Showing posts with label patients. Show all posts
Showing posts with label patients. Show all posts

Wednesday, May 13, 2026

Most U.S. doctors are quietly using this AI tool. Few patients know about it.; NBC News, May 13, 2026

  , NBC News; Most U.S. doctors are quietly using this AI tool. Few patients know about it. 

"Almost two-thirds of physicians — or roughly 650,000 doctors — in the U.S. actively use OpenEvidence, while another 1.2 million use it internationally, OpenEvidence representatives said. With its quick and tailored replies, OpenEvidence has become an AI-era equivalent of consulting a colleague for their expert opinion, though the software can also write patient discharge notes and provide custom study tools for doctors’ medical exams.

“Sixty percent of all the searches are about how to make clinical decisions,” said Jena, who is currently examining 90 million OpenEvidence queries submitted since 2024 as part of a new research project. “The physicians are asking: For this particular patient, or with this profile, this condition, maybe other comorbidities that they have, what’s the right treatment?”

Yet with OpenEvidence’s skyrocketing popularity, some experts worry about potential hallucinations or incomplete answers, a lack of rigorous scientific studies on the tool’s patient impact, and the potential for doctors’ critical thinking and evaluation skills to erode with increased OpenEvidence use and dependence.

But many in the medical world see OpenEvidence as a time-saving tool that can improve patient care."

Monday, May 11, 2026

I’m a Doctor. Here’s What A.I. Cannot Do.; The New York Times, May 5, 2026

 Danielle Ofri, The New York Times; I’m a Doctor. Here’s What A.I. Cannot Do.

"There’s an ocean of distance between the “patient” that A.I. is analyzing and the patient that the human doctor or nurse is assessing."

Wednesday, February 18, 2026

Honoring Alex Pretti’s Moral Courage and the Cost of Caring; The Hastings Center for Bioethics, February 17, 2026

 Connie M. UlrichMary D. Naylor and Martha A. Q. Curley , The Hastings Center for Bioethics; Honoring Alex Pretti’s Moral Courage and the Cost of Caring

"The death of Alex Pretti, an ICU nurse who was killed last month in an anti-immigration protest in Minneapolis, is, first and foremost, a devastating loss for his loved ones. But it has also shaken the nursing profession to the core. 

People often encounter nurses at the bedside when they  are ill or someone close to them is ill. But nurses also have a long history of advocating for social justice in their communities, speaking out against unjust policies, challenging unsafe practices, and advancing public health reforms.

The 2025 Code of Ethics for Nurses reflects this activism. It calls on all nurses to be civically engaged and to work toward policies and systems that have positive ends for the communities in which we live and work. Alex met this call. 

Alex used his ICU training to help someone in need; it was second nature to him and reflected his primary obligation as a registered nurse to protect the rights and well-being of patients, families, and communities. He lost his life because he helped a woman during a protest against federal immigration action in Minneapolis. Pretti stepped in front of the woman, who was on the ground, to protect her from being pepper sprayed by U.S. Border Patrol agents. Agents then pinned Pretti to the ground and shot him.

Nurses are no strangers to conflict and moral turmoil. They take a professional and ethical oath to care for anyone — victim or perpetrator — regardless of their identity or ideological belief. But Alex’s death exposes a stark and troubling reality for every nurse and healthcare provider: Immigration enforcement agents are now occupying spaces that should be protected in hospitals, waiting rooms, lobbies, and clinics. These are places where patients must feel safe and trust that they will receive care without discrimination and be protected from intimidation. 

The presence of immigration enforcement agents in these places is creating profound moral distress and a climate of deep fear for all those who deliver care and for the people who need it most within these buildings. Nurses and other healthcare providers are caught in the age-old dilemma between what is ethical and what is legal: They question what they ought to do when faced with immigration enforcement agents standing outside hospital rooms and observing the care they are ethically and professionally obligated to protect.

When nurses and other healthcare providers cannot meet their ethical duties to protect the rights and welfare of their patients, this distress can intensify into a deeper wound with lingering residue of regret and a searing violation of their sense of integrity. 

For their part, patients may withhold critical health information, become afraid to ask questions, and mistrust health professionals when immigration enforcement agents are present. Patients who are immigrants are most vulnerable to these harms, but other patients may also experience them. The harms – to healthcare providers and patients – can ultimately compromise ethical decision-making, patient-and family-centered care, and the overall quality of care that all patients deserve, and healthcare providers are trained to deliver.

The patients and families cared for by Alex will always remember him. Nurses will remember Alex’s sacrifice – that his caring extended beyond the walls of his hospital to the stranger he protected in his community. 

Nurses can honor Alex’s moral courage through our individual and professional resolve. We must say no more to the infiltration of immigration enforcement into healthcare spaces that were previously off limits to them. We must speak out on re-establishing “safe zones,” hospital-wide policies that limit enforcement access, and confidential reporting mechanisms that reflect the humanity of the nursing profession towards those we took an oath to serve. 

May a better and more humane world prevail, reminding each of us that moral courage carries risk, but it also helps us rise to the occasion when change and moral repair are needed most. We are at that moment.

Connie M. Ulrich, PhD, RN, is a registered nurse and professor of nursing and of medical ethics and health policy at the University of Pennsylvania School of Nursing and a Hastings Center Fellow. LinkedIn: connieulrich1X: @cm_ulrich

Mary D. Naylor, PhD, RN, is a registered nurse and professor of gerontology and nursing at Penn’s School of Nursing. LinkedIn: Mary_Naylor,  X: @MaryDNaylor

Martha A.Q. Curley, PhD, RN, is a registered nurse and professor of pediatric nursing at Penn’s School of Nursing.LinkedIn: Martha-a-q-curleyX: maqcurleyBluesky: @maqc.bsky.social"

Tuesday, November 11, 2025

Pitt School of Medicine Student Innovator is Empowering People to Take Charge of Their Healthcare; University of Pittsburgh Office of Innovation & Entrepreneurship, October 21, 2025

 KAREN WOOLSTRUM , University of Pittsburgh Office of Innovation & Entrepreneurship; Pitt School of Medicine Student Innovator is Empowering People to Take Charge of Their Healthcare

"Inspiration Strikes in the ER

While her research focuses on cystic fibrosis, Li’s entrepreneurial journey began during a rotation in the emergency room. It dawned on her that many patients in the ER could be empowered to take control of their own health monitoring and potentially avoid traumatic and costly ER visits. She quickly devised an idea for an electronic stethoscope that people can use to measure vital signs of the heart and lungs from home.

In collaboration with a friend, Akshaya Anand, a machine-learning graduate student from the University of Maryland, she founded Korion Health and entered the 2022 Randall Family Big Idea Competition hosted by the Big Idea Center, Pitt’s hub for student innovation (part of the OIE).

They were awarded a modest $2,000 4th-place prize, but the value they received from the month-long competition and mentorship extended far beyond that. The experience of crafting her pitch and having her idea validated in the eyes of experienced entrepreneurs gave her the confidence to continue pursuing the device’s commercial potential.

Next up was a pitch competition hosted by the Product Development Managers Association (PDMA) in which she won free first place in the graduate-student category, with the award including consulting hours from local companies such as Bally Design and Lexicon Design that she said “helped me take my half-baked idea and turn it into a prototype to show to investors.”

“This was a high yield for the effort. If it’s something they can hold in their hands it really helps communicate the value proposition,” she added.

From there, things began to snowball. On the same day that she won the UpPrize Social Innovation Competition sponsored by Bank of New York in the racial equity category ($75k), she won the first place prize from the American Heart Association’s EmPOWERED to Serve Business Accelerator ($50k). The resulting publicity attracted the attention of organizers of the Hult Prize Competition, a global student startup competition that receives thousands of applicants each year, who invited her to apply.

“I didn’t know anything about the Hult Prize competition. At first, I thought it was spam,” she admitted.

She had no illusions of advancing to the finals near London, let alone winning the top prize of $1 million: until she did."

Sunday, September 28, 2025

Hastings Center Releases Medical AI Ethics Tool for Policymakers, Patients, and Providers; The Hastings Center for Bioethics, September 25, 2025

  The Hastings Center for Bioethics; Hastings Center Releases Medical AI Ethics Tool for Policymakers, Patients, and Providers

"As artificial intelligence rapidly transforms healthcare, The Hastings Center for Bioethics has released an interactive tool to help policymakers, patients and providers understand the ways that AI is being used in medicine—from making a diagnosis to evaluating insurance claims—and navigate the ethical questions that emerge along the way.

The new tool, a Patient’s Journey with Medical AI, follows an imaginary patient through five interactions with medical AI. It guides users through critical decision points in diagnostics, treatment, and communication, offering personalized insights into how algorithms might influence their care. 

Each decision point in the Patient’s Journey includes a summary of the ethical issues raised and multiple choice questions intended to stimulate thinking and discussion about particular uses of AI in medicine. Policy experts from across the political spectrum were invited to review the tool for accuracy and utility.

The Patient’s Journey is the latest in a set of resources developed through Hastings on the Hill, a project that translates bioethics research for use by policymakers—with an initial focus on medical AI. “This isn’t just about what AI can do — it’s about what it should do,” said Hastings Center President Vardit Ravitsky, who directs Hastings on the Hill. “Patients deserve to understand how technologies affect their health decisions, and policymakers can benefit from expert guidance as they seek to ensure that AI serves the public good.”

The Greenwall Foundation is supporting this initiative. Additional support comes from The Donaghue Foundation and the National Institutes of Health’s Bridge2AI initiative.

In addition to using Hastings on the Hill resources, policymakers, industry leaders, and others who shape medical AI policy and practice are invited to contact The Hastings Center with questions related to ethical issues they are encountering. Hastings Center scholars and fellows can provide expert nonpartisan analysis on urgent bioethics issues, such as algorithmic bias, patient privacy, data governance, and informed consent.

“Ethics should not be an afterthought,” says Ravitsky. “Concerns about biased health algorithms and opaque clinical decision tools have underscored the need for ethical oversight alongside technical innovation.”

“The speed of AI development has outpaced the ethical guardrails we need,” said Erin Williams, President and CEO of EDW Wisdom, LLC — the consultancy working with The Hastings Center. “Our role is to bridge that gap —ensuring that human dignity, equity, and trust are not casualties of technological progress.”

Explore Patient’s Journey with Medical AI. Learn more about Hastings on the Hill."

Saturday, April 11, 2020

ADA council affirms importance of code of ethics during COVID-19 pandemic; American Dental Association, ADA News, April 9, 2020

David Burger, American Dental Association, ADA News; 

ADA council affirms importance of code of ethics during COVID-19 pandemic

The Journal of the American Dental Association publishes essay that emphasizes unity of member dentists


"The ADA Council on Ethics, Bylaws and Judicial Affairs’ ethics subcommittee authored an online essay as part of its Ethical Moment series in the May issue of The Journal of the American Dental Association, affirming that the ADA Principles of Ethics and Code of Professional Conduct is just as important as ever when making the difficult decisions they encounter on a daily basis. 

“During this crisis, when everything seems in flux, it is comforting to remember that the values we pledged to uphold remain unchanged,” said Dr. Mike Kurkowski, council chair. “This article attempts to clarify the application of our Code to some of the emerging issues our member dentists must address. With the overwhelming volume of information practitioners are currently trying to digest, it's important to stay grounded. Placing our community and patients before our needs, and communicating honestly about the evolving science regarding this virus, will help guide dentists to the best decisions.”

The nearly 800-word essay, “Ethical Practice During the COVID-19 Pandemic,” addresses some of the ethical issues that have arisen in concert with the rise of transmissions...


Dr. Guenter Jonke, subcommittee member, said that it was vitally important to reiterate in a clear and concise manner member dentists’ obligations during this pandemic — not in a didactic or moralizing way, but as a way to express a shared commitment.

“Ethics is the cornerstone our profession,” Dr. Jonke said. “During this crisis, not all of us may be level-headed. This article is very timely and an important message to all dentists. Inspiring others is another skill of excellent leadership. Remaining unified allows us to achieve greatness during these uncertain times.”"

Thursday, February 14, 2019

What to tell patients when artificial intelligence is part of the care team; American Medical Association (AMA), February 13, 2019

Staff News Writer, American Medical Association (AMA); What to tell patients when artificial intelligence is part of the care team


"Artificial intelligence (AI) in health care can help manage and analyze data, make decisions and conduct conversations. The availability of AI is destined to drastically change physicians’ roles and everyday practices. It is key that physicians be able to adapt to changes in diagnostics, therapeutics and practices of maintaining patient safety and privacy. However, physicians need to be aware of ethically complex questions about implementation, uses and limitations of AI in health care.   

The February issue of the AMA Journal of Ethics® (@JournalofEthics) features numerous perspectives on AI in health care and gives you an opportunity to earn CME credit."

Tuesday, April 18, 2017

Rude Doctors, Rude Nurses, Rude Patients; New York Times, April 10, 2017

Perri Klass, New York Times; 

Rude Doctors, Rude Nurses, Rude Patients


"Just how much rudeness is there in the hospital, and who bears the brunt of it?

A few weeks ago I wrote about a study that looked at what happens to medical teams when parents are rude to doctors. In these studies of simulated patient emergencies, doctors and nurses working in the neonatal intensive care unit were less effective in teamwork and communication, and in their diagnostic and technical skills, after an actor, playing a parent, made a rude remark about the quality of the hospital."

Tuesday, August 23, 2016

U.S. lawmakers demand investigation of $100 price hike of lifesaving EpiPens; Washington Post, 8/23/16

Ariana Eunjung Cha, Washington Post; U.S. lawmakers demand investigation of $100 price hike of lifesaving EpiPens:
"The medication itself isn’t expensive. Analysts calculate that the dosage contained in a single pen is worth about $1. It’s the company’s proprietary pen injector that makes up the bulk of the cost...
A profile in Fortune in 2015 described her rise in colorful terms:
Bresch, a 46-year-old who’s spent more than half her life at Mylan, has steered the company’s transformation from a quirky outfit run out of a West Virginia trailer to a global operator with 30,000 employees in 145 countries. Born into politics—her father, Joe Manchin, is a longtime West Virginia Democratic stalwart who’s now a U.S. senator—Bresch has mastered the regulatory world. Since becoming CEO in 2012, she’s overseen a major revenue increase; Mylan projects sales of up to $10.1 billion this year, up from $6.1 billion in 2011…
Under Bresch’s leadership, Mylan has also stumbled through a series of ethically messy mishaps and public relations gaffes. Mylan’s inversion took place just as uproar over the tactic reached a fever pitch on Capitol Hill. (Among the politicians who denounced the move was Bresch’s own father, though he later changed his mind.) Critics have called out the company for unusually high executive pay packages, questionable use of company jets, and murky relationships with board members. Then there’s “the Heather Bresch situation,” as she herself calls it, a scandal surrounding her executive MBA credentials—when you Google her name, the episode still ranks even higher than her official Mylan bio."