{"meta":{"exportedAt":"2026-10-23T08:54:11.886Z","formatVersion":2,"selection":{"q":"competence-boundaries","system":"","harm":"","context":"","country":"","role":"","relation":"unknown","evidence":"","year":"unknown","response":"","severity":"","verification":"","view":"incidents","sort":"added"},"totalIncidents":1,"coverage":{"cases":1,"countries":0,"languages":1,"unknownLocation":1,"locationPending":0,"unknownLanguage":0,"unknownDate":1,"lawsuits":0,"regulatory":0,"minors":0,"coreRelations":0,"contextualRelations":0,"mixedRelations":0,"unknownRelations":1,"relationPending":1,"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"]}]}