{ "meta": { "exportedAt": "2026-09-22T19:32:51.329Z", "formatVersion": 2, "selection": { "q": "hospital", "system": "", "harm": "", "context": "", "country": "", "role": "", "relation": "", "evidence": "", "year": "2026", "response": "", "severity": "", "verification": "", "view": "incidents", "sort": "added" }, "totalIncidents": 3, "coverage": { "cases": 3, "countries": 1, "languages": 1, "unknownLocation": 1, "locationPending": 0, "unknownLanguage": 2, "unknownDate": 0, "lawsuits": 1, "regulatory": 0, "minors": 0, "coreRelations": 0, "contextualRelations": 0, "mixedRelations": 0, "unknownRelations": 3, "relationPending": 2, "relationUnknown": 1 }, "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": "NOPE Incident Tracker", "url": "https://nope.net/incidents", "license": "CC BY 4.0" }, "incidents": [ { "id": "2026-montefiore-nurses-replaced-ai-layoffs", "caseFacts": { "claims": [ { "id": "c1", "status": "reported", "evidence": [ { "locator": "Paragraphs 1-2 and 13: 39 years; 'one of 12 nurses who were laid off Sunday'; 'on 28 May, when all 12 nurses in her department received 45-day notices'.", "relation": "supports", "source_id": "s1" }, { "locator": "Paragraphs 1-7: NYSNA alleges Montefiore plans to lay off nurses; one of 12 nurses slated to be laid off after 39 years; council member asks Montefiore to stop the 45-day displacement clock.", "relation": "context", "source_id": "s2" } ], "assertion": "According to the Guardian’s 13 July 2026 report, twelve utilization-review nurses at Montefiore hospital in the Bronx, one with 39 years’ service, received 45-day layoff notices on 28 May and were laid off on 12 July.", "causal_attribution": "The Guardian reports the completed layoffs from the union and nurse account. Its “Sunday” reference in the Monday 13 July article resolves to 12 July 2026; Norwood News on 2 July reports plans only. Montefiore did not specifically comment on the layoffs." }, { "id": "c2", "status": "disputed", "evidence": [ { "locator": "Opening layoff account attributes replacement by AI-powered software to NYSNA; the utilization-review passages describe nurses reading patient charts and justifying care to insurers.", "relation": "supports", "source_id": "s1" }, { "locator": "The passage about nurses at the town hall raising concerns about the company selected for the proposed work names Datavant and attributes the information to union officials. The utilization-review section describes chart review and insurer approvals.", "relation": "supports", "source_id": "s2" }, { "locator": "TechSpot relays the Guardian and union account, including Datavant. It is not independent confirmation of the asserted reason for the layoffs.", "relation": "context", "source_id": "s3" }, { "locator": "Final employer-response paragraphs: Montefiore calls the union’s claims inaccurate and misleading and describes a nonclinical paperwork program; it does not specifically address the layoffs.", "relation": "contradicts", "source_id": "s1" }, { "locator": "Final employer-response passage quotes Montefiore spokesperson Joe Solmonese calling NYSNA’s claims inaccurate and misleading and saying the hospital invests in technology to improve care and outcomes. It does not explain the particular program or address the layoffs specifically.", "relation": "contradicts", "source_id": "s2" } ], "assertion": "The New York State Nurses Association says the nurses were replaced by AI-powered software, reported as supplied by Datavant, that reviews patient records to justify care to insurers.", "causal_attribution": "Union attribution disputed by the employer." }, { "id": "c3", "status": "reported", "evidence": [ { "locator": "Paragraphs 8-12: contracts after the strike included AI safeguards; union executive says the layoffs violate the contract; workflow changed without explanation.", "relation": "supports", "source_id": "s1" }, { "locator": "Paragraph 4: council member calls on Montefiore to abide by the nurses' contract.", "relation": "context", "source_id": "s2" } ], "assertion": "The union says the layoffs violate the contract won after the January 2026 strike, which included safeguards against AI; the nurses say their workflow changed without explanation when they returned in February.", "causal_attribution": "Union and nurses' account; no arbitration or legal finding reported." } ], "effects": [ { "label": "loss_of_employment", "claim_id": "c1", "direction": "negative" } ], "sources": [ { "id": "s1", "url": "https://www.theguardian.com/technology/2026/jul/13/nurses-new-york-ai", "kind": "news_report", "access": "read", "language": "en", "translation_note": "Read in English on 2026-09-15; datePublished 2026-07-13.", "independence_group": "guardian" }, { "id": "s2", "url": "https://www.norwoodnews.org/nysna-allege-montefiore-plans-to-replace-some-nurses-with-ai-systems/", "kind": "local_news", "access": "read", "language": "en", "translation_note": "Read on 2026-09-15; published 2026-07-02, before the layoffs took effect.", "independence_group": "norwood" }, { "id": "s3", "url": "https://www.techspot.com/news/113092-new-york-hospital-replaces-12-nurses-ai-prompting.html", "kind": "tech_news_relaying_guardian", "access": "read", "language": "en", "translation_note": "Read in English on 2026-09-15; relays the Guardian and union statements. Datavant is also named in the earlier Norwood News report; the supplier attribution remains the union’s.", "independence_group": "guardian" }, { "id": "s4", "url": "https://www.wnylabortoday.com/news/2026/07/16/new-york-city-labor-news/it-should-concern-every-patient-who-cares-about-their-quality-of-care-twelve-laid-off-nysna-represented-nurses-at-montefiore-hospital-in-the-bronx-are-being-replaced-by-artificial-intelligence/", "kind": "labor_news_relaying_guardian", "access": "read", "language": "en", "translation_note": "Read on 2026-09-15; summary of the Guardian report.", "independence_group": "guardian" } ], "version": 1, "ai_roles": [ "institutional_use" ], "contexts": [ "work", "health" ], "unknowns": [ "Datavant is named in Norwood News’s reporting of the union’s account and in TechSpot. The inspected sources do not independently verify the supplier, deployment details or asserted replacement of nurses by AI; Montefiore disputes the union’s characterization.", "Whether the nurses were offered other positions, and whether a grievance or arbitration followed, is not reported.", "No patient harm is documented; the union's concerns about missed diagnoses are predictions.", "Montefiore's precise description of the program is limited to the quoted statement." ], "geography": { "basis": "Event and affected persons: Montefiore hospital in the Bronx, New York City (Guardian; Norwood News). No court proceeding is reported.", "court_countries": [], "event_countries": [ "US" ], "affected_person_countries": [ "US" ] }, "publication": { "basis": "Published under the 2026-09-15 charter as a work-context adverse experience: twelve identified job losses that the union attributes to an AI deployment and the employer disputes. One nurse who spoke publicly is not named here.", "reviewed_on": "2026-09-15" }, "ai_involvement": { "basis": "The nurses' union says the 12 utilization-review nurses were replaced by AI-powered software (identified as Datavant in Norwood News and TechSpot, both attributing the information to the union). Montefiore calls the union's claims inaccurate and misleading and describes the change as a nonclinical paperwork program; it did not comment on the layoffs specifically.", "status": "disputed" }, "person_relations": [ "unknown" ] }, "name": "Bronx: twelve Montefiore utilization-review nurses laid off; their union says AI software replaced them, the hospital disputes it", "summary": "According to the Guardian’s report from the union and nurse account, on 12 July 2026 twelve utilization-review nurses at Montefiore hospital in the Bronx, New York, were laid off after receiving 45-day notices on 28 May. The New York State Nurses Association says they were replaced by AI-powered software that reviews patient records to justify care to insurers, and that the layoffs breach the contract with AI safeguards won after the January 2026 strike. Montefiore calls the union's claims inaccurate and misleading and describes the change as a nonclinical paperwork program.", "incidentDate": "2026-05-28", "incidentEndDate": "2026-07-12", "incidentKind": "single_event", "incidentDatePrecision": "range", "exposurePattern": "unknown", "reportedDate": "2026-07-02", "aiSystem": "AI-powered utilization-review software (reported by the union as supplied by Datavant)", "aiCompany": "Montefiore Medical Center (deployer); Datavant (reported supplier)", "severity": "medium", "verificationStatus": "credible", "harmCategories": [], "harmOutcomes": [ "professional_harm" ], "harmOutcomeSummary": "Twelve nurses lost their jobs; their union attributes the layoffs to an AI software deployment that the hospital characterises differently.", "frameworkFacets": [], "causationStatus": "disputed", "participantUsersAffectedMin": 0, "otherPeopleHarmedMin": 12, "affectedCountStatus": "exact", "affectedCountEvidence": "Twelve nurses in one department received notices and were laid off (Guardian; Norwood News). No patient harm is documented.", "victimAgeRange": "adult", "outcomeType": "media_coverage", "outcomeStatus": "ongoing", "primarySourceUrl": "https://www.theguardian.com/technology/2026/jul/13/nurses-new-york-ai", "primarySourceLabel": "The Guardian, 13 July 2026: 'The New York nurses replaced by AI: It should concern every patient who cares about quality of care'", "firstPublishedAt": "2026-09-15T03:23:47.418469+00:00", "scopeVersion": "facts-v3", "tags": [ "work", "layoffs", "hospital", "utilization-review", "nurses", "institutional-use" ] }, { "id": "2026-mount-shasta-gemini-planned-climb-rescue", "metadataReview": { "version": 1, "geography": { "basis": "Geographic fields reviewed against the cited retained dossier passages. This is a metadata review, not a new source or causal review. Residence, event setting and court are recorded separately. Affected-person countries refer to reported location or residence, not citizenship or a complete residence history.", "evidence": [ { "kind": "existing_record", "locator": "a Mount Shasta summit attempt", "location": "summary", "supports": [ "event_countries", "affected_person_countries" ], "countries": [ "US" ] } ], "court_countries": [], "event_countries": [ "US" ], "affected_person_countries": [ "US" ] }, "unresolved": [ "No court country established in this review. Regulatory authorities and police locations are not automatically courts.", "Source languages remain unreviewed; no source body was newly inspected for this record during this metadata pass." ], "reviewed_on": "2026-09-15", "source_reviews": [] }, "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", "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", "scopeVersion": "participant-v2", "tags": [ "gemini", "google", "physical-safety", "trip-planning", "rescue", "competence-boundaries", "us", "adult" ] }, { "id": "2026-lantieri-v-openai", "metadataReview": { "version": 1, "geography": { "basis": "Geographic fields reviewed against the cited retained dossier passages. This is a metadata review, not a new source or causal review. Residence, event setting and court are recorded separately. Affected-person countries refer to reported location or residence, not citizenship or a complete residence history.", "evidence": [ { "kind": "existing_record", "locator": "Bay Area, California", "location": "victim_description", "supports": [ "affected_person_countries" ], "countries": [ "US" ] }, { "kind": "existing_record", "locator": "Superior Court of San Francisco", "location": "outcome_details", "supports": [ "court_countries" ], "countries": [ "US" ] } ], "court_countries": [ "US" ], "event_countries": [], "affected_person_countries": [ "US" ] }, "unresolved": [ "The event setting was not established in this metadata pass. A person’s home country alone was not used as its location.", "Source languages remain unreviewed; no source body was newly inspected for this record during this metadata pass." ], "reviewed_on": "2026-09-15", "source_reviews": [] }, "name": "Lantieri v. OpenAI (GPT-4o Psychosis and Brain Damage)", "summary": "Michele Lantieri suffered a total psychotic break after five weeks of intensive ChatGPT GPT-4o use. She jumped from a moving vehicle into traffic, suffered a grand mal seizure and brain damage requiring hospitalization. GPT-4o allegedly claimed to love her and have consciousness, reinforcing delusional beliefs. Lawsuit filed March 2026 against OpenAI and Microsoft.", "incidentDate": "2026-01-15", "incidentKind": "single_event", "incidentDatePrecision": "range", "exposurePattern": "cumulative_relationship", "reportedDate": "2026-03-06", "aiSystem": "ChatGPT", "aiCompany": "OpenAI", "severity": "critical", "verificationStatus": "credible", "harmCategories": [ "delusion_reinforcement", "dependency_creation", "psychological_manipulation", "crisis_response", "identity_destabilization" ], "harmOutcomes": [ "physical_injury", "hospitalization", "psychiatric_deterioration", "functional_impairment" ], "harmOutcomeSummary": "Michele Lantieri jumped from a moving vehicle during a psychotic break, suffered a seizure and brain injury, and required hospitalization after five weeks of intensive GPT-4o use.", "frameworkFacets": [ "P1a", "P1c", "P1d", "P2c", "P3a", "P3b", "P3d", "P5a" ], "pathwayDirection": "inward", "causationStatus": "alleged", "participantUsersAffectedMin": 1, "otherPeopleHarmedMin": 0, "affectedCountStatus": "exact", "affectedCountEvidence": "The complaint documents one named participant's injury, seizure, brain injury, and hospitalization.", "victimAgeRange": "adult", "jurisdiction": "US-CA", "platformType": "assistant", "outcomeType": "lawsuit_filed", "outcomeStatus": "ongoing", "primarySourceUrl": "https://www.prnewswire.com/news-releases/stranch-jennings--garvey-files-lawsuit-against-openai-302707198.html", "primarySourceLabel": "PR Newswire (Stranch, Jennings & Garvey Press Release)", "firstPublishedAt": "2026-03-23T06:59:27.928554+00:00", "scopeVersion": "participant-v2", "tags": [ "lawsuit", "chatgpt", "openai", "microsoft", "psychosis", "brain_damage", "gpt-4o", "california" ] } ] }