer of SmokeC 1 Reply Last reply
      0
      • Ciggy Bringer of SmokeC Ciggy Bringer of Smoke

        @RnDanger @jeneralist

        We have Thoughtful AI up in our Rev Cycle, nobody can explain what its doing and we keep hiring Rev Cyclers anyway

        Ciggy Bringer of SmokeC This user is from outside of this forum
        Ciggy Bringer of SmokeC This user is from outside of this forum
        Ciggy Bringer of Smoke
        wrote last edited by
        #5

        @RnDanger @jeneralist

        The legit best AI implimentation isnt even Healthcare in the enterpise, its the transcription LLM in Dialpad that handles all call center and phone functions. Its wild how thats barely appreciated because its trench tools for those in the trenches

        1 Reply Last reply
        0
        • Jennifer Hamilton, MD PhDJ Jennifer Hamilton, MD PhD

          I don't want AI in my electronic medical record to try to summarize other clinicians' notes, or to listen in on my conversations with my patients to try to write my notes for me.

          On days like this, with a big storm bearing down, I just want a plain old database to show me which of my patients will need their prescriptions refilled within the next 5 days, so that I can refill them now and patients can pick them up before the storm comes.

          Guess which I don't have?

          #AI
          #EMR
          #LLM

          Wyatt H KnottW This user is from outside of this forum
          Wyatt H KnottW This user is from outside of this forum
          Wyatt H Knott
          wrote last edited by
          #6

          @jeneralist Could not BELIEVE I had to argue with the intern in the ER. No, dude, you cannot use an AI assistant during our interview. "It just summarizes," he tried to say but I interrupted him. "It violates my HIPA rights, is what it does." He put his fucking phone away. But am I going to trust him as a doctor now, ever? Not even a little bit.

          1 Reply Last reply
          0
          • Jennifer Hamilton, MD PhDJ Jennifer Hamilton, MD PhD

            I don't want AI in my electronic medical record to try to summarize other clinicians' notes, or to listen in on my conversations with my patients to try to write my notes for me.

            On days like this, with a big storm bearing down, I just want a plain old database to show me which of my patients will need their prescriptions refilled within the next 5 days, so that I can refill them now and patients can pick them up before the storm comes.

            Guess which I don't have?

            #AI
            #EMR
            #LLM

            mx alex tax1a - 2020 (6)A This user is from outside of this forum
            mx alex tax1a - 2020 (6)A This user is from outside of this forum
            mx alex tax1a - 2020 (6)
            wrote last edited by
            #7

            @jeneralist the computer of 2013 would be great at that kind of report, but as of 2023 apparently the only way to use computers is to supplicate in english to make a slopbot produce something resembling useful output, and we're all expected to believe this is better. drives us up the wall!

            1 Reply Last reply
            0
            • Jennifer Hamilton, MD PhDJ Jennifer Hamilton, MD PhD

              I don't want AI in my electronic medical record to try to summarize other clinicians' notes, or to listen in on my conversations with my patients to try to write my notes for me.

              On days like this, with a big storm bearing down, I just want a plain old database to show me which of my patients will need their prescriptions refilled within the next 5 days, so that I can refill them now and patients can pick them up before the storm comes.

              Guess which I don't have?

              #AI
              #EMR
              #LLM

              CarstenC This user is from outside of this forum
              CarstenC This user is from outside of this forum
              Carsten
              wrote last edited by
              #8

              @jeneralist I am always baffled when companies, cities, states or organizations announce that they are deploying "ai". They have not put in the money and effort to deploy 30 year old database technologies. Now they want to spend real big money to deploy an error prone black box that produces unpredictable outputs?

              1 Reply Last reply
              0
              • Jennifer Hamilton, MD PhDJ Jennifer Hamilton, MD PhD

                I don't want AI in my electronic medical record to try to summarize other clinicians' notes, or to listen in on my conversations with my patients to try to write my notes for me.

                On days like this, with a big storm bearing down, I just want a plain old database to show me which of my patients will need their prescriptions refilled within the next 5 days, so that I can refill them now and patients can pick them up before the storm comes.

                Guess which I don't have?

                #AI
                #EMR
                #LLM

                StackyS This user is from outside of this forum
                StackyS This user is from outside of this forum
                Stacky
                wrote last edited by
                #9

                @jeneralist I’m a “retired” hospital IT person who now works in infusion pharmacy (cushy pre-retirement job), I’ve had some words with my caregivers about their AI notes. My boss has asked me to not share my thoughts with my employer because she wants me to stay employed under her.

                That slop needs to go.

                1 Reply Last reply
                0
                • Jennifer Hamilton, MD PhDJ Jennifer Hamilton, MD PhD

                  I don't want AI in my electronic medical record to try to summarize other clinicians' notes, or to listen in on my conversations with my patients to try to write my notes for me.

                  On days like this, with a big storm bearing down, I just want a plain old database to show me which of my patients will need their prescriptions refilled within the next 5 days, so that I can refill them now and patients can pick them up before the storm comes.

                  Guess which I don't have?

                  #AI
                  #EMR
                  #LLM

                  I am Jack's Found 404F This user is from outside of this forum
                  I am Jack's Found 404F This user is from outside of this forum
                  I am Jack's Found 404
                  wrote last edited by
                  #10

                  @jeneralist

                  My new health insurance had their "AI" bot (complete with a fake people name) try to contact me 4 times today. Once immediately after I ignored the first call, and then later inappropriately at night...

                  Yet another corporate waste of money that should be going to patient care...

                  1 Reply Last reply
                  0
                  • Jennifer Hamilton, MD PhDJ Jennifer Hamilton, MD PhD

                    I don't want AI in my electronic medical record to try to summarize other clinicians' notes, or to listen in on my conversations with my patients to try to write my notes for me.

                    On days like this, with a big storm bearing down, I just want a plain old database to show me which of my patients will need their prescriptions refilled within the next 5 days, so that I can refill them now and patients can pick them up before the storm comes.

                    Guess which I don't have?

                    #AI
                    #EMR
                    #LLM

                    JakeA This user is from outside of this forum
                    JakeA This user is from outside of this forum
                    Jake
                    wrote last edited by
                    #11

                    @jeneralist I went to get a mole checked out today since it has a fuzzy border and feels a little rough and I haven't noticed it before. So the PA pulls out a derma scan standalone device. An image recognition device that tries to interpret an image and provide a likely diagnosis. I glance over as they're trying to get it to work and it's "out of credits" so it stopped working. So they call in the physician who looks at the mole for a few seconds and is like "nah, that's fine".

                    I probably dodged a very billable test 🤣. I don't really think that machine learning has a place in medicine (or any other field of human creativity and knowledge)

                    Jennifer Hamilton, MD PhDJ 1 Reply Last reply
                    0
                    • JakeA Jake

                      @jeneralist I went to get a mole checked out today since it has a fuzzy border and feels a little rough and I haven't noticed it before. So the PA pulls out a derma scan standalone device. An image recognition device that tries to interpret an image and provide a likely diagnosis. I glance over as they're trying to get it to work and it's "out of credits" so it stopped working. So they call in the physician who looks at the mole for a few seconds and is like "nah, that's fine".

                      I probably dodged a very billable test 🤣. I don't really think that machine learning has a place in medicine (or any other field of human creativity and knowledge)

                      Jennifer Hamilton, MD PhDJ This user is from outside of this forum
                      Jennifer Hamilton, MD PhDJ This user is from outside of this forum
                      Jennifer Hamilton, MD PhD
                      wrote last edited by
                      #12

                      @Affekt Maybe because I've done a few neural network style machine learning projects, I try not to lump everything in the same bucket with large language models.

                      But I'll certainly agree you probably saved yourself a few bucks on that one!

                      JakeA 1 Reply Last reply
                      0
                      • Jennifer Hamilton, MD PhDJ Jennifer Hamilton, MD PhD

                        @Affekt Maybe because I've done a few neural network style machine learning projects, I try not to lump everything in the same bucket with large language models.

                        But I'll certainly agree you probably saved yourself a few bucks on that one!

                        JakeA This user is from outside of this forum
                        JakeA This user is from outside of this forum
                        Jake
                        wrote last edited by
                        #13

                        @jeneralist likewise, my day job is unfortunately tightly coupled to various flavors of machine learning. While there are very good use cases, I've soured on the whole thing since it's become marketing jargon. I try to be careful with the language I choose since there is more nuance than just "AI bad"

                        1 Reply Last reply
                        0
                        • Jennifer Hamilton, MD PhDJ Jennifer Hamilton, MD PhD

                          I don't want AI in my electronic medical record to try to summarize other clinicians' notes, or to listen in on my conversations with my patients to try to write my notes for me.

                          On days like this, with a big storm bearing down, I just want a plain old database to show me which of my patients will need their prescriptions refilled within the next 5 days, so that I can refill them now and patients can pick them up before the storm comes.

                          Guess which I don't have?

                          #AI
                          #EMR
                          #LLM

                          Pēteris KrišjānisP This user is from outside of this forum
                          Pēteris KrišjānisP This user is from outside of this forum
                          Pēteris Krišjānis
                          wrote last edited by
                          #14

                          @jeneralist you want something they need to hire actual devs to develop.
                          It is expensive and that makes them less rich and thus sad.

                          1 Reply Last reply
                          0
                          • Jennifer Hamilton, MD PhDJ Jennifer Hamilton, MD PhD

                            I don't want AI in my electronic medical record to try to summarize other clinicians' notes, or to listen in on my conversations with my patients to try to write my notes for me.

                            On days like this, with a big storm bearing down, I just want a plain old database to show me which of my patients will need their prescriptions refilled within the next 5 days, so that I can refill them now and patients can pick them up before the storm comes.

                            Guess which I don't have?

                            #AI
                            #EMR
                            #LLM

                            Pēteris KrišjānisP This user is from outside of this forum
                            Pēteris KrišjānisP This user is from outside of this forum
                            Pēteris Krišjānis
                            wrote last edited by
                            #15

                            @jeneralist I am shocked how easy people who have no understanding about safety of medical records tout "LLM will help you" ideas in medicine.
                            Medicine is about precision. Parotting is no go in such industry.

                            1 Reply Last reply
                            0
                            • Jennifer Hamilton, MD PhDJ Jennifer Hamilton, MD PhD

                              I don't want AI in my electronic medical record to try to summarize other clinicians' notes, or to listen in on my conversations with my patients to try to write my notes for me.

                              On days like this, with a big storm bearing down, I just want a plain old database to show me which of my patients will need their prescriptions refilled within the next 5 days, so that I can refill them now and patients can pick them up before the storm comes.

                              Guess which I don't have?

                              #AI
                              #EMR
                              #LLM

                              Aurora 🐌C This user is from outside of this forum
                              Aurora 🐌C This user is from outside of this forum
                              Aurora 🐌
                              wrote last edited by
                              #16

                              @jeneralist Psychologist here. Same frustation.

                              I have the priviledge of working in private practice, so I choose not to use AI. Even, I don't use private software ( free software for almost everything), an I use my own cloud.

                              But I see how others psychologist fall in the scam of the snake oil.

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