{ "meta": { "exportedAt": "2026-09-22T16:44:45.666Z", "formatVersion": 2, "selection": { "q": "workers-compensation", "system": "", "harm": "", "context": "", "country": "", "role": "", "relation": "", "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": 0, "lawsuits": 0, "regulatory": 0, "minors": 0, "coreRelations": 0, "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": "NOPE Incident Tracker", "url": "https://nope.net/incidents", "license": "CC BY 4.0" }, "incidents": [ { "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)", "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", "scopeVersion": "facts-v3", "tags": [ "ai-scribe", "medical-records", "health", "transcription-error", "false-record", "workers-compensation", "abc-news" ] } ] }