TRV-2026-1559Certified recordPeer-reviewed

Large Language Models in the Emergency Department: Fairness Implications for Clinicians

Applications of artificial intelligence (AI), particularly large language models (LLMs), are rapidly expanding in emergency medicine, but concerns remain regarding their fairness across diverse patient populations. Fairness extends beyond model accuracy and includes equal performance across patient groups, equitable outcomes and allocation of clinical benefits, and procedural fairness throughout the lifecycle of AI implementation. This narrative review aims to provide a practical framework for understanding and…

Health · Problem Space — documented harm · certified 2026-10-16 · v1 · article view · machine-readable

Current reading — problem

AI and LLM tools in emergency care can produce subgroup-specific errors and unequal benefits across patient groups, even when overall model performance appears strong.

What this doesn’t fix

The source is a narrative review offering a conceptual framework, and it does not report measured rates of unfair performance or outcomes in emergency departments.

Evidence

Reader signal

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Truvace Impact Record TRV-2026-1559, v1: “Large Language Models in the Emergency Department: Fairness Implications for Clinicians.” Truvace, 2026-10-16. /record/TRV-2026-1559 (accessed at citation time). sha256 9391a8bdc0a6af5e…

Calibration history

Every change to this record since certification, in the open. None yet — the reading has held since it entered the record.

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