{"meta":{"exportedAt":"2026-10-26T08:12:13.729Z","formatVersion":2,"selection":{"q":"medical-record","system":"","harm":"","context":"","country":"","role":"","relation":"","evidence":"","year":"2026","response":"","severity":"","verification":"","view":"incidents","sort":"added"},"totalIncidents":2,"coverage":{"cases":2,"countries":0,"languages":1,"unknownLocation":2,"locationPending":0,"unknownLanguage":0,"unknownDate":0,"lawsuits":0,"regulatory":0,"minors":0,"coreRelations":0,"contextualRelations":2,"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; the patient's later update (c6) reports that the doctor says the record has been corrected."},{"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."},{"id":"c5","status":"reported","evidence":[{"locator":"'My doctor and I agree that the medication was likely inserted because the AI \"heard\" a specific other thing he said as the name of that medication'","relation":"supports","source_id":"s3"}],"assertion":"The patient says they and the doctor agree that the medication was likely inserted because the AI took a specific other thing the doctor said for the name of that medication.","causal_attribution":"The patient's report of an explanation shared with the doctor; the doctor's own words, the recording and the summary are not public."},{"id":"c6","status":"reported","evidence":[{"locator":"'He tells me record has been corrected'","relation":"supports","source_id":"s3"}],"assertion":"The patient says the doctor tells them the record has been corrected.","causal_attribution":"Known only from the patient's account of what the doctor said; the corrected record is not public."},{"id":"c7","status":"reported","evidence":[{"locator":"'an error introduced into my own medical record by a bot that was not caught by my doctor'","relation":"supports","source_id":"s4"}],"assertion":"The patient says the error introduced into their medical record was not caught by the doctor.","causal_attribution":"The patient's statement; whether and how the doctor reviewed the summary before it was posted is not described."}],"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"},{"id":"s3","url":"https://bsky.app/profile/did:plc:a6m5puxjmwuwxhuviabkhg67/post/3mxwynp5c4c2x","kind":"social_media_post","access":"read","language":"en","translation_note":"Read in English by the research agent (an AI) on 2026-10-21 through the public Bluesky API (app.bsky.feed.getPostThread and getAuthorFeed, HTTP 200); no translation and no human reviewer. The patient's own quote-post of the root post (21:23 UTC 15 Oct), so the same source group as s1.","independence_group":"bluesky-patient-ai-appointment-summary-medication"},{"id":"s4","url":"https://bsky.app/profile/did:plc:a6m5puxjmwuwxhuviabkhg67/post/3mxypsosgxk2r","kind":"social_media_post","access":"read","language":"en","translation_note":"Read in English by the research agent (an AI) on 2026-10-21 through the public Bluesky API (app.bsky.feed.getPostThread, HTTP 200); no translation and no human reviewer. The patient's own reply (13:50 UTC 16 Oct) to another user in the root thread, so the same source group as s1.","independence_group":"bluesky-patient-ai-appointment-summary-medication"}],"version":1,"ai_roles":["institutional_use"],"contexts":["health"],"unknowns":["The AI product the doctor used and what review, if any, the doctor carried out before the summary was posted to the portal.","The doctor's own account of the error and of the correction, which are known only through the patient.","Whether the wrong entry was used in prescribing or copied anywhere before the reported correction.","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; the patient's later update reports the doctor's agreement that the AI likely misheard a word and his statement that the record was corrected.","reviewed_on":"2026-10-21"},"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. In an update the patient says they and the doctor agree the AI likely took another thing the doctor said for the drug's name. 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 and the summary text 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, and that they had messaged the doctor. In an update the next day the patient wrote that they and the doctor agree the medication was likely inserted because the AI took something else the doctor said for the drug's name, and that the doctor tells them the record has been corrected. The AI product, the medication and the summary are not public, and the doctor's own account is known only through the patient.","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, and later that the doctor says the record has been corrected (first-person account, uncorroborated).","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":"resolved","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":"2026-10-21T02:59:01.848418+00:00","scopeVersion":"facts-v3","tags":["first-person","bluesky","ai-scribe","medical-records","health"]},{"id":"2026-abc-ai-medical-scribe-false-drug-use-record","caseFacts":{"claims":[{"id":"c1","status":"reported","evidence":[{"locator":"'she was asked whether she consented to having the appointment transcribed by artificial intelligence (AI)'; 'with the AI scribe making up the serious but false claim that'; 'it made up that I take [psychedelic] mushrooms. I have never done mushrooms in my life'; 'only picked up the mistake after her kidney stone surgery in March, when she read the post-operative letter her specialist sent to her GP'; 'micro-dosed mushrooms and that could be the reason for prior bleeding around the kidneys'","relation":"supports","source_id":"s1"}],"assertion":"The patient consented to AI transcription of her first urology appointment; after her March 2026 kidney-stone surgery she found that the post-operative letter to her GP stated she micro-dosed mushrooms and that this could explain earlier bleeding around the kidneys, a claim she says is false.","causal_attribution":"Patient's account to ABC; the attribution of the false entry to the AI scribe is hers and ABC's framing."},{"id":"c2","status":"reported","evidence":[{"locator":"'I was gobsmacked and in tears'; 'was particularly stressed as she was receiving workers' compensation and felt any mention of illegal drugs on her medical record could impact her case'","relation":"supports","source_id":"s1"}],"assertion":"She reported distress and feared the entry could affect her workers' compensation case.","causal_attribution":"Patient's account."},{"id":"c3","status":"reported","evidence":[{"locator":"'the urologist sent a letter apologising'; 'Please be assured that we take the accuracy of our documentation very seriously, and we are truly sorry that this occurred'; 'it appeared to be from an error during the \"dictation or transcription process\"'; 'The urologist corrected the correspondence and in her letter said she would review how AI was used in her practice'; 'The doctor did not provide any responses to the ABC's questions about what changes, if any, have been made since'","relation":"supports","source_id":"s1"}],"assertion":"After her complaint the urologist apologised in writing, said the cause could not be determined but appeared to be an error in the dictation or transcription process, corrected the correspondence and said she would review her use of AI; she did not answer ABC's questions about changes made.","causal_attribution":"Doctor's letter as quoted by ABC; the doctor does not confirm the scribe as the origin."},{"id":"c4","status":"reported","evidence":[{"locator":"'AHPRA, said clinicians must always check all output from an AI scribe for accuracy to ensure they meet their professional obligations'; 'said it was clear her doctor did not do this'","relation":"supports","source_id":"s1"}],"assertion":"AHPRA told ABC that clinicians must always check all output from an AI scribe for accuracy; the patient said it was clear her doctor had not.","causal_attribution":"Regulator comment and patient's view; context for the case."}],"effects":[{"label":"a false claim of psychedelic-mushroom use entered the patient's medical record and reached her GP; distress and fear for her workers' compensation case","claim_id":"c1","direction":"negative"},{"label":"the correspondence was corrected and the doctor apologised after the patient complained","claim_id":"c3","direction":"positive"}],"sources":[{"id":"s1","url":"https://www.abc.net.au/news/2026-08-14/ai-medical-scribe-error-leaves-patient-devastated/107031672","kind":"news_report","access":"read","language":"en","translation_note":"Read live in English on 2026-09-20 (HTTP 200; saved body 402,866 bytes). Feature by the ABC Specialist Reporting Team based on the patient's interview and the letters she received, plus regulator and peak-body comment.","independence_group":"abc-news-2026-08-14"}],"version":1,"ai_roles":["institutional_use"],"contexts":["health"],"unknowns":["The AI scribe product and vendor are not named.","The location of the clinic and the patient's residence are not stated.","The date of the appointment at which the transcription was made is not stated. The report gives the surgery as 'in March' without a year; 2026 is taken from the 14 August 2026 publication date.","Whether the false claim originated in the scribe's output or in a later dictation or editing step is not established; the doctor's letter says the cause could not be determined.","What changes the practice made afterwards are not reported."],"geography":{"basis":"No inspected source states where the appointment or the patient is located. The ABC report frames the case within Australian regulation (AHPRA, RACGP, TGA) and quotes Australian bodies, but does not locate the patient or the clinic, so the event and affected-person countries are left unknown rather than inferred from the publisher. No court proceeding.","court_countries":[],"event_countries":[],"affected_person_countries":[]},"publication":{"basis":"Published under the 2026-09-15 charter as an everyday-assistance and health case in which an AI system made a false claim about a person in her medical record, with reported distress and a corrected record. Single ABC News report read in full; claims recorded as reported and attributed to the patient and the doctor's letter. The patient is named in the report but not in this record; the doctor and clinic are unnamed.","reviewed_on":"2026-09-20"},"ai_involvement":{"basis":"The patient told ABC that the appointment was transcribed by an AI scribe with her consent and that the false mushroom claim appeared in the resulting post-operative letter; the doctor's apology attributes the claim to an error during the 'dictation or transcription process' without confirming the scribe as the origin. The product is not named. Single ABC report.","status":"reported"},"person_relations":["made_claim_about"]},"name":"Reported by ABC News (Australia): an AI scribe used at a urology appointment inserted a false claim that the patient took psychedelic mushrooms into her record; the error reached her GP in a post-operative letter and was corrected only after she complained","summary":"A patient who consented to having her first urology appointment transcribed by an artificial-intelligence scribe discovered, after her kidney-stone surgery in March 2026, that the post-operative letter her specialist sent to her GP stated she micro-dosed psychedelic mushrooms and that this could explain earlier bleeding around the kidneys. She says she has never taken mushrooms. She was receiving workers' compensation and feared that any mention of illegal drugs on her medical record could affect her case. After she complained, the urologist sent a letter of apology saying the practice takes documentation accuracy seriously, that she could not determine how the claim came to be included but that it appeared to be an error during the 'dictation or transcription process', that the correspondence had been corrected and that she would review how AI was used in her practice. The doctor did not answer ABC's questions about what changes had been made. Australia's practitioner regulator AHPRA told ABC that clinicians must check all AI-scribe output; the patient says it was clear her doctor had not. The account is a single ABC News report (14 August 2026) based on the patient's interview and the letters she received; the scribe product and the clinic's location are not named.","incidentDate":"2026-03-01","incidentKind":"single_event","incidentDatePrecision":"month","exposurePattern":"single_interaction","reportedDate":"2026-08-14","aiSystem":"AI medical scribe (product not named in the report)","aiProduct":"Unidentified AI medical scribe","severity":"low","verificationStatus":"credible","harmCategories":[],"harmOutcomes":["psychological_distress","reputational_harm"],"harmOutcomeSummary":"The patient reports distress ('gobsmacked and in tears') and fear for her workers' compensation case after a false illegal-drug claim entered her medical record and was sent to her GP; the record was corrected after her complaint. The false entry is attributed by the patient to the AI scribe and by the doctor to an error in the dictation or transcription process.","frameworkFacets":[],"causationStatus":"alleged","participantUsersAffectedMin":0,"otherPeopleHarmedMin":1,"affectedCountStatus":"exact","affectedCountEvidence":"One patient whose record carried the false claim (ABC report). The clinician used the AI tool, so the patient is counted as another person harmed rather than a participant user. Exact 1.","victimAgeRange":"adult","platformType":"other","outcomeType":"internal_action","outcomeStatus":"resolved","primarySourceUrl":"https://www.abc.net.au/news/2026-08-14/ai-medical-scribe-error-leaves-patient-devastated/107031672","primarySourceLabel":"ABC News (Specialist Reporting Team), 14 August 2026: Error by AI scribe during medical appointment leaves patient devastated","firstPublishedAt":"2026-09-20T03:28:12.119063+00:00","updatedAt":"2026-09-30T01:17:22.846812+00:00","scopeVersion":"facts-v3","tags":["ai-scribe","medical-records","health","transcription-error","false-record","workers-compensation","abc-news"]}]}