Tech

How AI is revolutionizing health care through the lens of Alice in Wonderland

Tech
March 14, 2025

Once upon a time, in the curious land of Wonderland, there lived a physician named Alice. On a curiouser and curiouser day, Alice found herself tumbling down the digital rabbit hole into a fantastical realm called Algorithmia, a land where the wonders of artificial intelligence (AI) shaped the very fabric of life. Guided by the enigmatic Mad Hatter, Alice encountered three peculiar AI Cheshire Cats—Transforma (transformers), Baye (Bayesian methods), and …

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How copy and paste in EHRs is hurting patient care

Tech
March 12, 2025

The electronic health record (EHR) has solved the illegibility issue of handwritten notes, but the downside and unintended consequences have been of equal or greater importance. The cult of the EHR “copy and paste” (CP) club in hospital care makes defending a Medicare billing audit a daunting task should a physician be required to justify their level of professional billing codes. The much more important issue, however, is that patient …

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How data accuracy failures are costing lives and money in health care

Tech
March 10, 2025

Data fidelity refers to the accuracy with which information—“data”—qualifies and demonstrates the characteristics of the origin—“source.” The emergence of artificial intelligence in data monitoring has necessitated an elevated level of accuracy.

We are discussing the specific topic of data fidelity and accuracy because of recent events surrounding the Department of Government Efficiency (DOGE) audits of the Social Security Administration master file, which found a significant number of presumably “deceased …

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The future of clinical trials: Are we ready?

Tech
March 9, 2025

Clinical trials have traditionally served as the cornerstone of medical advancements, yet the industry is now undergoing an unprecedented transformation. Innovations in artificial intelligence (AI), decentralized trial designs, and evolving regulatory frameworks are paving the way for a more efficient, accessible, and technologically advanced future. However, as we embrace these changes, an important question remains—are we fully prepared for what lies ahead?

The shift to decentralized trials

One …

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Why your EHR’s certification matters more than you think

Tech
March 4, 2025

Modern EHRs and “CEHRT”

Electronic health records (EHRs) and their role in modern health care are inescapable today. But have you ever stopped to ask: Is my EHR certified? And more importantly, why does that matter?

As any EHR user knows, not all EHRs are created equal. A little-known differentiator is that some systems are Certified Electronic Health Record Technology (CEHRT), while a growing number of newer systems are not. If you’ve …

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AI agents in health care: Balancing innovation, trust, and evidence-based implementation

Tech
March 4, 2025

Artificial intelligence (AI) agents significantly transform health care by automating routine tasks, enhancing clinical decision-making, and reducing administrative burdens. These intelligent systems are increasingly applied in medical documentation, diagnostics, and patient engagement, offering substantial potential for improved patient outcomes and reduced physician burnout.

However, substantial challenges in establishing trust, regulation, and evidence-based validation remain critical to achieving widespread adoption. AI in health care has received considerable attention, but clinical …

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Artificial intelligence in health care: What your patients want to know

Tech
March 4, 2025

Most patients feel it is important to be informed when artificial intelligence (AI) will play a role in their care. Although most anticipate that AI will make health care at least somewhat better in the next five years, many express concerns about misdiagnosis, privacy breaches, unintended consequences of AI, and increased costs.

These mixed feelings highlight the importance of addressing patient concerns and providing clear, accessible information. To help patients better …

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Why AI scribes are changing medicine and the hidden risks you must know

Tech
February 13, 2025

Introduction: the AI scribe revolution

Let’s be real: AI scribes are incredible. I’ve personally used one for well over 3,000 clinical encounters. If you’ve been using one, you already know. If you haven’t, you’re probably considering it or you’ve heard the buzz and are cautiously curious.

Notes that used to take forever are now magically generated with near-perfect grammar, complete sentences, and even structured formatting. It’s borderline addictive. I’ve been using an …

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Innovation or exploitation: the ethical challenges of AI in speech therapy

Tech
February 11, 2025

Artificial intelligence (AI) is everywhere. It’s in our phones, our search engines, and increasingly, in our health care systems. For speech-language pathologists (SLPs), AI holds the potential to be a powerful ally—offering tools to enhance patient care, track progress, and even expand access to therapy for underserved populations. But with every innovation comes responsibility. The ethical concerns surrounding AI are not hypothetical—they are real, pressing, and demand our attention. This …

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Why AI is the perfect neutral arbiter for health care claims

Tech
February 7, 2025

When Berkshire Hathaway executive Charlie Munger said, “Show me the incentives, and I’ll show you the outcome,” during a speech in 1995, he wasn’t talking about health care, but he might as well have been. Companies in any industry are influenced by how the norms and structures around them contribute to their success, and in health care, the incentives often aren’t set for the good of the end user—the patient.

Consider …

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The weaponization of predictive data analytics, red flags, and the chronic pain gender gap has become a radioactive crisis in U.S. health care

Tech
February 5, 2025

In recent years, the health care system has increasingly relied on predictive data analytics in the prosecution of physicians, turning what was once a tool for improving care into an instrument of punitive measures by the U.S. government. Thousands of U.S. physicians, particularly those working with vulnerable populations, have been targeted based on flawed or biased data patterns, with many facing prosecution and imprisonment. Predictive data analytics, initially designed to …

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How AI and quantum computing are revolutionizing the future

Tech
February 4, 2025

In the lead-up to the recently concluded U.S. presidential election, Elon Musk, the celebrity tech billionaire and the world’s’ richest man, officially endorsed Donald Trump. While Musk was full of praise for the former president, Grok, the AI chatbot he owns, had a starkly different perspective. When asked about Trump, it described him as “a convicted felon, conman, rapist, pedophile, fraudster, pathological liar, and wannabe dictator.” Ouch!

While Grok is Mr. …

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The future of cardiac monitoring: AI-powered wearables in practice

Tech
February 2, 2025

Introduction

AI-powered wearables are revolutionizing health care, particularly in cardiac health. These devices continuously monitor heart function, enabling early detection of abnormalities and personalized care. Digital medicine’s integration with AI promises to significantly improve patient outcomes. While AI wearables offer vast potential, challenges persist, including concerns about data accuracy, privacy, and regulatory approval, as well as the need for clear ethical guidelines.

Opportunities of AI-powered wearables

AI wearables provide numerous opportunities for …

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Small language models and edge technology: Transforming health care delivery

Tech
January 28, 2025

Artificial intelligence (AI) advances are ushering in a new era of health care innovation, and small language models (SLMs) deployed on edge devices are leading the charge. Unlike large-scale AI systems, SLMs are lightweight, efficient, and capable of operating on localized devices such as smartphones, wearables, and IoT sensors. By combining the power of edge computing with the adaptability of SLMs, health care professionals can benefit from real-time, cost-effective solutions …

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How AI is transforming medicine faster than ever before

Tech
January 22, 2025

Since the release of large language models such as ChatGPT in November of 2022, medicine has been transformed in ways previously unimaginable by using artificial intelligence (AI) as a tool to solve problems. The use of natural language processing (NLP) in a transformer model allows physicians to explore the massive amount of data in a patient’s electronic medical record to identify key opportunities to improve patient care. In addition, machine …

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Beyond the stethoscope: the AI-powered revolution and personalized medicine will shape the next era of U.S. health care

Tech
January 21, 2025

Artificial intelligence (AI) is transforming health care, with a particular focus on enhancing patient care through precision medicine, advanced ultrasound guidance, and real-time treatment adaptation. These innovations promise a future where personalized treatment plans, more accurate diagnostics, and optimized care are not just possibilities but routine practice. Health care professionals are beginning to see the benefits of AI in real-world settings, and the potential for improving patient outcomes is nothing …

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Under siege: the escalating ransomware crisis in health care

Tech
December 29, 2024

It’s not your imagination. Ransomware threats to health care organizations are at record levels and continue to rise. Last year, there were 389 reported ransomware attacks on health care organizations in the U.S., up from 258 in 2022. This year, there were 44 ransomware attacks against health care organizations in April alone, the most ever recorded for one month by cybersecurity firm Recorded Future and up from 30 in March. …

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Evaluating the performance of health care artificial intelligence (AI): the role of AUPRC, AUROC, and average precision

Tech
December 23, 2024

As artificial intelligence (AI) becomes more embedded in health care, the ability to accurately evaluate AI models is critical. In medical applications, where early diagnosis and anomaly detection are often key, selecting the right performance AI metrics can determine the clinical success or failure of AI tools. If a health care AI tool claims to predict disease risk or guide treatment options, it must be rigorously validated to ensure its …

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AI’s cognitive gap: Why human doctors remain irreplaceable

Tech
December 21, 2024

Around Christmas time every year, The BMJ publishes lighthearted feature articles and original, peer-reviewed research intended to ease physicians into the holiday season and help them escape the drudgery of practice. The 2024 collection of articles is no exception, with enticing papers like “How to transport a polar bear, and other idiosyncrasies in providing emergency medical services in the Arctic” and “Living happily ever after? The hidden health risks of Disney princesses.”

My favorite …

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CME Spotlights