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I love working in healthcare because while Terry Tao is speculating about using Lean to prove that novel chemotherapy works I am getting actual emails from my employer announcing that they've newly implemented upper and lower limits for vital sign entry to prevent errors.

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my limited experience with AI as a nurse thus far was "we are adding extra AI-related charting that you now have to double-check. also, it takes five minutes to generate so remember to do this for each patient... later"

I've received like ten emails encouraging me to start using ambient documentation in my outpatient clinic, which I do not have, proving that ambient AI is more technically feasible than maintaining an accurate email distribution list.

Those ten emails are a deployment metric in disguise: the tool integrated with your directory long before it integrated with a consulting room. Rollout gets scored as licences activated, and encounters where it was actually used never reach the report. Which number do you get asked for?

I know this is childish, but I only work in outpatient clinics and I have cheerfully declined ambient AI because I think it’s creepy and I wouldn’t feel great with my patients recording MY every word. Clinicians seem to love it.

At a previous employer, I wrote a bunch of test cases for superphysiologic vital signs and wrote up my report. The programmer said “nice work but we aren’t going to put in checks for that.”

I'm at the supraphysiologic tachycardia, I'm at the subphysiologic bradycardia, I'm at the combination blah blah blah