{"meta":{"exportedAt":"2026-10-15T05:28:11.097Z","formatVersion":2,"selection":{"q":"bluesky","system":"","harm":"","context":"","country":"","role":"","relation":"","evidence":"","year":"","response":"","severity":"","verification":"","view":"incidents","sort":"added"},"totalIncidents":1,"coverage":{"cases":1,"countries":0,"languages":1,"unknownLocation":1,"locationPending":0,"unknownLanguage":0,"unknownDate":0,"lawsuits":0,"regulatory":0,"minors":0,"coreRelations":0,"contextualRelations":1,"mixedRelations":0,"unknownRelations":0,"relationPending":0,"relationUnknown":0},"countingNote":"Distinct public cases in this selection. People counts apply within individual cases only; cross-case person overlap has not been resolved. No population incidence estimate.","affectedCountNote":"Interpret person counts with affectedCountStatus and the reported effects. Unquantified zeros are placeholders, not a measured zero.","source":"AI incidents","publisher":"NOPE","url":"https://nope.net/incidents","license":"CC BY 4.0"},"incidents":[{"id":"2026-patient-says-doctors-ai-appointment-summary-listed-a-medication-never-taken-first-person","caseFacts":{"claims":[{"id":"c1","status":"reported","evidence":[{"locator":"'My doctor asked me if I minded his use of AI to summarize summary my appt yesterday'; 'then I consented because I wanted to see the summary it generated'","relation":"supports","source_id":"s1"}],"assertion":"The patient says their doctor asked whether they minded his use of AI to summarise the appointment, and that they consented, after stating their objections, because they wanted to see the summary it generated.","causal_attribution":"Patient's account of the consent conversation; the doctor's account is not known."},{"id":"c2","status":"reported","evidence":[{"locator":"'It listed a medication I don't take and have never taken on my list of current meds'; 'I didn't check it until it was posted in the portal'","relation":"supports","source_id":"s1"}],"assertion":"The patient says the AI-generated summary, posted in the patient portal, listed among their current medications a drug they do not take and have never taken.","causal_attribution":"The patient attributes the wrong entry to the AI-generated summary; the summary itself was not published and the product is not named."},{"id":"c3","status":"reported","evidence":[{"locator":"'I have messaged him--so I don't know yet!'","relation":"supports","source_id":"s1"}],"assertion":"The patient says they messaged the doctor about the error and did not yet know the response.","causal_attribution":"Patient's reply on 14 October 2026; no correction or response is reported."},{"id":"c4","status":"reported","evidence":[{"locator":"'It had not made its way to the official list of meds, but it was listed in the clinical notes'","relation":"supports","source_id":"s2"}],"assertion":"The patient says the wrong medication had not made its way to the official list of medications but was listed in the clinical notes.","causal_attribution":"Patient's reply qualifying where the wrong entry appeared; the clinical notes and the official list are not public."}],"effects":[{"label":"a medication never taken listed among current medications in an AI-generated appointment summary (patient's account)","claim_id":"c2","direction":"negative"}],"sources":[{"id":"s1","url":"https://bsky.app/profile/did:plc:a6m5puxjmwuwxhuviabkhg67/post/3mxudokyvfk2t","kind":"social_media_post","access":"read","language":"en","translation_note":"Read in English by the research agent (an AI) on 2026-10-15: the root post and its full reply thread retrieved through the public Bluesky API (app.bsky.feed.getPostThread, HTTP 200); no translation and no human reviewer. The author's account asks that posts not be shown to logged-out viewers, so the link may require a Bluesky login; the author's handle and name are not recorded.","independence_group":"bluesky-patient-ai-appointment-summary-medication"},{"id":"s2","url":"https://bsky.app/profile/did:plc:a6m5puxjmwuwxhuviabkhg67/post/3mxue4dekyk2w","kind":"social_media_post","access":"read","language":"en","translation_note":"Read in English by the research agent (an AI) on 2026-10-15 through the public Bluesky API (app.bsky.feed.getPostThread, HTTP 200); no translation and no human reviewer. The patient's own reply (20:10 UTC 14 Oct) to another user's quote of the root post; same author as s1, so the same source group.","independence_group":"bluesky-patient-ai-appointment-summary-medication"}],"version":1,"ai_roles":["institutional_use"],"contexts":["health"],"unknowns":["The AI product the doctor used and whether the doctor reviewed the summary before it was posted to the portal.","The doctor's response and whether the medication list was corrected.","Whether the wrong entry was used in prescribing or later copied from the clinical notes into the official medication list.","The country and the exact date of the appointment (the post says it was the day before 14 October 2026; the author's time zone is not known)."],"geography":{"basis":"Neither the post nor the patient's replies name a country, region or clinic; no country is inferred.","court_countries":[],"event_countries":[],"affected_person_countries":[]},"publication":{"basis":"Published under the public-forum rule as a first-person account of an AI-generated appointment summary that, by the patient's account, recorded a medication they have never taken among their current medications. Described with attribution and without corroboration; whether the record was corrected is unknown.","reviewed_on":"2026-10-15"},"ai_involvement":{"basis":"The patient says the doctor asked to use AI to summarise the appointment, that they consented in order to see the summary it generated, and that this summary, posted in the patient portal, listed among their current medications a drug they have never taken. The AI output is therefore the summary itself, and the reported harm is the false entry it made about the patient's medications. The product, the summary text and whether the doctor reviewed it before it was posted are not known.","status":"reported"},"person_relations":["made_claim_about"]},"name":"First-person post: patient says the AI summary of a doctor's appointment listed, among current medications, a drug the patient has never taken","summary":"In a Bluesky post on 14 October 2026, a patient says their doctor asked whether they minded his use of AI to summarise the appointment the day before. The patient says they explained their objections and then consented because they wanted to see the summary it generated. When the summary was posted in the patient portal, it listed among the patient's current medications a drug the patient says they do not take and have never taken. In a reply shortly afterwards the patient said the drug had not made its way to the official medication list but was listed in the clinical notes. In other replies the patient said they had messaged the doctor and did not yet know the response. The AI product is not named, the medication is not named, the summary was not published and the doctor's account is not known.","incidentDate":"2026-10-01","incidentKind":"single_event","incidentDatePrecision":"month","exposurePattern":"single_interaction","reportedDate":"2026-10-14","aiSystem":"An AI tool the doctor used to summarise the appointment, as the patient describes it ('his use of AI to summarize'); product not named","aiProduct":"Unidentified AI medical scribe","severity":"low","verificationStatus":"unverified","harmCategories":[],"harmOutcomes":["other_material_harm"],"harmOutcomeSummary":"A patient says an AI-generated summary of their doctor's appointment, posted in the patient portal, listed among their current medications a drug they have never taken; the patient adds that it was in the clinical notes but not on the official medication list (first-person account, uncorroborated; correction not reported).","frameworkFacets":[],"causationStatus":"alleged","participantUsersAffectedMin":0,"otherPeopleHarmedMin":1,"affectedCountStatus":"exact","affectedCountEvidence":"One person: the patient whose appointment summary contained the wrong medication. Other people's similar accounts in the replies are not counted.","victimAgeRange":"unknown","platformType":"other","outcomeStatus":"pending","primarySourceUrl":"https://bsky.app/profile/did:plc:a6m5puxjmwuwxhuviabkhg67/post/3mxudokyvfk2t","primarySourceLabel":"Bluesky post and replies by the patient, 14 Oct 2026: AI summary of an appointment listed a medication never taken","firstPublishedAt":"2026-10-15T03:02:41.092973+00:00","updatedAt":"2026-10-15T03:02:41.092973+00:00","scopeVersion":"facts-v3","tags":["first-person","bluesky","ai-scribe","medical-records","health"]}]}