The record

Where automated decisions went wrong

Incidents gathered from public reporting around the world. Each one links to the articles it came from. None of it is a finding that anyone broke the law.

Reports people file about their own experience are not shown here and never will be without their agreement. Tell us what happened to you.

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68 incidents closest to “Emmie for Patients” · matched on meaning · public reporting

Dartmouth Medical School charges 17 students with cheating based on tracking system.

Dartmouth College's Geisel School of Medicine charged 17 students with cheating on remote exams during the pandemic. The charges were based on secret tracking of student activity on the learning management system. Critics say the system is prone to errors and inappropriate for monitoring students.

Company involved
Dartmouth College Geisel School of Medicine

10 source articles · read the reporting →

Hospitals use Epic AI to predict Covid-19 decline without validation

Dozens of hospitals across the US are using Epic's deterioration index AI system to predict which Covid-19 patients will become critically ill, despite the tool not being validated for the new disease. The rapid deployment during the pandemic bypassed normal testing and validation processes.

AI system involved
Deterioration index

9 source articles · read the reporting →

WF-OD83P526 May 2021

Google and HCA Healthcare partner to analyze 32 million patient records

Google Cloud has announced a partnership with HCA Healthcare to analyze around 32 million patient records. The anonymized data will be used to develop algorithms that could advise doctors on treatment options. Privacy advocates have raised concerns about the data sharing and the potential for AI to re-identify patients. HCA insists that patient-identifiable information will be stripped and that access will be tightly controlled.

Company involved
HCA Healthcare
AI system involved
Google Cloud

9 source articles · read the reporting →

University of Chicago report finds US healthcare algorithms rife with bias

A University of Chicago report alleges that algorithms used by hospitals, insurers and other businesses across the US are biased along racial and economic lines. The algorithms help triage patients, predict diabetes and flag those needing extra care, but the report says flawed products were introduced with little oversight. It says inequitable treatment has continued for more than a decade.

7 source articles · read the reporting →

UnitedHealthcare sued for using AI to deny Medicare Advantage patients care

A class action complaint alleges that UnitedHealthcare and its subsidiary naviHealth deployed an artificial intelligence model to override treating physicians' determinations of medically necessary care for elderly Medicare Advantage patients. The complaint claims the AI model has a known 90% error rate and wrongfully denied patients care. The lawsuit, filed in the U.S. District Court for the District of Minnesota, seeks damages on behalf of the estates of two deceased patients and all others similarly situated.

Company involved
UnitedHealthcare, Inc.

10 source articles · read the reporting →

Google Health's diabetic retinopathy AI faced real-world issues in Thailand clinics

Google Health deployed a deep-learning system to screen for diabetic retinopathy in 11 clinics across Thailand. The AI was highly accurate in lab tests but rejected over a fifth of eye scans in real-world conditions due to poor lighting and slow internet. Patients whose scans were rejected had to visit specialists at other clinics, causing inconvenience and frustration for nurses. Google Health is now working with local staff to improve the system's workflow.

Company involved
Google Health

10 source articles · read the reporting →

WF-R2SNAZ1 Jan 2013

UnitedHealth used ALERT algorithm to limit mental health coverage, regulators found

ProPublica reports that UnitedHealth Group's Optum subsidiary used the ALERT algorithm to flag mental health patients and therapists as outliers, leading to therapy coverage denials. Regulators in California, Massachusetts and New York alleged this breached the federal Mental Health Parity and Addiction Equity Act, and UnitedHealth agreed to restrict the system in those jurisdictions. The company denies wrongdoing and says its programmes are compliant. Affected patients, including Medicaid enrollees, were left to pay out-of-pocket or go without care.

Company involved
UnitedHealth Group
AI system involved
ALERT

5 source articles · read the reporting →

WF-SKRYGZ1 Jan 2018

NHS liver transplant algorithm causes longer waits for younger patients

An NHS computer algorithm that prioritises liver transplant patients most likely to die soon has led to younger patients waiting 156 days longer on average than those over 60. The algorithm, launched in 2018, gives a score based on 21 recipient and seven donor parameters. Patients like Sarah Meredith, 31, have been waiting two years for a transplant. NHS Blood and Transplant defends the system as saving lives but acknowledges the stress on younger patients.

Company involved
NHS Blood and Transplant

10 source articles · read the reporting →

Perth hospital group bans ChatGPT after doctor used it for a patient discharge summary

South Metropolitan Health Service, which runs five hospitals in Perth, ordered staff to stop using ChatGPT for work involving patient information after an email said some staff had used the AI chatbot to write medical notes. The service later clarified that only one doctor had used the tool to generate a patient discharge summary and that no confidential patient information had been breached. The Australian Medical Association has called for national regulations to ensure a human is involved in AI-assisted health decisions.

Company involved
South Metropolitan Health Service
AI system involved
ChatGPT

6 source articles · read the reporting →

WF-YPK67D1 Feb 2021

NHS QCovid algorithm incorrectly labels young patients as high risk, causing vaccine call-up

The article reports that scientists are questioning the reliability of the QCovid risk prediction algorithm used by the NHS to prioritise COVID-19 vaccinations. Due to missing data on weight or ethnicity, the algorithm automatically assigns a high BMI and high-risk ethnicity, leading to young, healthy patients being incorrectly labelled as high risk and called for early vaccination. GPs have identified hundreds of such cases, causing anxiety and potentially delaying vaccinations for more vulnerable individuals. NHS Digital acknowledged the issue and said clinicians can remove patients from the shielding list.

Company involved
NHS
AI system involved
QCovid

10 source articles · read the reporting →

WF-JBCO7J24 Oct 2023

Four commercial large language models perpetuate race-based medical misconceptions

A study published in npj Digital Medicine tested four commercial large language models (Bard, ChatGPT, GPT-4, and Claude) for their tendency to propagate discredited race-based medical beliefs. When asked about kidney function, lung capacity, and skin thickness, the models sometimes endorsed debunked racial differences, particularly affecting Black patients. The study concludes that these biases pose a potential hazard and urges caution before using such models in clinical decision-making.

Company involved
Not named in article (refers to commercial LLMs generically as Google's Bard, OpenAI's ChatGPT and GPT-4, and Anthropic's Claude)
AI system involved
Bard, ChatGPT, GPT-4, Claude

6 source articles · read the reporting →

WF-3333OU22 Sep 2021

EviCore denied heart catheterization for patient using algorithm

In fall 2021, Little John Cupp's doctor requested a left heart catheterization exam. EviCore, a company hired by UnitedHealthcare, denied the request twice using an algorithm called 'the dial' that adjusts thresholds for review. The algorithm flagged the request for review, and EviCore's doctors determined it was not medically necessary. Cupp did not receive the procedure and his symptoms continued.

Company involved
EviCore (a Cigna company)
AI system involved
the dial

6 source articles · read the reporting →

Humana sued for using AI to deny seniors rehabilitation care

Health insurer Humana is accused in a class-action lawsuit of using an AI algorithm to systematically deny rehabilitation care to Medicare Advantage patients, despite recommendations from their doctors. The lawsuit, filed on December 12, 2023, alleges that the AI tool restricted medically necessary care. This is the second major health insurer to face legal action over its use of AI to deny care.

Company involved
Humana

9 source articles · read the reporting →

WF-RTW1XZ25 Aug 2023

ChatGPT generates error-filled cancer treatment plans, study finds

A study by researchers at Brigham and Women's Hospital found that ChatGPT, developed by OpenAI, generated cancer treatment plans with errors. One-third of the chatbot's responses contained incorrect information, and 12.5% were hallucinated. The study was published in JAMA Oncology and reported by Bloomberg.

Company involved
OpenAI
AI system involved
ChatGPT

10 source articles · read the reporting →

Study finds ChatGPT provides inaccurate drug information responses

A study presented at the ASHP Midyear Clinical Meeting found that ChatGPT's responses to nearly three-quarters of drug-related questions were incomplete or inaccurate. The AI system also generated fake citations to support some responses. Researchers warned that healthcare professionals and patients should verify ChatGPT's medication information using trusted sources to avoid potential harm.

Company involved
OpenAI
AI system involved
ChatGPT

8 source articles · read the reporting →

WF-X35PRW2 Jan 2024

ChatGPT 3.5 misdiagnosed most pediatric cases in study

A study published in JAMA Pediatrics found that ChatGPT version 3.5 provided incorrect diagnoses for 83 out of 100 pediatric case challenges. The chatbot's errors included both completely wrong diagnoses and diagnoses that were too broad. The researchers noted that the chatbot failed to identify relationships such as that between autism and vitamin deficiencies, and suggested that more selective training is needed to improve accuracy.

Company involved
OpenAI
AI system involved
ChatGPT version 3.5

7 source articles · read the reporting →

WF-LN1XAB1 Jan 2021

California EDD's automated fraud detection wrongly suspended 600,000 legitimate unemployment claims

In January 2021, the California Employment Development Department used Thompson Reuters automated batch review software to flag 1.1 million unemployment claims as potentially fraudulent. EDD stopped payments on those claims without prior notice. Later, over 600,000 were confirmed as legitimate after claimants used ID.me to verify their identity. The incident highlights the trade-off between fraud prevention and timely benefit access.

Company involved
California Employment Development Department (EDD)
AI system involved
Thompson Reuters Automated Batch Review

7 source articles · read the reporting →

EvenUp AI errors in personal injury demand letters lead to scrutiny

EvenUp, a legal tech startup valued at $1 billion, uses AI to draft personal injury demand letters. Former employees revealed that the AI system frequently makes errors, including missing injuries and fabricating medical conditions. The company defends its hybrid approach with human oversight, but critics allege overpromised AI capabilities.

Company involved
EvenUp

6 source articles · read the reporting →

Black man alleges racial bias in kidney transplant algorithm

An African American man has filed a lawsuit in federal court alleging that the algorithm used to determine kidney transplant priority is racially biased. The plaintiff, a Los Angeles barber, claims the algorithm puts Black patients lower on the waitlist, denying them timely access to organs. He seeks damages and a higher position on the list.

7 source articles · read the reporting →

Teething problems in Mater Dei's medicine robots addressed

The Malta Union for Midwives and Nurses claimed that a €23 million investment in two computerised drug administration robots, Mario and Sophia, at Mater Dei Hospital had resulted in a complete failure. However, sources within the Health Ministry said that most teething problems have been addressed and that the supplier has not been paid yet. They reported that out of over 1,700 medication rounds, only four required a contingency plan.

Company involved
Mater Dei Hospital
AI system involved
Mario and Sophia

6 source articles · read the reporting →

WF-QW9Z288 Mar 2024

NHS plans AI to listen to appointments and generate notes

The UK's National Health Service announced plans to use AI to automatically generate notes from patient appointments. Health Secretary Victoria Atkins said the scheme would reduce admin time. Privacy campaigners raised concerns about data security and accuracy, citing an incident where AI misheard the chief medical officer's name. The Department of Health and Social Care stated that patient confidentiality remains a top priority.

Company involved
National Health Service (NHS)

3 source articles · read the reporting →

WF-VERNY015 May 2025

AEMPS withdraws AI medicines tool MeQA after detecting errors

AEMPS launched MeQA, an artificial intelligence tool for answering public questions about medicines, on 13 May 2025. Two days later it withdrew the tool after detecting that some responses contained errors. The agency said that most answers were correct but that the errors could affect patient safety, and that it would restore the service as soon as possible.

Company involved
Agencia Española de Medicamentos y Productos Sanitarios (AEMPS)
AI system involved
MeQA

4 source articles · read the reporting →

WF-1UJHJB1 Jan 2019

Tennessee's TennCare Connect algorithm illegally denied thousands Medicaid benefits

A U.S. District Court judge ruled that Tennessee's TennCare Connect system, built by Deloitte for over $400 million, illegally denied thousands of low-income residents and people with disabilities Medicaid and disability benefits due to programming and data errors. The system automatically terminated coverage without properly considering eligibility for all available programs. A class action lawsuit filed in 2020 resulted in the ruling.

Company involved
TennCare (Tennessee Medicaid)
AI system involved
TennCare Connect

10 source articles · read the reporting →

WF-15KEYQ1 Apr 2023

Deloitte software glitches wrongly remove Texans from Medicaid

Advocacy groups filed a complaint with the Federal Trade Commission alleging that Deloitte's eligibility software, TIERS, used by Texas Medicaid, wrongly disenrolled qualified recipients due to glitches. Nearly 1.8 million Texans lost coverage after the pandemic pause ended, with many errors attributed to procedural issues but some linked to system malfunctions. Deloitte denies the claims, while the state says it restored care for at least 90,000 people. The FTC has not yet responded to the complaint.

Company involved
Texas Health and Human Services Commission
AI system involved
TIERS

6 source articles · read the reporting →

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