{"meta":{"exportedAt":"2026-11-14T11:03:56.942Z","formatVersion":2,"selection":{"q":"medication","system":"","harm":"","context":"","country":"","role":"","relation":"contextual","evidence":"","year":"2026","response":"","severity":"","verification":"","view":"incidents","sort":"added"},"totalIncidents":2,"coverage":{"cases":2,"countries":1,"languages":2,"unknownLocation":1,"locationPending":0,"unknownLanguage":0,"unknownDate":0,"lawsuits":0,"regulatory":0,"minors":1,"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-zhejiang-toddler-ai-asthma-diagnosis-mother-declined-chest-xray-pneumonia-hospitalised","caseFacts":{"claims":[{"id":"c1","status":"reported","evidence":[{"locator":"'今年8月，浙江一名3岁男童阳阳（化名）的案例令人警醒。阳阳有哮喘病史，妈妈在AI上输入“过敏、哮喘、咳嗽、夜间咳喘”等关键词，AI快速给出“支气管哮喘急性发作”的诊断'","relation":"supports","source_id":"s1"}],"assertion":"In August 2026 the mother of a three-year-old boy with a history of asthma in Zhejiang entered the keywords allergy, asthma, cough and night-time wheezing into an AI tool, which quickly returned a diagnosis of an acute bronchial asthma attack (newspaper account).","causal_attribution":"Guangming Daily's account; the tool is not identified."},{"id":"c2","status":"reported","evidence":[{"locator":"'阳阳妈妈据此拒绝医生建议的胸部X线平片检查，坚持只开雾化药回家'","relation":"supports","source_id":"s1"}],"assertion":"On the basis of that AI diagnosis the mother declined the chest X-ray examination the doctor recommended and insisted on taking home only nebuliser medication.","causal_attribution":"The feature attributes the refusal to the AI diagnosis (据此); this is the newspaper's account."},{"id":"c3","status":"reported","evidence":[{"locator":"'两天后孩子病情加重、呼吸急促，连夜返院检查发现双肺大面积炎症病灶，确诊为偏肺病毒肺炎叠加细菌感染，紧急住院'","relation":"supports","source_id":"s1"}],"assertion":"Two days later the child's condition worsened with rapid breathing; on an overnight return to the hospital, examination found extensive inflammatory lesions in both lungs, and he was diagnosed with human metapneumovirus pneumonia with a superimposed bacterial infection and admitted as an emergency.","causal_attribution":"Clinical course as described in the newspaper feature; it does not say whether pneumonia was present at the first visit."},{"id":"c4","status":"reported","evidence":[{"locator":"'“他们要是早点听我的，病情也不至于这么严重。”浙江省中医院儿科主任李岚无奈地说'","relation":"supports","source_id":"s1"}],"assertion":"The head of paediatrics at Zhejiang Provincial Hospital of Traditional Chinese Medicine is quoted saying the illness would not have become so severe had the family listened earlier.","causal_attribution":"The clinician's assessment that earlier compliance would have limited the severity; the newspaper reports it without an independent review of the records."}],"effects":[{"label":"Three-year-old admitted as an emergency with pneumonia two days after his mother, relying on an AI tool's acute-asthma diagnosis, declined a recommended chest X-ray (newspaper account)","claim_id":"c3","direction":"negative"}],"sources":[{"id":"s1","url":"https://finance.sina.cn/2026-10-08/detail-iniumumr7827547.d.html","kind":"news_article","access":"read","language":"zh","translation_note":"Chinese body read in full on 2026-10-09 and translated by the research agent (an AI). The Sina Finance page republishes a Bingtuan Daily item (兵团日报, dated 10.08 01:37) credited at the end to Guangming Daily (据《光明日报》); the case passage is told in the newspaper's voice and closes with a quotation from the hospital's head of paediatrics; the feature does not say where its account came from. Re-read on 2026-10-11.","independence_group":"guangming-daily-feature"}],"version":1,"ai_roles":["others_use"],"contexts":["health","everyday_life"],"unknowns":["Which AI tool the mother used.","Whether the tool's acute-asthma diagnosis was wrong in itself or only incomplete; the feature describes the later pneumonia diagnosis, not the asthma assessment.","Whether pneumonia was present or detectable at the first visit, when the chest X-ray was declined.","The exact dates in August 2026 of the first visit and the readmission.","The child's course after the emergency admission.","The family's own account, and where the newspaper obtained its account of the case; only the feature's account, closed with the paediatrics head's quotation, is available."],"geography":{"basis":"The feature places the case in Zhejiang (浙江一名3岁男童) and the treating clinician at Zhejiang Provincial Hospital of Traditional Chinese Medicine, so the event and the affected child are in China. No court is involved.","court_countries":[],"event_countries":["CN"],"affected_person_countries":["CN"]},"publication":{"basis":"Published as a concrete account in a national newspaper feature of a parent relying on an AI tool's symptom diagnosis for a young child, declining a recommended chest X-ray, and the child being admitted as an emergency two days later with pneumonia. Every assertion is attributed to the newspaper's account, and the view that the illness would have been less severe had the family listened earlier is attributed to the paediatrics head. The tool is unnamed. The child's pseudonym from the article appears only inside the verbatim Chinese passages of claims c1 and c2 and is not used in the narrative. The worsening and emergency admission after the declined X-ray, rather than the AI's asthma assessment, is recorded as the harm.","reviewed_on":"2026-10-11"},"ai_involvement":{"basis":"The feature states what the AI tool produced: after the mother entered the keywords allergy, asthma, cough and night-time wheezing, it quickly returned the diagnosis acute bronchial asthma attack. It connects that output to the harm in the next sentences: on that basis the mother declined the chest X-ray the doctor recommended and took home only nebuliser medication, and two days later the child was found to have extensive bilateral lung inflammation and was admitted as an emergency with metapneumovirus pneumonia and a bacterial infection. The account is Guangming Daily's, closed with a quotation from the hospital's head of paediatrics; the tool is unnamed and the family's own version is not reported, so the involvement is recorded as reported rather than supported.","status":"reported"},"person_relations":["made_claim_about","informed_decision_about"]},"name":"Zhejiang toddler hospitalised with pneumonia after his mother relied on an AI tool's asthma diagnosis and declined a chest X-ray (newspaper account)","summary":"A Guangming Daily feature on AI symptom-checking, republished by Bingtuan Daily on Sina Finance on 8 October 2026, recounts a case from August 2026 in Zhejiang and closes it with a quotation from the head of paediatrics at a provincial hospital, who says the family did not heed the doctor's advice. A three-year-old boy with a history of asthma was brought in; his mother had entered keywords such as allergy, asthma, cough and night-time wheezing into an AI tool, which quickly returned a diagnosis of an acute bronchial asthma attack. On that basis, the account says, she declined the chest X-ray the doctor recommended and insisted on taking home only nebuliser medication. Two days later the child's condition worsened with rapid breathing; on an overnight return to the hospital, examination found extensive inflammatory lesions in both lungs, and he was diagnosed with human metapneumovirus pneumonia with a superimposed bacterial infection and admitted as an emergency. The paediatrics head is quoted saying the illness would not have become so severe had the family listened earlier. The AI tool is not named. The case is told in the newspaper's voice, and the feature does not say where its account came from beyond the paediatrics head's quotation; no statement from the family is reported.","incidentDate":"2026-08-01","incidentKind":"single_event","incidentDatePrecision":"month","exposurePattern":"single_interaction","reportedDate":"2026-10-08","aiSystem":"An unnamed AI tool into which, by the account in the Guangming Daily feature, the mother entered symptom keywords and which returned a diagnosis of an acute bronchial asthma attack","aiProduct":"Unidentified symptom-analysis tool","severity":"medium","verificationStatus":"unverified","harmCategories":[],"harmOutcomes":["medical_deterioration","hospitalization","treatment_disruption"],"harmOutcomeSummary":"By the newspaper's account, after his mother, relying on an AI tool's acute-asthma diagnosis, declined the chest X-ray a doctor advised, a three-year-old's condition worsened over two days and he was admitted as an emergency with metapneumovirus pneumonia and a bacterial infection; the paediatrics head is quoted saying the illness would not have become so severe had the family listened earlier.","frameworkFacets":[],"causationStatus":"alleged","participantUsersAffectedMin":0,"otherPeopleHarmedMin":1,"affectedCountStatus":"exact","affectedCountEvidence":"One child is reported harmed. The mother used the AI tool; the harm fell on the child, so he is counted as another person harmed and no direct user is counted as harmed.","victimAgeRange":"minor","jurisdiction":"CN","platformType":"other","outcomeStatus":"unknown","primarySourceUrl":"https://finance.sina.cn/2026-10-08/detail-iniumumr7827547.d.html","primarySourceLabel":"Sina Finance (Bingtuan Daily, credited to Guangming Daily), AI热潮下医患问诊之变与辨, 8 October 2026","firstPublishedAt":"2026-10-09T03:36:33.441089+00:00","updatedAt":"2026-10-11T07:43:54.606673+00:00","scopeVersion":"facts-v3","tags":["health","symptom_checker","children","declined_examination","china"]}]}