this post was submitted on 24 Apr 2024
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“Life-and-death decisions relating to patient acuity, treatment decisions, and staffing levels cannot be made without the assessment skills and critical thinking of registered nurses,” the union wrote in the post. “For example, tell-tale signs of a patient’s condition, such as the smell of a patient’s breath and their skin tone, affect, or demeanor, are often not detected by AI and algorithms.”

“Nurses are not against scientific or technological advancement, but we will not accept algorithms replacing the expertise, experience, holistic, and hands-on approach we bring to patient care,” they added.

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[–] ArbitraryValue@sh.itjust.works 48 points 2 years ago (3 children)

My experience with the healthcare system, and especially hospitals, is that the people working there are generally knowledgeable and want to help patients, but they are also very busy and often sleep-deprived. A human may be better at medicine than an AI, but an AI that can devote attention to you is better than a human that can't.

(The fact that the healthcare system we have is somehow simultaneously very expensive, bad for medical professionals, and bad for patients is a separate issue...)

[–] _lilith@lemmy.world 32 points 2 years ago

Those are all good points but that assumes that hospitals will use AI in addition to the workers they already have. The fear here would be that they would use AI as an excuse to lay off medical staff, making the intentional under staffing even worse and decreasing the overall quality of care while absolutely burning through medical staff.

[–] hoshikarakitaridia@lemmy.world 8 points 2 years ago

Isn't there a way to do both for every patient as an additional information layer?

The dangerous part is not the AI, but the idea that AI can REPLACE everything. And that's usually on the management.

[–] SeaJ@lemm.ee 4 points 2 years ago

It really depends on how optimized the dataset is for the AI. If it is shitty, it will amplify biases or hallucinate. An AI might be able to give a patient more attention but if it is providing incorrect information, no attention is better than a lot of attention.

[–] Mouselemming@sh.itjust.works 39 points 2 years ago (1 children)

I'm reading a lot of comments from people who haven't been in a hospital bed recently. AI has increasingly been used by insurance companies to deny needed treatment and by hospital management to justify spreading medical and support personnel even thinner.

The whole point of AI is that it's supposed to be able to learn, but what we've been doing with it is the equivalent of throwing a child into scrubs and letting them do heart surgery. We should only be allowing it to monitor the care and outcomes as done by humans, in order to develop a much more substantial real-world database than it's presently working from.

[–] Harbinger01173430@lemmy.world 9 points 2 years ago

Sorry, that's not profitable enough for crapitalism. Like must go up

[–] EnderMB@lemmy.world 27 points 2 years ago (1 children)

Way back in 2010 I did some paper reading at university on AI in healthcare, and even back then there were dedicated AI systems that could outperform many healthcare workers in the US and Europe.

Where many of the issues came were not in performance, but in liability. If a single person is liable, that's fine, but what if a computer program provides an incorrect dosage to an infant, or a procedure with two possible options goes wrong and a human would choose the other?

The problems were also painted as observational. Often, the AI would get things with a clear solution right far more, but would observe things far less. It basically had the same conclusions that many other industries have - AI can produce some useful tools to help humans, but using it to replace humans results in fuck-ups that make the hospital (more notably, it's leaders) liable.

[–] HubertManne@kbin.social 6 points 2 years ago

yes. ai is great is a helper or assistant but whatever it does always has to be doublechecked by a human. All the same humans can get tired or careless so its not bad having it as long as its purely supplemental.

[–] NOT_RICK@lemmy.world 16 points 2 years ago (1 children)

While I agree AI isn’t a replacement for skilled, human nurses, there are a ton of valid implementations of AI tech in healthcare. I appreciate that they’re just advocating for collaboration with the nursing unions on how this tech is developed and implemented instead of fighting it off fully.

[–] ghostface@lemmy.world 5 points 2 years ago

Having worked in this space in the past, on the document and imaging processing side. I was unaware that ai was being used in monitoring.

The dangers I see from the technology side to the end user side is, companies replying on the model data and hiring according, versus skilled nurses using their knowledge and intuition to interpret ai data and responses.

But from purely a processing scope, AI is extremely beneficial, just the lost of tribal knowledge on why we need to use ai will get lost

[–] FaceDeer@fedia.io -4 points 2 years ago (1 children)

“Nurses are not against scientific or technological advancement, but we will not accept algorithms replacing the expertise, experience, holistic, and hands-on approach we bring to patient care,” they added.

You "won't accept" algorithms? What if those algorithms are demonstrably doing a better job than the nurses?

As a patient I want whatever works best for doing diagnoses and whatnot. If that's humans then let it be humans. If it's AI, then let it be AI.

[–] DontMakeMoreBabies@kbin.social -2 points 2 years ago* (last edited 2 years ago) (1 children)

Exactly! A BSN is a safety degree if you're just barely not a moron. Who cares about their feelings? Give me what works.

Yes, smart RNs exist but they eventually self select out to become PAs, NPs, or otherwise specialize.

[–] Maeve@kbin.social 1 points 2 years ago

I've known some damned fine RN that stayed with hospice services or ED, for the need of empathy and compassion. That said, I prefer a FNPor PA to a MD. I've also known some nasty RNs who were just in it for the check, and they made patients and every other employee miserable, on their shifts.