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 “Epic EHR” · matched on meaning · public reporting

WF-SJQIT13 Mar 2019

Kaiser Permanente doctor delivers terminal diagnosis via robot video screen

Ernest Quintana, 79, was admitted to Kaiser Permanente Medical Center in Fremont, California, with failing lungs. A doctor appeared on a telepresence robot's video screen and told him he might not make it home. The family was devastated that the news was delivered through a machine rather than in person. Kaiser Permanente issued a statement expressing regret and said it would review its practices.

Company involved
Kaiser Permanente

10 source articles · read the reporting →

Epic sepsis prediction algorithm misses two-thirds of cases, study finds

A study of nearly 30,000 patients at University of Michigan hospitals found that Epic Systems' sepsis prediction algorithm missed two-thirds of sepsis cases and frequently issued false alarms. The algorithm, used by over 100 US health systems, is designed to alert staff to potential sepsis, but the study suggests it provides little value and may contribute to alert fatigue. Epic disputed the study's conclusions, claiming its system has helped save lives.

Company involved
Epic Systems
AI system involved
Epic sepsis prediction model

6 source articles · read the reporting →

WF-YK9Q5P10 Feb 2020

Barclays pilot of Sapience monitoring software causes employee stress

Barclays introduced a pilot of employee monitoring software from Sapience in its product control department at Canary Wharf. The system monitors computer activity and admonishes staff if they are not deemed active enough, recording breaks as "unaccounted activity". Employees reported significant stress and worry about taking breaks. Barclays acknowledged the pilot and said it would listen to feedback.

Company involved
Barclays
AI system involved
Sapience employee monitoring software

10 source articles · read the reporting →

WF-WNUEBH25 May 2020

Hangzhou plans permanent health codes with scoring, sparking privacy backlash

Hangzhou health authorities announced plans to launch a permanent health-tracking QR code system that would assign residents a color and numerical score based on medical records and lifestyle choices. The proposal, an expansion of the existing COVID-19 health code system, has sparked online backlash over privacy concerns and fears of discrimination. Critics argue that the system could lead to public exposure of personal health data and potential misuse by employers. The authorities aim to complete the project by May or June 2020.

Company involved
Hangzhou Health Authorities
AI system involved
Health Code

10 source articles · read the reporting →

WF-IL3CFJ1 Jul 2020

ProctorU data breach exposes 444,000 user records

ProctorU, an online exam proctoring service, confirmed a data breach after a threat actor leaked a database of user records on a hacker forum. The database contained email addresses, names, addresses, phone numbers, and hashed passwords for approximately 444,000 users, including students from universities such as UCLA, Princeton, and Harvard, as well as U.S. military members. ProctorU stated that the breach involved records from 2014 and that they are investigating the incident.

Company involved
ProctorU
AI system involved
ProctorU

8 source articles · read the reporting →

WF-II25VQ28 Jul 2020

ExamSoft failure during Michigan Bar Exam

On July 28, 2020, ExamSoft's software platform failed during the Michigan Bar Exam, preventing some test takers from completing the exam. ExamSoft posted a statement on X (formerly Twitter) with the hashtag #MichiganBarExam, but critics noted the company deleted and reposted the statement multiple times, allegedly to hide negative comments. The incident affected a group of examinees and caused disruption to their ability to take the exam.

Company involved
ExamSoft
AI system involved
ExamSoft platform

10 source articles · read the 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 →

WF-5M89U31 Jan 2026

Elon Musk asks X users to upload medical data to train Grok chatbot

Elon Musk has told X users to upload medical images to the platform so that the AI chatbot Grok can learn to interpret them. He claimed Grok can give medical diagnoses, sometimes better than doctors, but experts have raised concerns about accuracy and privacy. The article reports cases where Grok misread a tuberculosis case and a mammogram. xAI, which owns X, responded to Fortune: 'Legacy Media Lies.'

Company involved
X
AI system involved
Grok

6 source articles · read the reporting →

EPIC lawsuit challenges USPS secret surveillance program using facial recognition

The United States Postal Service's law enforcement wing, the Postal Inspection Service, ran a secret surveillance program called the Internet Covert Operations Program (iCOP) that used facial recognition from Clearview AI and social media monitoring tools to infiltrate online communities and monitor protests. The Electronic Privacy Information Center (EPIC) sued the USPS for failing to conduct and publish a privacy impact assessment as required by the E-Government Act. A federal district court dismissed the lawsuit on standing grounds, ruling that EPIC did not suffer a cognizable injury from the agency's refusal to disclose information about the program.

Company involved
United States Postal Service
AI system involved
Internet Covert Operations Program (iCOP)

10 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 →

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-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 →

Judge rules lawsuit over UnitedHealth’s AI care denials can move forward - STAT

The system denied necessary medical care to Medicare Advantage beneficiaries.

Company involved
UnitedHealth Group

1 source article · 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 →

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-DLR8C216 May 2025

SAG-AFTRA files complaint against Epic Games over AI-generated Darth Vader voice in Fortnite

Actor union SAG-AFTRA has filed an unfair labor practice complaint against Epic Games over its use of AI to recreate the voice of Darth Vader in Fortnite. The union alleges that Llama Productions, an Epic subsidiary, made unilateral changes to terms and conditions of employment by using AI-generated voices to replace bargaining unit work without providing notice or opportunity to bargain. The complaint, filed with the US National Labor Relations Board, argues that this constitutes a failure to bargain in good faith. Epic Games has not yet responded to a request for comment.

Company involved
Epic Games

9 source articles · read the reporting →

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