{"meta":{"exportedAt":"2026-10-23T07:21:01.154Z","formatVersion":2,"selection":{"q":"competence-boundaries","system":"","harm":"","context":"","country":"","role":"","relation":"","evidence":"","year":"","response":"","severity":"","verification":"","view":"incidents","sort":"added"},"totalIncidents":2,"coverage":{"cases":2,"countries":1,"languages":1,"unknownLocation":1,"locationPending":0,"unknownLanguage":0,"unknownDate":1,"lawsuits":0,"regulatory":0,"minors":0,"coreRelations":0,"contextualRelations":0,"mixedRelations":0,"unknownRelations":2,"relationPending":2,"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":"2024-saenger-chatgpt-tia-delayed-diagnosis","metadataReview":{"version":1,"geography":{"basis":"The case body says the patient attended the authors’ hospital but does not name its country. Swiss institutions occur only in affiliations. Patient residence and court country are unstated. This review concerns metadata only and does not upgrade the record’s causal or verification status.","evidence":[],"court_countries":[],"event_countries":[],"affected_person_countries":[]},"unresolved":["Affiliations cannot establish where care or chatbot use occurred.","Location is unknown after review, not merely unreviewed.","No court country established in this review. Regulatory authorities and police locations are not automatically courts."],"reviewed_on":"2026-09-15","source_reviews":[{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11006786/","notes":"Browser CAPTCHA","access":"unavailable","language":null},{"url":"https://www.ebi.ac.uk/europepmc/webservices/rest/PMC11006786/fullTextXML","notes":"Complete article body, including Case report, discussion and table; official full-text repository XML","access":"read","language":"en"}]},"name":"Delayed emergency care for a transient ischemic attack after ChatGPT reassurance","summary":"A 63-year-old man who developed repeated, self-limiting episodes of double vision four days after a catheter ablation for atrial fibrillation asked ChatGPT (GPT-3.5) whether visual disturbance was possible after the procedure. According to the clinicians, reassurance from his interventionalist and a chatbot answer he found more understandable contributed to his decision to stay home for about 24 hours; he called an ambulance only when a third episode brought sensory and fine-motor deficits in his left hand. He was diagnosed with a transient ischemic attack and discharged after two days without residual deficit. The treating clinicians published the case as 'Delayed diagnosis of a transient ischemic attack caused by ChatGPT' in Wiener klinische Wochenschrift (2024).","incidentKind":"single_event","incidentDatePrecision":"unknown","exposurePattern":"single_interaction","reportedDate":"2024-02-02","aiSystem":"ChatGPT (GPT-3.5)","aiProduct":"ChatGPT","aiCompany":"OpenAI","severity":"low","verificationStatus":"verified","harmCategories":[],"harmOutcomes":["treatment_disruption"],"harmOutcomeSummary":"Emergency assessment of an evolving cerebrovascular event was delayed by roughly 24 hours while the patient stayed at home reassured. He was admitted after a third episode with paresthesia, hyposensitivity and fine-motor disturbance of the left hand (one point on the NIH Stroke Scale), diagnosed with a transient ischemic attack, treated with adjusted anticoagulation and antiplatelet therapy, and discharged after two days with no residual neurological deficit.","frameworkFacets":["P1a","P1c","P5b","P5c"],"pathwayDirection":"inward","causationStatus":"supported","participantUsersAffectedMin":1,"otherPeopleHarmedMin":0,"affectedCountStatus":"exact","affectedCountEvidence":"The clinical case report documents one patient participant whose emergency assessment was delayed.","victimAgeRange":"adult","jurisdiction":"CH","platformType":"assistant","outcomeType":"media_coverage","outcomeStatus":"resolved","primarySourceUrl":"https://doi.org/10.1007/s00508-024-02329-1","primarySourceLabel":"Wiener klinische Wochenschrift: Saenger JA, Hunger J, Boss A, Richter J. 'Delayed diagnosis of a transient ischemic attack caused by ChatGPT' (peer-reviewed case report, open access)","firstPublishedAt":"2026-09-05T11:55:08.975065+00:00","updatedAt":"2026-09-30T01:16:53.214145+00:00","scopeVersion":"participant-v2","tags":["chatgpt","openai","health-guidance","case-report","stroke","competence-boundaries","switzerland","eu","adult"]},{"id":"2026-mount-shasta-gemini-planned-climb-rescue","metadataReview":{"version":1,"geography":{"basis":"Re-checked on 2026-10-13 against the source bodies, all English: CBS Sacramento (read from an Internet Archive capture because the live page refused this host), the San Francisco Chronicle text as syndicated on Yahoo News, ABC News, KRCR, the USA Today report on The Spokesman-Review, Jefferson Public Radio and Straight Arrow News. Every report relaying the Siskiyou County Sheriff's Office account places the stranding, injury and rescue on Mount Shasta in California (Clear Creek Route, Mud Creek Canyon), which supports event_countries US. CBS, ABC, the Chronicle copy and USA Today say the three hikers are from Roseville, California, which supports affected_person_countries US; residence was used only for that role. No court, prosecution or lawsuit appears in any body, so court_countries is empty. The 2026-09-15 evidence passage from the summary is replaced by source-body passages.","evidence":[{"kind":"source_body","locator":"Three novice hikers became stranded on California's Mount Shasta over the weekend","location":"https://www.cbsnews.com/sacramento/news/mount-shasta-hikers-rescued-california-ai-incorrect-instructions/","supports":["event_countries"],"countries":["US"]},{"kind":"source_body","locator":"Mount Shasta is a California stratovolcano that rises more than 14,000 feet","location":"https://www.spokesman.com/stories/2026/sep/04/hikers-rescued-after-ai-misroutes-strands-them-on-/","supports":["event_countries"],"countries":["US"]},{"kind":"source_body","locator":"the three young men from Roseville, California became stuck on the mountain during their descent","location":"https://www.cbsnews.com/sacramento/news/mount-shasta-hikers-rescued-california-ai-incorrect-instructions/","supports":["affected_person_countries"],"countries":["US"]},{"kind":"source_body","locator":"The three men from Roseville, California, made camp at about 8,400 feet last Saturday","location":"https://www.spokesman.com/stories/2026/sep/04/hikers-rescued-after-ai-misroutes-strands-them-on-/","supports":["affected_person_countries"],"countries":["US"]}],"court_countries":[],"event_countries":["US"],"affected_person_countries":["US"]},"unresolved":["Sequence detail for the next full review: CBS says the group wandered into the Mud Creek Canyon drainage and one hiker then fell and injured his knee; ABC says the injury happened before the group wandered off route. The stored narrative follows CBS.","Contributing factors not in the stored narrative: the Chronicle copy on Yahoo News reports that the climbers navigated by following the line of a digital map in the AllTrails app, misreading it as an established trail, and that during the descent the phone they navigated with ran out of battery and the spare power bank did not connect before they ended up well off-route. These are reported non-Gemini navigation factors. The sheriff's statement attributes only the food and water shortfall to Gemini. The hikers' prompts and Gemini's replies remain unpublished, and Google says it could not reproduce the advice.","The San Francisco Chronicle original was not readable from this host (bot-check page live and in the Internet Archive); its text was read through the Yahoo News syndication.","Attribution detail for the next full review: the stored detailed_description says the climbers told the San Francisco Chronicle 'We relied too much on AI rather than our own critical thinking' and described the carbohydrate advice. The Chronicle copy on Yahoo News quotes both from an official report, and Jefferson Public Radio says the climbers told Forest Service rangers about the carbohydrate advice. The Chronicle copy also says rangers escorted the group back to its base camp, where CBS, ABC, USA Today and Jefferson Public Radio say the trailhead."],"reviewed_on":"2026-10-13","source_reviews":[{"url":"https://www.cbsnews.com/sacramento/news/mount-shasta-hikers-rescued-california-ai-incorrect-instructions/","notes":"Cited primary source. The live page returned HTTP 406 to this host on 2026-10-13, so the body was read in full from an Internet Archive capture (web.archive.org/web/2026id_/, gzip, decompressed); html lang en-US. Relays the Siskiyou County Sheriff's Office press release: hikers from Roseville, California; stranded on California's Mount Shasta; base camp at about 8,400 feet on Saturday, summit at 7 p.m. Sunday, off-route into the Mud Creek Canyon drainage on the mountain's southern side, rescue on Monday; the sheriff's statement that Gemini advised far less food and water than the group required.","access":"read","language":"en"},{"url":"https://www.sfchronicle.com/outdoors/article/shasta-climbers-rescued-chatgpt-22414629.php","notes":"San Francisco Chronicle original. Live fetch on 2026-10-13 returned HTTP 200 with a 3 kB bot-check page and no article; the Internet Archive capture returned the same page. Not read here; its text was read through the Yahoo News syndication listed separately.","access":"unavailable","language":null},{"url":"https://www.yahoo.com/news/us/articles/climbers-rescued-mount-shasta-relying-214819015.html","notes":"San Francisco Chronicle article as syndicated on Yahoo News, fetched live on 2026-10-13 (HTTP 200, html lang en-US) and read in full. Calls the three climbers California college students from Roseville; places the start at the Clear Creek Trailhead on Shasta's southeastern side; reports that they navigated by following a line in the AllTrails app, misreading it as an established trail, in addition to asking Gemini; carries a correction that an earlier version misstated the AI tool (the Chronicle original's URL slug still reads chatgpt).","access":"read","language":"en"},{"url":"https://abcnews.com/US/3-hikers-ai-plan-trip-rescued-after-becoming/story?id=136176177","notes":"Fetched live on 2026-10-13 (HTTP 200, html lang en), read in full. Attributes the account to the Siskiyou County Sheriff's Office; Roseville, California hikers; rescue Monday near the Clear Creek Route; one caption reads Mount Shasta in Siskiyou County, Calif. Its sequence differs slightly from CBS: it says the knee injury happened before the group wandered into Mud Creek Canyon. ABC said it had asked Google for comment.","access":"read","language":"en"},{"url":"https://krcrtv.com/news/local/sheriff-discusses-mount-shasta-rescue-after-hikers-relied-on-ai-to-plan-trip","notes":"Fetched live on 2026-10-13 (HTTP 200, html lang en), read in full (Redding dateline). Sheriff Jeremiah LaRue interview; rescue along the Clear Creek Route. A photo caption dates the rescue to Sun., Aug. 31, 2026, but 31 August 2026 was a Monday and the text says Monday.","access":"read","language":"en"},{"url":"https://www.spokesman.com/stories/2026/sep/04/hikers-rescued-after-ai-misroutes-strands-them-on-/","notes":"USA Today report syndicated by The Spokesman-Review, fetched live on 2026-10-13 (HTTP 200, html lang en), read in full. Three men from Roseville, California; Mount Shasta described in the text as a California stratovolcano and in the photo caption as in Siskiyou County; same sheriff's office account.","access":"read","language":"en"},{"url":"https://www.ijpr.org/outdoors-leisure-and-sports/2026-09-04/mount-shasta-hikers-relied-on-ai-their-trip-ended-in-a-rescue","notes":"Jefferson Public Radio, fetched live on 2026-10-13 (HTTP 200, html lang en), read in full. Sheriff's statement and ranger Nick Meyers interview; one hiker injured a knee and the group spent the night in Mud Creek Canyon. Names no residence.","access":"read","language":"en"},{"url":"https://san.com/cc/chatbots-dont-climb-mountains-so-why-are-hikers-getting-lost-after-trusting-them/","notes":"Straight Arrow News, 8 October 2026, fetched live on 2026-10-13 (HTTP 200, html lang en-US), read in full. A roundup of AI-related hiking rescues; two paragraphs on this case relay the sheriff's office account and a Google spokesperson's statement that the company holds no prompts and could not reproduce the advice. Adds no location detail.","access":"read","language":"en"}]},"name":"Mount Shasta climb planned with Google Gemini: night stranding, knee injury and rescue (Siskiyou County, California)","summary":"Three novice hikers from Roseville, California, planned a Mount Shasta summit attempt with Google's Gemini, which the Siskiyou County Sheriff's Office said advised them to carry far less food and water than their group needed for what became a multi-day ordeal. After reaching the summit at 7 p.m. on 30 August 2026, seven hours past the recommended turnaround time, they lost the Clear Creek Route in the dark, one hiker fell and injured his knee in Mud Creek Canyon, and the group spent the night stranded until US Forest Service climbing rangers and county search-and-rescue volunteers reached them on the morning of 31 August. The sheriff's office called the reliance on Gemini 'a critical misstep'.","incidentDate":"2026-08-29","incidentEndDate":"2026-08-31","incidentKind":"single_event","incidentDatePrecision":"range","exposurePattern":"unknown","reportedDate":"2026-09-02","aiSystem":"Google Gemini","aiProduct":"Gemini","aiCompany":"Google","severity":"low","verificationStatus":"credible","harmCategories":[],"harmOutcomes":["physical_injury"],"harmOutcomeSummary":"One hiker fell and injured his knee during a night descent off the route. The group of three spent the night stranded in the steep drainage of Mud Creek Canyon without adequate food or water and was found 'exhausted, hungry and thirsty' the next morning. All three received medical aid and walked out with rescuers; no hospitalization was reported.","frameworkFacets":["P1d","P5b","P5c"],"pathwayDirection":"inward","causationStatus":"supported","participantUsersAffectedMin":3,"otherPeopleHarmedMin":0,"affectedCountStatus":"exact","affectedCountEvidence":"The sheriff's account documents all three AI-using hikers stranded and requiring rescue and medical aid, including one with a knee injury.","victimAgeRange":"adult","jurisdiction":"US-CA","platformType":"assistant","outcomeType":"media_coverage","outcomeStatus":"resolved","primarySourceUrl":"https://www.cbsnews.com/sacramento/news/mount-shasta-hikers-rescued-california-ai-incorrect-instructions/","primarySourceLabel":"CBS Sacramento: Hikers rescued from California's Mount Shasta after ascent planned with incorrect AI information (quotes the Siskiyou County Sheriff's Office statement)","firstPublishedAt":"2026-09-05T11:55:07.681677+00:00","updatedAt":"2026-10-13T03:03:22.817175+00:00","scopeVersion":"participant-v2","tags":["gemini","google","physical-safety","trip-planning","rescue","competence-boundaries","us","adult"]}]}