Live data from Hacker News

Kaiser nurses say AI, surveillance are making their jobs and patient care worse

localnewsmatters.org

181–190 of 401 posts

Re: Kaiser nurses say AI, surveillance are making their jobs and patient care worse

#181

I RFTA and the majority of the complaints are about call center metrics and the pressure to ration care. These are real concerns about misuse of metrics, but not AI. The AI empathy thing was a 2024 pilot that was discontinued. FWIW my wife works for Kaiser and finds a lot of value in the the medical LLM tools available to her. She tells me being able to do live translation, summarize notes, and quickly get comprehens…

I personally will not use a provider who uses llm tools. I know it makes me and my coworkers less careful and lazier. Qualities I dont want in a health care providor. Ive actually moved primary care physicians over this once already, found the oldest guy I could who barely knows how to use a laptop but spends a bunch of extra time with me.

Funny how we assess risk. Not criticising you - I'm as irrational as the next guy - but "I found the oldest doctor I could" seems like it has a different set of risks baked in.

Re: Kaiser nurses say AI, surveillance are making their jobs and patient care worse

#182
post #9

There's a reason that among Americans, telekinesis and creationism are more mainstream positions than sloptimism. About 14% of Americans think AI is moving us towards a better world. About 17% are creationists. About 26% believe in Telekinesis.

With all of that in mind I have to wonder whether there is overlap between these response groups and if so, how much. Could be zero to 100% without more information.

Good question. How many people that you know are in all three groups?

Re: Kaiser nurses say AI, surveillance are making their jobs and patient care worse

#183
https://www.youtube.com/watch?v=DpQamTrynBY

[edit] preemptively, if you're going to claim "but this isn't art so irrelevant" then I claim bull fucking shit. It's the same problem no matter how you slice it whether it be engineering, support, art, or medicine. Get real. Look inward. Touch grass. If you think AI is a good thing for your profession--whatever that profession might be--you're probably a delusional psychotic. It's OK, you'll thank me later.

Re: Kaiser nurses say AI, surveillance are making their jobs and patient care worse

#184

I RFTA and the majority of the complaints are about call center metrics and the pressure to ration care. These are real concerns about misuse of metrics, but not AI. The AI empathy thing was a 2024 pilot that was discontinued. FWIW my wife works for Kaiser and finds a lot of value in the the medical LLM tools available to her. She tells me being able to do live translation, summarize notes, and quickly get comprehens…

Cardiac events from Apple Watches is not “AI” though

It would have been, 20 years ago.

Re: Kaiser nurses say AI, surveillance are making their jobs and patient care worse

#185

I RFTA and the majority of the complaints are about call center metrics and the pressure to ration care. These are real concerns about misuse of metrics, but not AI. The AI empathy thing was a 2024 pilot that was discontinued. FWIW my wife works for Kaiser and finds a lot of value in the the medical LLM tools available to her. She tells me being able to do live translation, summarize notes, and quickly get comprehens…

Cardiac events from Apple Watches is not “AI” though

It’s machine learning, which people routinely called AI not so long ago.

Re: Kaiser nurses say AI, surveillance are making their jobs and patient care worse

#186
post #41

Earlier quoted context omitted.

Most of the folks here on HN are dealing with customer feedback in systems automation in one form or another - it's pretty unavoidable in this age of LLM trendiness. The customers of healthcare (in both private and publicly funded systems) are the patients. So while the term might not be super natural it's an understandable one to use.

Patients are not customers, or at least I don’t want to live in a world where patients are considered customers. Customers and vendors are usually more of a symmetric relationship: price transparency, alternatives, lack of urgency. These are all characteristics of transactions that healthcare often lacks.

Customer, user, patient...it's all the same.

Re: Kaiser nurses say AI, surveillance are making their jobs and patient care worse

#187

Workplace metrics and surveillance... What could possibly go wrong? That being said, more than one (female at that) doctor has told me in confidence and based upon their observations during residencies, etc. that if I'm ever admitted, be very careful how I modulate my interactions with nurses. They're not all Florence Nightingale and Mother Theresa and there exist those who will @#$% you up on various pretexts or are…

  > Mother Theresa
off topic perhaps, but i would hope they were not like mother teresa at all [0]

[0] https://allthatsinteresting.com/mother-teresa-saint

Re: Kaiser nurses say AI, surveillance are making their jobs and patient care worse

#188

I RFTA and the majority of the complaints are about call center metrics and the pressure to ration care. These are real concerns about misuse of metrics, but not AI. The AI empathy thing was a 2024 pilot that was discontinued. FWIW my wife works for Kaiser and finds a lot of value in the the medical LLM tools available to her. She tells me being able to do live translation, summarize notes, and quickly get comprehens…

I personally will not use a provider who uses llm tools. I know it makes me and my coworkers less careful and lazier. Qualities I dont want in a health care providor. Ive actually moved primary care physicians over this once already, found the oldest guy I could who barely knows how to use a laptop but spends a bunch of extra time with me.

The older the doctor the more experience they have, but also their knowledge is more outdated (how many keep up with medical journals?) and their brain is worse at learning and connecting dots so I'm not sure I'd choose the oldest I could find.

Re: Kaiser nurses say AI, surveillance are making their jobs and patient care worse

#189

I RFTA and the majority of the complaints are about call center metrics and the pressure to ration care. These are real concerns about misuse of metrics, but not AI. The AI empathy thing was a 2024 pilot that was discontinued. FWIW my wife works for Kaiser and finds a lot of value in the the medical LLM tools available to her. She tells me being able to do live translation, summarize notes, and quickly get comprehens…

Cardiac events from Apple Watches is not “AI” though

It unequivocally is AI. It's just not LLM-powered.

The rising LLM = AI equivalency is unfortunate.

Re: Kaiser nurses say AI, surveillance are making their jobs and patient care worse

#190

I RFTA and the majority of the complaints are about call center metrics and the pressure to ration care. These are real concerns about misuse of metrics, but not AI. The AI empathy thing was a 2024 pilot that was discontinued. FWIW my wife works for Kaiser and finds a lot of value in the the medical LLM tools available to her. She tells me being able to do live translation, summarize notes, and quickly get comprehens…

Things like this are (sadly) common (and age-old) problems with automation and computerization. (For a vivid account of this phenomenon, check out the novel _Close to the Machine_, by Ellen Ullman.)

As executives and analysts increasingly use the "AI" craze to push automation and computerization (and layoffs) generally, even aside from AI proper, it should not be surprising that the individuals and groups opposing those moves also use the same labels.

The lack of precision in language here sucks. It sucks for the discourse and it also sucks when it comes to focusing anger and productive energy on the core problems (obfuscation of human responsibility, erosion of human agency, declining institutional flexibility, deprofessionalization, etc.). But it doesn't begin with the critics of AI.

Post reply on HN