Skip to content
  • Categories
  • Recent
  • Tags
  • Popular
  • World
  • Users
  • Groups
Skins
  • Light
  • Brite
  • Cerulean
  • Cosmo
  • Flatly
  • Journal
  • Litera
  • Lumen
  • Lux
  • Materia
  • Minty
  • Morph
  • Pulse
  • Sandstone
  • Simplex
  • Sketchy
  • Spacelab
  • United
  • Yeti
  • Zephyr
  • Dark
  • Cyborg
  • Darkly
  • Quartz
  • Slate
  • Solar
  • Superhero
  • Vapor

  • Default (Darkly)
  • No Skin
Collapse
Brand Logo
  1. Home
  2. General Medicine
  3. Whether you are in #lawenforcement or #medicine it is imperative that you understand this simple concept: AI engines that write reports will put information in the report that the AI engine thinks is what you want to see in the report.

Whether you are in #lawenforcement or #medicine it is imperative that you understand this simple concept: AI engines that write reports will put information in the report that the AI engine thinks is what you want to see in the report.

Scheduled Pinned Locked Moved General Medicine
lawenforcementmedicine
32 Posts 24 Posters 2 Views
  • Oldest to Newest
  • Newest to Oldest
  • Most Votes
Reply
  • Reply as topic
Log in to reply
This topic has been deleted. Only users with topic management privileges can see it.
  • McNadoMDM This user is from outside of this forum
    McNadoMDM This user is from outside of this forum
    McNadoMD
    wrote last edited by
    #1

    Whether you are in #lawenforcement or #medicine it is imperative that you understand this simple concept: AI engines that write reports will put information in the report that the AI engine thinks is what you want to see in the report.

    Doesn’t matter if that information is true. Doesn’t matter if the referenced facts or events actually occurred, were discussed, or are present in the record. The engine will “hallucinate” — make it up entirely — whatever the engine decides fulfills the prompt.

    McNadoMDM Max LP Darth OslerA Esslar2F Joe BayesJ 14 Replies Last reply
    1
    0
    • #medicineT #medicine shared this topic
    • McNadoMDM McNadoMD

      Whether you are in #lawenforcement or #medicine it is imperative that you understand this simple concept: AI engines that write reports will put information in the report that the AI engine thinks is what you want to see in the report.

      Doesn’t matter if that information is true. Doesn’t matter if the referenced facts or events actually occurred, were discussed, or are present in the record. The engine will “hallucinate” — make it up entirely — whatever the engine decides fulfills the prompt.

      McNadoMDM This user is from outside of this forum
      McNadoMDM This user is from outside of this forum
      McNadoMD
      wrote last edited by
      #2

      The implication then, is if you are using AI reports or notes, you MUST proofread them line by line before submitting them to the official record. You are, after all, the one signing the note. You are the one who is staking your license/certification on the information being accurate. If the AI lied, and you sign their note, you are wrong. It’s like if I signed a medical student note without any corrections or hint that it was a medical student note, except that most students don’t hallucinate.

      rmogullR *|FNAME|*C Ryan MR KanaMaunaK garlandG 6 Replies Last reply
      0
      • McNadoMDM McNadoMD

        Whether you are in #lawenforcement or #medicine it is imperative that you understand this simple concept: AI engines that write reports will put information in the report that the AI engine thinks is what you want to see in the report.

        Doesn’t matter if that information is true. Doesn’t matter if the referenced facts or events actually occurred, were discussed, or are present in the record. The engine will “hallucinate” — make it up entirely — whatever the engine decides fulfills the prompt.

        Max LP This user is from outside of this forum
        Max LP This user is from outside of this forum
        Max L
        wrote last edited by
        #3

        @mcnado

        and then you need a lawyer ... whose use of AI will hallucinate a solution based on past case law that never occurred, and was not even fact-checked by any paralegals (who were fired, to pay for AI token use)

        1 Reply Last reply
        0
        • McNadoMDM McNadoMD

          Whether you are in #lawenforcement or #medicine it is imperative that you understand this simple concept: AI engines that write reports will put information in the report that the AI engine thinks is what you want to see in the report.

          Doesn’t matter if that information is true. Doesn’t matter if the referenced facts or events actually occurred, were discussed, or are present in the record. The engine will “hallucinate” — make it up entirely — whatever the engine decides fulfills the prompt.

          Darth OslerA This user is from outside of this forum
          Darth OslerA This user is from outside of this forum
          Darth Osler
          wrote last edited by
          #4

          @mcnado *ahem*

          While the lay term may be hallucinate, the precise term is confabulate

          Rupert V/R drdr6262D 2 Replies Last reply
          0
          • McNadoMDM McNadoMD

            The implication then, is if you are using AI reports or notes, you MUST proofread them line by line before submitting them to the official record. You are, after all, the one signing the note. You are the one who is staking your license/certification on the information being accurate. If the AI lied, and you sign their note, you are wrong. It’s like if I signed a medical student note without any corrections or hint that it was a medical student note, except that most students don’t hallucinate.

            rmogullR This user is from outside of this forum
            rmogullR This user is from outside of this forum
            rmogull
            wrote last edited by
            #5

            @mcnado you sure abiut that last line?

            1 Reply Last reply
            0
            • McNadoMDM McNadoMD

              Whether you are in #lawenforcement or #medicine it is imperative that you understand this simple concept: AI engines that write reports will put information in the report that the AI engine thinks is what you want to see in the report.

              Doesn’t matter if that information is true. Doesn’t matter if the referenced facts or events actually occurred, were discussed, or are present in the record. The engine will “hallucinate” — make it up entirely — whatever the engine decides fulfills the prompt.

              Esslar2F This user is from outside of this forum
              Esslar2F This user is from outside of this forum
              Esslar2
              wrote last edited by
              #6

              @mcnado This isn't AI, but my oncologist moved offices about ten years ago. I happened to see my records that had been transferred electronically. To my astonishment, the records stated that I had been using illegal drugs in the past. Right away, I got to my doctor and asked him how this untrue statement had got into my health records. He apologized and said sometimes people's records got "mixed up" when they were moved around electronically. This could have been quite a problem for me had I not caught it, because I was a professional pilot and had to get a letter from this doctor about my overall health every time I applied for a new medical certificate that allowed me to fly.

              1 Reply Last reply
              0
              • McNadoMDM McNadoMD

                The implication then, is if you are using AI reports or notes, you MUST proofread them line by line before submitting them to the official record. You are, after all, the one signing the note. You are the one who is staking your license/certification on the information being accurate. If the AI lied, and you sign their note, you are wrong. It’s like if I signed a medical student note without any corrections or hint that it was a medical student note, except that most students don’t hallucinate.

                *|FNAME|*C This user is from outside of this forum
                *|FNAME|*C This user is from outside of this forum
                *|FNAME|*
                wrote last edited by
                #7

                @mcnado
                Which begs the question: if you have to go through the output, line by line scanning for errors, is there really an efficiency gain to be had? 🤔

                People being people, there will be corners cut and there will be deaths/false convictions as a result. I just hope that accountability will fall on the people using these tools instead of on the tools themselves.

                Rupert V/R McNadoMDM 2 Replies Last reply
                0
                • McNadoMDM McNadoMD

                  Whether you are in #lawenforcement or #medicine it is imperative that you understand this simple concept: AI engines that write reports will put information in the report that the AI engine thinks is what you want to see in the report.

                  Doesn’t matter if that information is true. Doesn’t matter if the referenced facts or events actually occurred, were discussed, or are present in the record. The engine will “hallucinate” — make it up entirely — whatever the engine decides fulfills the prompt.

                  Joe BayesJ This user is from outside of this forum
                  Joe BayesJ This user is from outside of this forum
                  Joe Bayes
                  wrote last edited by
                  #8

                  @mcnado Yes, isn't it great? They can put whatever lies they want in the report, and if they get caught then it's the AI's fault. Bring on the weaponized vehicles and agonizer gloves!

                  1 Reply Last reply
                  0
                  • McNadoMDM McNadoMD

                    Whether you are in #lawenforcement or #medicine it is imperative that you understand this simple concept: AI engines that write reports will put information in the report that the AI engine thinks is what you want to see in the report.

                    Doesn’t matter if that information is true. Doesn’t matter if the referenced facts or events actually occurred, were discussed, or are present in the record. The engine will “hallucinate” — make it up entirely — whatever the engine decides fulfills the prompt.

                    TomWilsonYEGC This user is from outside of this forum
                    TomWilsonYEGC This user is from outside of this forum
                    TomWilsonYEG
                    wrote last edited by
                    #9

                    @mcnado

                    I think it important to understand why.

                    AI reply engines are programmed to encourage user interaction. That means after an analysis of your input they will construct a reply that makes you feel good using the kind of language you use. Watch for the qualifiers: "excellent", Well done", etc.
                    AI "makes up everything". Each instance is independent of previous ones outside your present "interaction". The engine parses your request to set up reply parameters then its database for answers and assigns each part a probability and a reply that is random phonemes is just as likely as a direct quote from a Supreme Court ruling.
                    Ask for references and check them out.
                    Ask for challenging replies that make you think. Again, they all need to be referenced.

                    1 Reply Last reply
                    0
                    • McNadoMDM McNadoMD

                      Whether you are in #lawenforcement or #medicine it is imperative that you understand this simple concept: AI engines that write reports will put information in the report that the AI engine thinks is what you want to see in the report.

                      Doesn’t matter if that information is true. Doesn’t matter if the referenced facts or events actually occurred, were discussed, or are present in the record. The engine will “hallucinate” — make it up entirely — whatever the engine decides fulfills the prompt.

                      ? Offline
                      ? Offline
                      Guest
                      wrote last edited by
                      #10
                      @mcnado Add this to your list of AI in medicine stories:
                      https://ack.nerdfight.online/notice/B8ua5nQFDkBIcfpkbQ
                      1 Reply Last reply
                      0
                      • McNadoMDM McNadoMD

                        The implication then, is if you are using AI reports or notes, you MUST proofread them line by line before submitting them to the official record. You are, after all, the one signing the note. You are the one who is staking your license/certification on the information being accurate. If the AI lied, and you sign their note, you are wrong. It’s like if I signed a medical student note without any corrections or hint that it was a medical student note, except that most students don’t hallucinate.

                        Ryan MR This user is from outside of this forum
                        Ryan MR This user is from outside of this forum
                        Ryan M
                        wrote last edited by
                        #11

                        @mcnado The Pitt did a good job highlighting these problems with AI

                        McNadoMDM 1 Reply Last reply
                        0
                        • McNadoMDM McNadoMD

                          The implication then, is if you are using AI reports or notes, you MUST proofread them line by line before submitting them to the official record. You are, after all, the one signing the note. You are the one who is staking your license/certification on the information being accurate. If the AI lied, and you sign their note, you are wrong. It’s like if I signed a medical student note without any corrections or hint that it was a medical student note, except that most students don’t hallucinate.

                          KanaMaunaK This user is from outside of this forum
                          KanaMaunaK This user is from outside of this forum
                          KanaMauna
                          wrote last edited by
                          #12

                          @mcnado Exactly. Last year I was on a large multiagency call regarding new Veteran Services grants. At the end someone sent out their AI notes and I compared it with my own notes. I had to email the group to let them know that not only had the assistant botched the discussion of complex claiming, anyone following them would probably be committing a federal crime.

                          1 Reply Last reply
                          0
                          • *|FNAME|*C *|FNAME|*

                            @mcnado
                            Which begs the question: if you have to go through the output, line by line scanning for errors, is there really an efficiency gain to be had? 🤔

                            People being people, there will be corners cut and there will be deaths/false convictions as a result. I just hope that accountability will fall on the people using these tools instead of on the tools themselves.

                            Rupert V/R This user is from outside of this forum
                            Rupert V/R This user is from outside of this forum
                            Rupert V/
                            wrote last edited by
                            #13

                            @crispius @mcnado Humans are bad at monitoring processes that rarely go wrong. With the best will in the world, you cannot reliably review a hundred LLM generated documents a day and find the one line that doesn't match reality.

                            1 Reply Last reply
                            0
                            • Darth OslerA Darth Osler

                              @mcnado *ahem*

                              While the lay term may be hallucinate, the precise term is confabulate

                              Rupert V/R This user is from outside of this forum
                              Rupert V/R This user is from outside of this forum
                              Rupert V/
                              wrote last edited by
                              #14

                              @autolycos @mcnado Thank you. To hallucinate, you must first have some perception of reality.

                              1 Reply Last reply
                              0
                              • McNadoMDM McNadoMD

                                Whether you are in #lawenforcement or #medicine it is imperative that you understand this simple concept: AI engines that write reports will put information in the report that the AI engine thinks is what you want to see in the report.

                                Doesn’t matter if that information is true. Doesn’t matter if the referenced facts or events actually occurred, were discussed, or are present in the record. The engine will “hallucinate” — make it up entirely — whatever the engine decides fulfills the prompt.

                                P This user is from outside of this forum
                                P This user is from outside of this forum
                                Passwordsarehard4
                                wrote last edited by
                                #15

                                @mcnado LLM’s have a success rate of 80%. That’s the same as the “pull out” method of birth control. Intelligent people don’t rely on these kinds of things for important decisions.

                                1 Reply Last reply
                                0
                                • McNadoMDM McNadoMD

                                  Whether you are in #lawenforcement or #medicine it is imperative that you understand this simple concept: AI engines that write reports will put information in the report that the AI engine thinks is what you want to see in the report.

                                  Doesn’t matter if that information is true. Doesn’t matter if the referenced facts or events actually occurred, were discussed, or are present in the record. The engine will “hallucinate” — make it up entirely — whatever the engine decides fulfills the prompt.

                                  Andi HA This user is from outside of this forum
                                  Andi HA This user is from outside of this forum
                                  Andi H
                                  wrote last edited by
                                  #16

                                  @mcnado
                                  Research papers written by AI contain references (because AI knows it has to include them), but it doesn't know they have to be real references... study analysing 2.5 million papers identified approximately 146,900 hallucinated citations in 2025 alone

                                  drdr6262D 1 Reply Last reply
                                  0
                                  • McNadoMDM McNadoMD

                                    The implication then, is if you are using AI reports or notes, you MUST proofread them line by line before submitting them to the official record. You are, after all, the one signing the note. You are the one who is staking your license/certification on the information being accurate. If the AI lied, and you sign their note, you are wrong. It’s like if I signed a medical student note without any corrections or hint that it was a medical student note, except that most students don’t hallucinate.

                                    garlandG This user is from outside of this forum
                                    garlandG This user is from outside of this forum
                                    garland
                                    wrote last edited by
                                    #17

                                    @mcnado Yep. I suspect that if you’re actually progressing carefully, this AI note process is not actually faster than writing the report yourself. The human doctor just provides a sort of liability crumple zone to absorb lawsuits when the AI makes errors.

                                    McNadoMDM 1 Reply Last reply
                                    0
                                    • McNadoMDM McNadoMD

                                      The implication then, is if you are using AI reports or notes, you MUST proofread them line by line before submitting them to the official record. You are, after all, the one signing the note. You are the one who is staking your license/certification on the information being accurate. If the AI lied, and you sign their note, you are wrong. It’s like if I signed a medical student note without any corrections or hint that it was a medical student note, except that most students don’t hallucinate.

                                      garlandG This user is from outside of this forum
                                      garlandG This user is from outside of this forum
                                      garland
                                      wrote last edited by
                                      #18

                                      @mcnado I’m a radiologist so I’m writing reports all day. Actually generating the report is not the time consuming part of the process. What takes time is THINKING about the case.

                                      1 Reply Last reply
                                      0
                                      • McNadoMDM McNadoMD

                                        Whether you are in #lawenforcement or #medicine it is imperative that you understand this simple concept: AI engines that write reports will put information in the report that the AI engine thinks is what you want to see in the report.

                                        Doesn’t matter if that information is true. Doesn’t matter if the referenced facts or events actually occurred, were discussed, or are present in the record. The engine will “hallucinate” — make it up entirely — whatever the engine decides fulfills the prompt.

                                        Toni AittoniemiG This user is from outside of this forum
                                        Toni AittoniemiG This user is from outside of this forum
                                        Toni Aittoniemi
                                        wrote last edited by
                                        #19

                                        @mcnado Probabilistic computing has no place in high-trust sectors.

                                        1 Reply Last reply
                                        0
                                        • garlandG garland

                                          @mcnado Yep. I suspect that if you’re actually progressing carefully, this AI note process is not actually faster than writing the report yourself. The human doctor just provides a sort of liability crumple zone to absorb lawsuits when the AI makes errors.

                                          McNadoMDM This user is from outside of this forum
                                          McNadoMDM This user is from outside of this forum
                                          McNadoMD
                                          wrote last edited by
                                          #20

                                          @garland this.

                                          1 Reply Last reply
                                          0

                                          Hello! It looks like you're interested in this conversation, but you don't have an account yet.

                                          Getting fed up of having to scroll through the same posts each visit? When you register for an account, you'll always come back to exactly where you were before, and choose to be notified of new replies (either via email, or push notification). You'll also be able to save bookmarks and upvote posts to show your appreciation to other community members.

                                          With your input, this post could be even better 💗

                                          Register Login
                                          Reply
                                          • Reply as topic
                                          Log in to reply
                                          • Oldest to Newest
                                          • Newest to Oldest
                                          • Most Votes


                                          • Login

                                          • Don't have an account? Register

                                          • Login or register to search.
                                          Powered by NodeBB Contributors
                                          • First post
                                            Last post
                                          0
                                          • Categories
                                          • Recent
                                          • Tags
                                          • Popular
                                          • World
                                          • Users
                                          • Groups