{"meta":{"exportedAt":"2026-11-02T07:18:38.769Z","formatVersion":2,"selection":{"q":"treatment-disruption","system":"","harm":"","context":"","country":"","role":"","relation":"core","evidence":"","year":"","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":1,"contextualRelations":0,"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":"2025-gastroenterologist-says-patient-skipped-stomach-drug-in-h-pylori-treatment-after-chatgpt-answer","caseFacts":{"claims":[{"id":"c1","status":"reported","evidence":[{"locator":"胃腸肝膽科醫師 ... 在臉書發文表示 ... 幽門螺旋桿菌的標準治療方式為三合一療法，需同時使用胃藥及兩種抗生素，療程為期10至14天 ... 由於幽門螺旋桿菌在無胃酸環境下較易被抗生素殺死，因此需服用胃藥以減少胃酸分泌","relation":"supports","source_id":"s1"}],"assertion":"A gastroenterologist wrote on Facebook that standard H. pylori treatment combines a stomach (acid-suppressing) drug with two antibiotics for 10 to 14 days, and that the stomach drug helps the antibiotics kill the bacteria.","causal_attribution":"The doctor's clinical explanation, relayed by TVBS."},{"id":"c2","status":"reported","evidence":[{"locator":"該名患者在回診時表示，她在治療期間只服用抗生素而沒有服用胃藥 ... 患者自行上網查詢並諮詢ChatGPT後，得知胃藥無法治療幽門螺旋桿菌，且會減少胃酸，擔心自己因缺乏胃酸而消化不良，因此決定不服用胃藥","relation":"supports","source_id":"s1"}],"assertion":"At a follow-up visit, a patient told the doctor she had taken only the antibiotics and not the stomach drug: after searching online and asking ChatGPT, she understood that the stomach drug does not treat H. pylori and reduces stomach acid, and, worried about indigestion, decided not to take it.","causal_attribution":"The doctor's account of what the patient said; the ChatGPT conversation is not shown, and web searching preceded it."},{"id":"c3","status":"reported","evidence":[{"locator":"推測可能是患者提問不夠精確，才會得到「胃藥沒有殺菌效果」的答案，進而誤以為治療只需要服用抗生素 ... 後來以不同方式詢問ChatGPT，才得到需要搭配胃藥的正確回覆","relation":"supports","source_id":"s1"}],"assertion":"The doctor surmised that the patient's question was imprecise and so drew the answer that the stomach drug has no antibacterial effect; asked differently, ChatGPT gave the correct answer that the drug is needed.","causal_attribution":"The doctor's inference; it places part of the cause on how the question was asked."},{"id":"c4","status":"reported","evidence":[{"locator":"病患也了解到自己的誤解導致治療可能失敗，因而懊悔不已","relation":"supports","source_id":"s1"}],"assertion":"The patient came to understand that her misunderstanding may have made the treatment fail, and regretted it.","causal_attribution":"Possible treatment failure as described by the doctor; no test result is reported. TVBS's lead states the failure without the hedge."},{"id":"c5","status":"reported","evidence":[{"locator":"一般民眾難以判斷AI回答的正確性，特別是在提問不夠準確的情況下","relation":"supports","source_id":"s1"}],"assertion":"The doctor said ordinary people find it hard to judge whether AI answers are correct, especially when their questions are imprecise.","causal_attribution":"General caution by the doctor."}],"effects":[{"label":"acid-suppressing drug skipped for the whole H. pylori course (doctor's account)","claim_id":"c2","direction":"negative"},{"label":"treatment may have failed (doctor's account)","claim_id":"c4","direction":"negative"}],"sources":[{"id":"s1","url":"https://news.tvbs.com.tw/health/2971300","kind":"news_report","access":"read","language":"zh-TW","translation_note":"Read in Traditional Chinese on 2026-11-02 (HTTP 200). Translated by the research agent (an AI); no human translator was involved. TVBS (26 Aug 2025) relays a gastroenterologist's Facebook post; the post itself was not read. Markup split the article text, so locators were checked against a joined copy.","independence_group":"treating-gastroenterologist-facebook-account-aug-2025"}],"version":1,"ai_roles":["own_use"],"contexts":["health"],"unknowns":["What the patient asked ChatGPT and its full answer.","Whether the treatment actually failed and whether she was re-treated.","When the treatment took place; TVBS published on 26 August 2025.","Where the doctor practises."],"geography":{"basis":"TVBS does not say where the doctor practises or where the patient was treated; the outlet's country is not used to place the event.","court_countries":[],"event_countries":[],"affected_person_countries":[]},"publication":{"basis":"Published as a case of chatbot health advice acted on: a gastroenterologist says a patient skipped the acid-suppressing drug in her H. pylori treatment after understanding from ChatGPT that it does not treat the infection, and that the treatment may have failed. One witness, the doctor; the doctor also blames an imprecise question.","reviewed_on":"2026-11-02"},"ai_involvement":{"basis":"The treating gastroenterologist says the patient asked ChatGPT about her H. pylori medicines and understood from its answer that the stomach drug does not treat the infection and reduces acid, so she took only the antibiotics, and that the treatment may have failed. The doctor surmises she asked imprecisely and that ChatGPT gave the correct answer when asked differently. The conversation is not shown.","status":"reported"},"person_relations":["communicated_with"]},"name":"Gastroenterologist says a patient skipped the stomach drug in her H. pylori treatment after a ChatGPT answer, and the treatment may have failed","summary":"TVBS reported on 26 August 2025 a gastroenterologist's Facebook account of a patient being treated for H. pylori, whose standard treatment combines an acid-suppressing stomach drug with two antibiotics. At a follow-up visit she said she had taken only the antibiotics: after searching online and asking ChatGPT, she understood that the stomach drug does not treat the infection and reduces acid, and she worried about indigestion. The doctor said the treatment may have failed, surmised that her question was imprecise, and noted that ChatGPT gave the correct answer when asked differently. Whether the infection was cleared is not reported.","incidentKind":"single_event","incidentDatePrecision":"unknown","exposurePattern":"unknown","reportedDate":"2025-08-26","aiSystem":"ChatGPT, which the patient asked about her H. pylori medicines, as relayed by her doctor","aiProduct":"ChatGPT (reported)","severity":"low","verificationStatus":"credible","harmCategories":[],"harmOutcomes":["treatment_disruption"],"harmOutcomeSummary":"A gastroenterologist says a patient skipped the acid-suppressing drug for her whole H. pylori course after a ChatGPT answer, and the treatment may have failed (doctor's account).","frameworkFacets":[],"causationStatus":"alleged","participantUsersAffectedMin":1,"otherPeopleHarmedMin":0,"affectedCountStatus":"exact","affectedCountEvidence":"One person counted: the patient who used ChatGPT, described by her doctor.","victimAgeRange":"adult","platformType":"chatbot","outcomeStatus":"unknown","primarySourceUrl":"https://news.tvbs.com.tw/health/2971300","primarySourceLabel":"TVBS, 26 Aug 2025: patient with H. pylori skipped stomach drug after ChatGPT answer, doctor says","firstPublishedAt":"2026-11-02T03:13:44.811693+00:00","updatedAt":"2026-11-02T03:13:44.811693+00:00","scopeVersion":"facts-v3","tags":["ai-health-advice","medication","treatment-disruption","communicated-with"]}]}