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Kaiser nurses say AI, surveillance are making their jobs and patient care worse
151–160 of 401 posts
Re: Kaiser nurses say AI, surveillance are making their jobs and patient care worse
#152Earlier quoted context omitted.
I'ma keep it creamy with you, both parties have had the kind of political majority required to clamp down on the corporatization of our society, and neither have so much as paid lip service to doing so. You want to be mad at the current administration by all means there's fertile ground, but don't waste anyone's time blaming them for a situation that's been decades in the making with both major political parties push…
The last time was 2009-2010 for the Democrats. The Republicans have never held 60 seats. But the real crime is that the left never exploited that. If I was in charge, I’d have mountains of draft legislation vetted, proofread, run by every lawmaker, and printed out years before any potential majority just in case it ever came about. Whoever was in charge of the DNC in 2009 should feel ashamed of letting a generational…
The democrats aren't the left. How would the left exploit a democrat majority? That is like saying the democrats didn't exploit a republican majority.
Re: Kaiser nurses say AI, surveillance are making their jobs and patient care worse
#153I 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.
Re: Kaiser nurses say AI, surveillance are making their jobs and patient care worse
#154Earlier quoted context omitted.
Actually, you can rely on the customers. They're the only ones that can tell you.
Yeah, this whole discussion cracks me up. I have a number of direct experiences with Kaiser nurses. They repeatedly got into arguments with doctors in front of me, tried to countermand doctors' instructions, ignored their patients, and complained to each other about their patients while they were right there. Repeated unprofessional behavior with no discernible change after trying to address it. My take is that the K…
To one degree or another, this is endemic among nurses. It's part of a broader cultural element: nursing programs have entrenched a culture of nurses vs. doctors. There are literally questions on their licensing exam to the effect of "which of these orders from a doctor should you refuse to enact?" (rather than, say, "which of these orders should you contact the doctor to seek clarification on?" or some other collaborative take). Nurses are taught their job is to protect patients from physicians. Given they don't have the expertise to do that , the general result is more broadly a power struggle in the guise of patient care.
Re: Kaiser nurses say AI, surveillance are making their jobs and patient care worse
#155Earlier quoted context omitted.
sadly, this is happening more as medicine and healthcare become more and more corporate. Seeing this as hospitals all get acquired into these mega health systems (ostensibly to fight the now merged mega health insurance companies), that then like to throw their weight around.
Thank you private equity.
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Re: Kaiser nurses say AI, surveillance are making their jobs and patient care worse
#156They want you to blame "AI" like Claude jumped up and decided to start hassling nurses, not individuals in management
... They're aware that it's individuals in management, which is why they want to use their union contract to dictate how management can use AI.
Re: Kaiser nurses say AI, surveillance are making their jobs and patient care worse
#157This problem with workplace AI interfering with nurses ability to manage healthcare obligations for their clients is not confined to Kaiser. UHC has also introduced the AI surveillance tools and are using it to do similar things.
Isn't that the insurance company whose CEO was murdered because of the terrible quality of care they delivered?
Mangione had back issues and apparently some difficulty in getting treatment for it, but he wasn't insured by UHC. According to his manifesto, he chose Brian Thompson as his victim because UHC was the largest health insurance company in the United States.
Re: Kaiser nurses say AI, surveillance are making their jobs and patient care worse
#158Earlier quoted context omitted.
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isn’t that how we got here though? Everyone in silicon valley was so busy making sure they were open minded, steelmanning, and not treating politics like a sport that no one in the silicon valley halls of power pointed out that the emperor has no clothes and now we have a (sorry woke police) shrieking retard president leading us through the singularity.
It definitely seems like having Trump in power suits the rich and powerful tech lobby just fine, that's for sure
Re: Kaiser nurses say AI, surveillance are making their jobs and patient care worse
#159Re: Kaiser nurses say AI, surveillance are making their jobs and patient care worse
#160The article mentions uses of AI but doesn't really give any examples of harm from AI. It does give specific examples where it sounds like Kaiser is optimizing calls to minimize cost rather than improve quality of care. It's also pretty easy to expect that the examples given (treating longer calls as a problem and penalizing nurses for giving more than 3 pieces of advice) reduce the quality of care.
They talk about workplace survillience. They use a machine learning tool that try to assess their emphaty, and such. The AI, while the tool technically can be called that, in the article is there to be a buzzword.