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PaperclipPerfector  1yr ago (text post)   3458 thread views

Friday Fun Thread for February 23, 2024

Be advised: this thread is not for serious in-depth discussion of weighty topics (we have a link for that), this thread is not for anything Culture War related. This thread is for Fun. You got jokes? Share 'em. You got silly questions? Ask 'em.

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That is not remotely anywhere near the issues I covered.

A discharge summary is precisely that. It's written up when a patient is being sent out of the hospital (and still alive, thankfully, death certificates are a pain), and exists solely to summarize events and therapies, as well as ongoing medical care and planned follow up. They are both medicolegal documents, as well as necessary for continuity of care (if you're a doctor relying on patient memory to cover everything they have or had done to them, better have good malpractice insurance).

There is no universe in which a transcription error or misspelled drug leads to a hospital getting into a tussle with the family over a patient being discharged or criminal charges being brought against them. That does not happen, or, if it's happened, it's so vanishingly rare as to not be worth worrying about. Those are issues of hospital policy, legality and overpolicing, not anything related to "imported doctors" using "shady technology". I invite you to show me the relevance.

Further, this is simply an evolution of existing techniques, such as human transcriptionists (who may or may not be licensed for medical transcription, for what that's worth), and voice dictation software. Whisper is just more advanced in terms of functionality, and Dragon VTT is probably old enough to predate modern ML/DL, though some of that might have been folded in. It's also free and open-source, I just happen to have found a way to get it for "free", using the ChatGPT app, without relying on the otherwise unreliable 3.5 model for handling patient data. Hence all the rambling about me reviewing the text, copying it over and editing it for errors. It's not 3.5 doing anything of note, it exists as a dumb receptacle for a far more contextually useful service, the Whisper service, in much the way someone can use an AI Waifu or Twitter bot to learn how the Navier-Stokes equation works (real example from a meme). Your objections make no sense in that regard, and I would hope that Western hospitals have more robust systems (who am I kidding? It's another junior doctor pulling their hair out), but it saves me time, and does a better job for the poor bastards who are waiting for discharge paperwork and insurance to clear before they get to leave.

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