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Ontario auditors find doctors' AI note takers routinely blow basic facts

theregister.com

61–70 of 141 posts

Re: Ontario auditors find doctors' AI note takers routinely blow basic facts

#61
Can someone who is a more AI heavy user explain what is going on?

I would expect an "AI Note Taker" to faithfully transcribe the entire conversation. With the same quality I see in a lot of automated video subtitles.. ie they use the wrong word a lot but it's easy to tell what they mean by context.

Are these tools instead immediately summarising the whole thing, and that summary is the artifact? Because that is a beyond insane way to treat human communication.

Re: Ontario auditors find doctors' AI note takers routinely blow basic facts

#62
post #42

Earlier quoted context omitted.

I think that is how the smarter agents do things? Just like Claude/ChatGPT sometimes does a web search they can do other tool calls instead of just making a statistical guess. Of course it doesn’t always make the bright choice between those options though…

> it doesn’t always make the bright choice I'm available for a small fee.

You must be living in absolute opulence :)

Re: Ontario auditors find doctors' AI note takers routinely blow basic facts

#63
The linked report seems almost useless -- it doesn't say anything about an error rate or a sample size, so it's a mystery whether 9 out of 20 systems “fabricated information and made suggestions to patients' treatment plans” ten out of ten times, or one out of a thousand times.

If we just postulate that the systems have a high error rate, I wonder why they are being adopted. They seem extremely easy to test, so I don't see why doctors or hospitals or governments should be getting tricked into buying them if they suck.

Re: Ontario auditors find doctors' AI note takers routinely blow basic facts

#64
post #42

Earlier quoted context omitted.

I hate to help provide possible soultions to an entire process I don't approve of, but maybe the fuzzy tools need old style deterministic tools the same way and for the same reasons we do. So instead of an LLM trying to answer a math or reason question by finding a statistical match with other similar groups of words it found on 4chan and the all in podcast and a terrible recipe for soup written by a terrible cook, i…

I think that is how the smarter agents do things? Just like Claude/ChatGPT sometimes does a web search they can do other tool calls instead of just making a statistical guess. Of course it doesn’t always make the bright choice between those options though…

They will also lie and produce output saying it is based on tool execution, without having actually used the tool.

Yes, another layer to cross-check, say, “in kubectl logs I see …” with an actual k8s tool call can help, that is, when the cross-check layer doesn’t lie.

For the time being, IMHO, human validation in key points is the only way to get good results. This is why the tools make experienced people potentially a lot more efficient (they are quick to spot errors/BS) and inexperienced people potentially more dangerous (they’re more prone to trusting the responses, since the tone is usually very professionally sounding).

Re: Ontario auditors find doctors' AI note takers routinely blow basic facts

#65

I have generally moved from bearish to bullish on the future of current AI technology, but the continued inaccuracy with basic facts all while the models significantly improve continues to give me significant pause. As an example, creating recipes with Claude Opus based on flavor profiles and preferences feels magical, right up until the point at which it can't accurately convert between tablespoons and teaspoons. It…

I hate to help provide possible soultions to an entire process I don't approve of, but maybe the fuzzy tools need old style deterministic tools the same way and for the same reasons we do. So instead of an LLM trying to answer a math or reason question by finding a statistical match with other similar groups of words it found on 4chan and the all in podcast and a terrible recipe for soup written by a terrible cook, i…

That’s exactly how all the current cloud chat bots and agents work now.

Re: Ontario auditors find doctors' AI note takers routinely blow basic facts

#66

I have generally moved from bearish to bullish on the future of current AI technology, but the continued inaccuracy with basic facts all while the models significantly improve continues to give me significant pause. As an example, creating recipes with Claude Opus based on flavor profiles and preferences feels magical, right up until the point at which it can't accurately convert between tablespoons and teaspoons. It…

I hate to help provide possible soultions to an entire process I don't approve of, but maybe the fuzzy tools need old style deterministic tools the same way and for the same reasons we do. So instead of an LLM trying to answer a math or reason question by finding a statistical match with other similar groups of words it found on 4chan and the all in podcast and a terrible recipe for soup written by a terrible cook, i…

They absolutely need deterministic tools. What you just described is exactly how the current popular AI agents work. They use "harnesses", which to me is just a rebranding of what we have known all along about building useful and reliable software...composable orchestrated systems with a variety of different pieces selected based on their capabilities and constraints being glued together for specific outcomes.

It just feels like for some reason this is all being relearned with LLMs. I guess shortcuts have always been tempting. And the idea of a "digital panacea" is too hard to resist.

Re: Ontario auditors find doctors' AI note takers routinely blow basic facts

#67

Earlier quoted context omitted.

That's just not how they work, really. They don't know what they don't know and their process requires an output. I think they're getting better at it, but it's likely just the number of parameters getting bigger and bigger in the SOTA models more than anything.

They do know what they don't know. There's a probability distribution for outputs that they are sampling from. That just isn't being used for that purpose.

Having a probability distribution to sample from is not the same thing is knowing, because they don’t know anything about the provenance of the data that was used to build the distribution. They trust their training set implicitly by construction. They have no means to detect systematic errors in their training set.

Re: Ontario auditors find doctors' AI note takers routinely blow basic facts

#68
post #54

Earlier quoted context omitted.

At the same time, do you really want every conversation you have with your doctor recorded, handed over to third party companies, and stored forever with your medical file? Plus what doctor has time to sit down and re-listen to your visit to check to make sure the AI didn't screw up at some point in the future anyway? If your doctor isn't going to be verifying the accuracy from those recordings who would? Overseas co…

>At the same time, do you really want every conversation you have with your doctor recorded Yes. This is what medical records are. They've been kept by doctors for a reason. It's not like the doctor is talking to you about which anime series are the best. You're talking about your health, your body, your disease, your treatment. It's important to keep track of that. >Plus what doctor has time to sit down and re-liste…

> Yes. This is what medical records are. They've been kept by doctors for a reason.

Not every conversation. Historically, one of the nice things about doctors is that they're the ones filtering what gets included in your medical record. They decide what is medically relevant and what can remain confidential. Doctors understand that not everything discussed needs to be included in your file. Sometimes that really is just small talk, sometimes it's even medical concerns, questions, or requests for advice and still not all of it needs to go into your file and much of it would only clutter it up anyway.

Any system that stores an entire visit as audio or video long into the future (much easier/temping to do in telehealth settings) is a terrible system. "We may one day need to be able to verify if what AI wrote is real" is a terrible reason to change that.

Doctors (and increasingly patients) understand that a medical record can remain for your entire life. It will probably be seen by many different people within that time for valid reasons but medical records also get leaked/stolen/sold/illegally accessed. Patients need to be able to speak freely with their doctors and often depend on their discretion. Knowing that your every word will be recorded and kept in case somebody 10 years later has a question about what AI wrote in your file could keep people from being open and honest with their doctors.

> Except the industry (both the AI vendors and healthcare) are going YOLO¹ and relying on AI anyway.

Unless we get strong regulations to prevent it I'm afraid that you're right and that this is going to be a problem we experience in a lot of industries and areas besides healthcare. We see it happening in the justice system for example and it's already ruining people's lives.

Re: Ontario auditors find doctors' AI note takers routinely blow basic facts

#69

I have generally moved from bearish to bullish on the future of current AI technology, but the continued inaccuracy with basic facts all while the models significantly improve continues to give me significant pause. As an example, creating recipes with Claude Opus based on flavor profiles and preferences feels magical, right up until the point at which it can't accurately convert between tablespoons and teaspoons. It…

Yup, spot on. There's a capability-reliability gap that the industry does not like to talk about too much.

It often feels like the AI industry is continually glossing over the fact that capability and reliability are fundamentally different qualities. We tend to use "accurate" and "reliable" interchangeably, but they describe different things. A model can ace a benchmark (capability/accuracy) and still be a liability in production (reliability).

Just look at recent reactions to yet another release from METR showing improved capabilities. But the less talked about part is how their measure is for a 50% success rate (and the even lesser talked about secondary measure they have at 80% success rate has a drastically lower time-horizon for tasks). https://metr.org/

I implement AI systems for enterprises and I don't know any that would ever be okay with 80% reliability (let alone 50%).

Re: Ontario auditors find doctors' AI note takers routinely blow basic facts

#70
post #3

> 60% of evaluated AI Scribe systems mixed up prescribed drugs in patient notes, auditors say Not mentioned, as far as I can see: the comparative human mistake rate. Having seen a lot of medical records, 60% sounds about normal lol.

60% is insanely high and absolutely not the performance of human mistake rate. What charts are you reading?

This just says 60% of systems, but not the frequency for those systems. They were evaluating 20 systems, so for 12 systems there were mistakes in the prescriptions, but there isn't information about how common those mistakes were and it's hard to judge relative to a human system.
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