{"meta":{"exportedAt":"2026-09-30T07:17:03.590Z","formatVersion":2,"selection":{"q":"urology","system":"","harm":"","context":"","country":"","role":"","relation":"","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":0,"coreRelations":1,"contextualRelations":1,"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-trofa-portugal-urologist-handed-patient-unvalidated-gemini-diet-printout","caseFacts":{"claims":[{"id":"c1","status":"reported","evidence":[{"locator":"'Uma consulta no Trofa Saúde Hospital da Trofa terminou com um médico a entregar a uma paciente uma recomendação impressa diretamente do Gemini'; 'o caso ocorreu a 2 de junho durante uma consulta de urologia. Em vez de um plano nutricional personalizado para um problema renal, o paciente recebeu uma folha impressa que trazia, no cabeçalho, a etiqueta de \"vista geral de IA\".'","relation":"supports","source_id":"s1"},{"locator":"'o paciente procurou uma consulta de urologia para acompanhamento de um problema renal e esperava receber um plano nutricional personalizado. Em vez disso, afirma ter recebido uma folha impressa com recomendações alimentares, identificada no topo como uma \"vista geral de IA\", gerada pelo Gemini.'","relation":"supports","source_id":"s2"}],"assertion":"During a urology consultation on 2 June 2026 at the Trofa Saúde Hospital da Trofa, a patient with a kidney problem who expected a personalised nutrition plan received a printed sheet of food recommendations headed 'AI overview', generated by Google's Gemini.","causal_attribution":"Patient's account to Correio da Manhã; relays repeat it."},{"id":"c2","status":"reported","evidence":[{"locator":"'Para quem paga cerca de 90 euros pela consulta numa das unidades do grupo de saúde privado, se não tiver seguro de saúde, a experiência deixou um gosto amargo.'; '\"Nunca experienciei uma coisa assim. Eu preferia que ele demorasse o seu tempo\", confessou o paciente, questionado pelo CM, considerando \"uma falta de consideração\" por parte do profissional de saúde.'; '\"O médico estava a escrever no computador e eu não estava à espera de receber um print do Google\", relatou.'","relation":"supports","source_id":"s1"},{"locator":"'O doente, que pagou cerca de 90 euros pela consulta, descreveu a experiência como inédita e dececionante.'; 'Segundo o seu relato, o médico limitou-se a imprimir e entregar a informação produzida pelo chatbot, sem explicar se tinha revisto ou adaptado o conteúdo ao seu quadro clínico.'","relation":"supports","source_id":"s2"},{"locator":"'Uma paciente que pagou cerca de 90 euros por uma consulta de urologia numa unidade do grupo Trofa Saúde recebeu, no final, um documento alegadamente gerado por Inteligência Artificial'","relation":"supports","source_id":"s3"}],"assertion":"The patient said the doctor simply printed and handed over the list without showing it had been checked against the patient's case, and called it a lack of consideration; the consultation costs about EUR 90 without insurance.","causal_attribution":"Patient's account; CM frames the EUR 90 as the price for patients without health insurance, and whether this patient was insured is not stated."},{"id":"c3","status":"reported","evidence":[{"locator":"'\"A inteligência artificial é um apoio, não um substituto. Toda a informação obtida via IA tem de ser obrigatoriamente validada pelo médico antes de chegar ao paciente. O médico tem a responsabilidade total e intransmissível sobre o ato\"'; 'Apesar das sucessivas tentativas de contacto ao longo das últimas três semanas, o grupo não prestou quaisquer esclarecimentos.'","relation":"supports","source_id":"s1"},{"locator":"'Contactada pelo Correio da Manhã, a Ordem dos Médicos afirma não ter conhecimento formal do caso concreto'; 'Para Carlos Cortes, recorrer a um chatbot para produzir recomendações básicas de alimentação em contexto de urologia representa uma atuação \"profundamente inábil\"'","relation":"supports","source_id":"s2"}],"assertion":"The Ordem dos Médicos, which said it had no formal knowledge of the case, said AI information must be validated by the doctor before reaching the patient and called using a chatbot for basic urology food lists 'profoundly inept'; Trofa Saúde did not answer the paper's questions.","causal_attribution":"Professional body's general statement in response to the paper; it did not examine the case."}],"effects":[{"label":"a paid urology consultation ended with an unvalidated Gemini food list instead of a personalised nutrition plan, which the patient called a lack of consideration","claim_id":"c1","direction":"negative"}],"sources":[{"id":"s1","url":"https://www.cmjornal.pt/sociedade/detalhe/urologista-do-hospital-da-trofa-entrega-recomendacoes-geradas-por-ia-a-paciente-sem-validacao-medica","kind":"news_report","access":"read","language":"pt","translation_note":"Original report; full Portuguese body read by curl on 2026-09-29. Researcher's English rendering; no human translation.","independence_group":"correio-da-manha"},{"id":"s2","url":"https://www.onoticiasdatrofa.pt/urologista-do-hospital-da-trofa-entrega-recomendacoes-geradas-por-ia-a-paciente-sem-validacao-medica/","kind":"news_report","access":"read","language":"pt","translation_note":"Local paper's rewrite of the Correio da Manhã report (16 July 2026), read by curl on 2026-09-29; it credits CM and adds no independent reporting.","independence_group":"correio-da-manha"},{"id":"s3","url":"https://postal.pt/nacional/paciente-paga-90e-por-consulta-de-urologia-no-privado-e-as-recomendacoes-do-medico-foram-geradas-por-inteligencia-artificial/","kind":"news_report","access":"read","language":"pt","translation_note":"Postal rewrite of the CM report (16 July 2026), read by curl on 2026-09-29; it refers to the patient in the feminine, while CM mostly uses the masculine, so the record does not state gender.","independence_group":"correio-da-manha"}],"version":1,"ai_roles":["institutional_use"],"contexts":["health"],"unknowns":["The content of the printed recommendations and whether any of it was inappropriate for the patient's condition.","The doctor's identity and whether the hospital or the Ordem dos Médicos took any action.","Whether the patient was insured and what the patient actually paid."],"geography":{"basis":"The consultation took place at the Trofa Saúde Hospital da Trofa in Trofa, Portugal (Correio da Manhã). The patient's country of residence is not stated.","court_countries":[],"event_countries":["PT"],"affected_person_countries":[]},"publication":{"basis":"Published as a concrete adverse experience in which AI output, relayed unvalidated by a hospital doctor, replaced personalised advice in a paid consultation. It rests on the patient's account in one Correio da Manhã report and its relays; no health harm is reported, and neither the patient nor the doctor is named.","reviewed_on":"2026-09-29"},"ai_involvement":{"basis":"The patient's printout was headed 'vista geral de IA', the label of Google's AI overview, and Correio da Manhã identifies it as Gemini output; the printout itself was not inspected and the hospital did not comment.","status":"reported"},"person_relations":["communicated_with"]},"name":"Trofa, Portugal: a patient at a private urology consultation (about EUR 90 without insurance) for a kidney problem, expecting a personalised nutrition plan, was handed a printout of Google Gemini food recommendations headed 'AI overview'; the Portuguese Medical Association called the practice 'profoundly inept'","summary":"According to Correio da Manhã, during a urology consultation at the Trofa Saúde Hospital da Trofa on 2 June 2026, a patient being followed for a kidney problem expected a personalised nutrition plan but received a printed sheet of food recommendations headed 'vista geral de IA' ('AI overview'), generated by Google's Gemini. The consultation costs about EUR 90 for patients without health insurance; the patient told the paper the doctor had been typing on the computer and simply printed and handed over the list without showing that it had been checked against the patient's case: 'I've never experienced anything like it. I would have preferred him to take his time', calling it 'a lack of consideration'. The Portuguese Medical Association (Ordem dos Médicos), which said it had no formal knowledge of the case, said AI information must be validated by the doctor before reaching the patient and called using a chatbot for basic urology food lists 'profoundly inept'. Trofa Saúde did not respond to the paper over three weeks.","incidentDate":"2026-06-02","incidentKind":"single_event","incidentDatePrecision":"day","exposurePattern":"single_interaction","reportedDate":"2026-07-15","aiSystem":"Google Gemini ('AI overview' output), used by a hospital urologist to produce dietary recommendations that were printed and handed to the patient","aiProduct":"Gemini (reported)","aiCompany":"Google","severity":"low","verificationStatus":"credible","harmCategories":[],"harmOutcomes":["psychological_distress"],"harmOutcomeSummary":"The patient says a private consultation (about EUR 90 without insurance) ended with a printed Google Gemini food list instead of a personalised nutrition plan, handed over without any sign it had been checked against the patient's case, and called it 'a lack of consideration' (patient's account to Correio da Manhã; no health effect is reported).","frameworkFacets":[],"causationStatus":"alleged","participantUsersAffectedMin":1,"otherPeopleHarmedMin":0,"affectedCountStatus":"exact","affectedCountEvidence":"One patient, who received the Gemini printout and described the consultation to Correio da Manhã. The patient is counted as a participant because the AI-generated text itself was handed to them as the doctor's recommendation. Exact 1.","victimAgeRange":"unknown","jurisdiction":"PT","platformType":"assistant","outcomeType":"media_coverage","outcomeStatus":"unknown","primarySourceUrl":"https://www.cmjornal.pt/sociedade/detalhe/urologista-do-hospital-da-trofa-entrega-recomendacoes-geradas-por-ia-a-paciente-sem-validacao-medica","primarySourceLabel":"Correio da Manhã, 15 July 2026: Urologista do Hospital da Trofa entrega recomendações geradas por IA a paciente sem validação médica","firstPublishedAt":"2026-09-29T09:00:39.286269+00:00","updatedAt":"2026-09-30T01:17:57.094189+00:00","scopeVersion":"facts-v3","tags":["gemini","google","ai-overview","healthcare","urology","private-hospital","portugal","ordem-dos-medicos","institutional-use","portuguese-language"]},{"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"]}]}