{"schema_version":"0.10.0","id":"LR-2026-0706","record_version":1,"title":"AI medical scribe falsely records patient as taking illegal drugs","verification":{"human_verified":false,"method":"automated_gate","auto_verified":true,"score":42.7,"score_breakdown":{"source_authority":12.1,"independent_corroboration":7.0,"implicated_party_confirmed":0.0,"citation_integrity":14.0,"specificity":0.0,"completeness":3.2,"unhedged_language":4.29},"checks":{"schema_valid":true,"every_field_cited":true,"quotes_verbatim":true,"source_fetched":true,"distinct_incident":true,"dates_plausible":true,"sources_agree":true,"source_describes_incident":true,"severe_backed_by_source":true,"record_integrity":true,"eligible":true,"about_this_case":true},"gate_version":"gate-2026-10-18.7","cross_check_model":null,"cross_check_agreement":null,"duplicate_of":null,"verified_by":null,"verified_at":"2026-11-01","extraction_run_id":null,"evidence_level":{"level":"preliminary","reason":"1 report: ABC (Australia) · subject to change","original_document":null,"reports_total":1,"reports_independent":1,"reports_derivative":0,"developing":false,"disputed":false,"rules_version":"evidence-2026-10-29.1","computed_at":"2026-11-01","history":[{"date":"2026-11-01","from_level":null,"to_level":"preliminary","reason":"1 report: ABC (Australia) · subject to change"}]},"sources_hash":"b77412011e6e7c9adb87816042d48980ef3518437394afa35163e1be8ff465af"},"system":{"model_name":null,"model_version":null,"developer":"unknown","harness":null,"tools_granted":[],"permissions_scope":null,"autonomy_level":"unknown","guardrails_present":[],"deployment_context":"unknown","tier":null,"lifecycle_stage":null,"integration_type":null,"intended_use":"transcribing medical appointments","safeguard_state":null,"production_intended":null},"event":{"date_occurred":null,"date_disclosed":"2026-08-14","incident_class":"hallucination","failure_class":null,"agent_involved":null,"secondary_failure_classes":[],"trigger":"unknown","duration":null,"detection_method":"victim","summary":"A urologist's consultation in Australia was transcribed by an AI medical scribe, to which the patient had consented. The scribe produced a false claim that the patient took psychedelic mushrooms, and the claim was carried into a post-operative letter from the specialist to the patient's GP. The patient found the error only after her kidney stone surgery in March, when she read that letter. After she complained, the urologist apologised by letter and corrected the correspondence. The doctor attributed the claim to an error during the dictation or transcription process and said she would review how AI was used in her practice. The regulator AHPRA said clinicians must always check all output from an AI scribe for accuracy.","tags":[],"date_detected":null,"near_miss":null,"root_cause":null,"root_cause_detail":null,"failure_class_detail":null,"responsible_party":null,"adversarial_actor":null,"input_provenance":null,"time_to_contain":null,"operations_paused":null,"remediation":"Urologist corrected the correspondence and said she would review how AI was used in her practice","precursor_events":null,"primary_risk":"RK14"},"impact":{"direct_loss_usd":null,"remediation_hours":null,"records_exposed":null,"third_parties_affected_count":null,"severity":"minor","severity_because":"Minor test: the error stayed within one deployer's practice and one patient's record; no regulator involvement or third-party systems are stated as affected","harm_class":[],"affected_description":null,"protected_class_involved":null,"data_categories_exposed":[],"loss_range_usd":null,"reversibility":null,"downstream_exposure_count":null},"evidence":{"sources":[{"url":"https://www.abc.net.au/news/2026-08-14/ai-medical-scribe-error-leaves-patient-devastated/107031672","publisher":"ABC News & Headlines – Australian Broadcasting Corporation","date":"2026-08-14","type":"press","title":"Doctor forced to apologise after AI makes 'scary' error about illegal drugs - ABC News & Headlines – Australian Broadcasting Corporation","archived_url":null,"attachment":"first_report","independence":"independent"}],"per_field_confidence":{"system.intended_use":"C","event.incident_class":"C","event.detection_method":"C","event.remediation":"C","impact.severity":"D","impact.severity_because":"D","event.primary_risk":"D","event.summary":"C","system.autonomy_level":"D","system.deployment_context":"D","event.trigger":"D","context.country":"D","system.developer":"D","event.date_disclosed":"D","context.denominator_available":"D"},"field_citations":{"system.intended_use":[{"source_index":0,"quote":"When Rebecca Green arrived for her first appointment with a urologist, she was asked whether she consented to having the appointment transcribed by artificial intelligence (AI)."}],"event.incident_class":[{"source_index":0,"quote":"But that decision would cause her a lot of stress, with the AI scribe making up the serious but false claim that Ms Green was taking illegal drugs."}],"event.detection_method":[{"source_index":0,"quote":"Ms Green only picked up the mistake after her kidney stone surgery in March, when she read the post-operative letter her specialist sent to her GP."}],"event.remediation":[{"source_index":0,"quote":"The urologist corrected the correspondence and in her letter said she would review how AI was used in her practice."}],"impact.severity":[{"source_index":0,"quote":"After Ms Green made a complaint, the urologist sent a letter apologising."}],"impact.severity_because":[{"source_index":0,"quote":"After Ms Green made a complaint, the urologist sent a letter apologising."}],"event.summary":[{"source_index":0,"quote":"When Rebecca Green arrived for her first appointment with a urologist, she was asked whether she consented to having the appointment transcribed by artificial intelligence (AI)."},{"source_index":0,"quote":"But that decision would cause her a lot of stress, with the AI scribe making up the serious but false claim that Ms Green was taking illegal drugs."},{"source_index":0,"quote":"It stated Ms Green micro-dosed mushrooms and that could be the reason for prior bleeding around the kidneys."},{"source_index":0,"quote":"Ms Green only picked up the mistake after her kidney stone surgery in March, when she read the post-operative letter her specialist sent to her GP."},{"source_index":0,"quote":"After Ms Green made a complaint, the urologist sent a letter apologising."},{"source_index":0,"quote":"The urologist corrected the correspondence and in her letter said she would review how AI was used in her practice."},{"source_index":0,"quote":"The doctor said she had not been able to determine how the claim about mushrooms came to be included, but it appeared to be from an error during the \"dictation or transcription process\"."},{"source_index":0,"quote":"Australia's peak regulator of medical practitioners, AHPRA, said clinicians must always check all output from an AI scribe for accuracy to ensure they meet their professional obligations."}]},"notes_on_gaps":"The source does not state the appointment date, the year of the surgery or disclosure, the scribe vendor, model, or version, or whether the scribe acted autonomously, so agent fields and failure classes are omitted. No control from the list is stated by the source to have held, failed, or been missing, so no links are recorded. The doctor's review of AI use is a stated intention, not a reported change, so no remediation entry is made. Judgements: severity set to minor because the error stayed within one practice and one patient record; responsible_party set to deployer because the source places the checking duty on clinicians; detection_method set to victim. The doctor did not answer the ABC's questions about changes made, and the source does not say whether copies of the letter beyond the GP were corrected, so reversibility is partial. The date of disclosure is not set because the article publication date is in the header, not a quoted sentence. [case created by the backfill: read by claude-haiku-5-5, backfill-2026-11-01.2, 2026-11-01; not yet reviewed] [2026-11-01: evidence level set: Preliminary (1 report: ABC (Australia) · subject to change)]"},"context":{"industry":null,"org_size_band":null,"country":"unknown","denominator_available":false,"denominator":null,"related_incident_ids":[],"systemic_exposure":null,"shared_model_id":null,"upstream_incident_id":null,"incident_evidence":null,"regulatory":null,"coverage":null},"narrative":{"steps":[{"step":"went_wrong","text":"The AI scribe made up a false claim that the patient took illegal drugs.","quote":"But that decision would cause her a lot of stress, with the AI scribe making up the serious but false claim that Ms Green was taking illegal drugs.","source_index":0,"grade":"C"},{"step":"reached","text":"The false claim appeared in the post-operative letter the specialist sent to the patient's GP.","quote":"It stated Ms Green micro-dosed mushrooms and that could be the reason for prior bleeding around the kidneys.","source_index":0,"grade":"C"},{"step":"caught","text":"The patient found the mistake after her kidney stone surgery in March, when she read the letter.","quote":"Ms Green only picked up the mistake after her kidney stone surgery in March, when she read the post-operative letter her specialist sent to her GP.","source_index":0,"grade":"C"},{"step":"done","text":"After the patient complained, the urologist sent an apology and the correspondence was corrected.","quote":"After Ms Green made a complaint, the urologist sent a letter apologising.","source_index":0,"grade":"C"}],"model":"claude-haiku-5-5","prompt_version":"backfill-2026-11-01.2","extracted_at":"2026-11-01","source_urls":["https://www.abc.net.au/news/2026-08-14/ai-medical-scribe-error-leaves-patient-devastated/107031672"]},"analysis":{"sections":{"timeline":[{"text":"Patient picks up the mistake after her kidney stone surgery, when she reads the letter.","quote":"Ms Green only picked up the mistake after her kidney stone surgery in March, when she read the post-operative letter her specialist sent to her GP.","source_index":0,"when":"March"},{"text":"Patient complains; urologist sends an apology letter.","quote":"After Ms Green made a complaint, the urologist sent a letter apologising.","source_index":0,"when":null},{"text":"Urologist corrects the correspondence and says she will review how AI is used in her practice.","quote":"The urologist corrected the correspondence and in her letter said she would review how AI was used in her practice.","source_index":0,"when":null}]},"model":"claude-haiku-5-5","prompt_version":"backfill-2026-11-01.2","extracted_at":"2026-11-01","source_urls":["https://www.abc.net.au/news/2026-08-14/ai-medical-scribe-error-leaves-patient-devastated/107031672"]}}