Hospitals & Care
99 gains87 Traces101 problems
Every measured gain and problem on the record for this topic, newest first. Updated .
AI in hospitals and care
One square per record, darker for stronger evidence:Evidence: 5 high176 moderate106 emerging
Most of the evidence is chatbots tested on written questions and small single-site studies; a few randomized trials and reviews carry more weight. TRV-2026-0355TRV-2026-1613TRV-2026-2032 Chatbots often match or beat doctors on structured written cases, while a 7294-patient trial of an AI alert in live care found no drop in delirium. TRV-2026-1797TRV-2026-1664
A randomized preclinical trial of 77 surgeons watching laparoscopic video shows AI assistance cut the time to find a bleeding site from 3.23 to 2.53 seconds on average. TRV-2026-2032 In a randomized crossover study, clinical trial staff using AI spent 2.71 fewer minutes per item reviewing charts for immunotherapy side effects, though severity grading was much weaker than event detection. TRV-2026-2318 Three randomized trials with over 90,000 US patients show that messages on personal high flu risk raised vaccination 1.7-3.5 percentage points over no message. TRV-2026-1852 A randomized trial of 130 final-year nursing students found AI-adaptive simulation raised leadership scores more than standard training, under controlled simulation conditions. TRV-2026-1262
In a test of 960 responses to clinician-written cases, ChatGPT Health undertriaged 52% of true emergencies, sending diabetic ketoacidosis and impending respiratory failure to 24-48 hour evaluation. TRV-2026-0181 A randomized trial of 7294 patients at Mount Sinai found an AI-triggered alert did not reduce delirium (35.1% vs 32.7%), though only 17.2% had a documented delirium assessment. TRV-2026-1664 In 16,254 responses to 29 standardized vignettes, all 21 chatbots failed differential diagnosis at rates above 0.80 even though final-diagnosis accuracy was high, a benchmark study found. TRV-2026-0145 A test of eight speech-to-text systems found at least one clinically significant error in 30% to 68% of 800 transcripts, and 39.6% of 53 errors with potential for severe harm involved medication type or dose. TRV-2026-1687
A review of 314 FDA-cleared surgical AI devices found only 5.1% had higher-quality prospective evidence. TRV-2026-1693 A scoping review of 1181 reports on AI decision tools found 62.7% stopped at clinical validation and 14.4% evaluated implementation or impact. TRV-2026-1613 A scoping review found only seven eligible studies of agentic AI in healthcare, with just one trial involving patients. TRV-2026-0166 A review of 310 publications found no study that measured AI's effect on critical thinking or clinical reasoning in medical education. TRV-2026-0458
Studies point in different directions on whether AI scribes ease clinician burnout. TRV-2026-0478TRV-2026-0330 An observational study of 263 clinicians in six US health systems reports that self-reported burnout fell from 51.9% to 38.8% after 30 days with an AI scribe. TRV-2026-0478 A systematic review of 6 real-world studies found clinicians reported less documentation time, but burnout on standardized scales was unaffected. TRV-2026-0330 At one cancer center, 190 of 958 clinicians used the AI scribe; after-hours time fell only from 86.9 to 81.4 minutes a week. TRV-2026-1819
Most tests find chatbot answers to patient questions accurate on average, yet poor readability and occasional unsafe answers recur. TRV-2026-1856TRV-2026-2452TRV-2026-1746TRV-2026-1715
See these 79 recordsChatbots beat doctors on structured written cases, but results on triage and differential diagnosis are mixed. TRV-2026-1797TRV-2026-0181TRV-2026-0145TRV-2026-1421
See these 26 recordsAI scribes cut documentation time for many clinicians, though evidence on burnout and adoption is mixed. TRV-2026-1897TRV-2026-0478TRV-2026-0330
A Trace is one record with both a gain and a problem, so it counts on both sides: 186 records show a gain and 188 show a problem. 128 context records are in the record list but not counted, because they report no measured gain or problem.
| Evidence | Gain side | Problem side |
|---|---|---|
| HighStrong study design, backed by at least two independent sources | 3 | 3 |
| ModerateA measured study or an official source | 113 | 107 |
| EmergingEarly, small, unreviewed or reported second-hand | 70 | 78 |
By type of evidence: 95 benchmark or lab tests; 43 observational studies; 42 controlled comparisons; 33 commentaries or narrative reviews; 29 surveys; 15 interview studies; 9 systematic reviews or meta-analyses; 9 randomized trials; 4 case reports; 3 investigations by reporters; 2 news reports; 2 regulatory or legal actions. How evidence is scored
In an online French study of 204 GPs and 942 patient histories, AI recorded histories more effectively than doctors, most clearly for older patients and for allergy and family cancer history.
In an observational study of 12,468 chronic disease patients in three Chinese provinces, AI-enabled care was linked to hypertension control targets met rising from 68% to 82%, with health data accuracy above 95%.
Clinicians using AI note-taking scribes in 6 real-world studies reported spending less time on documentation, though the evidence is sparse and based on self-reports.
A literature review linked AI decision support to vulnerabilities in doctors' physical examination, differential diagnosis, clinical judgment and patient communication skills, though magnitude and reversibility remain uncertain.
In 16,254 responses to 29 standardized clinical vignettes, all 21 AI chatbots tested failed differential diagnosis at rates above 0.80, even though final-diagnosis accuracy was high.
One review in this topic printed a pooled result: one figure calculated across many studies. They are the reviews’ own numbers, checked word for word against their abstracts. They often measure different things, so they are listed side by side, not added up.
AI predicts gallbladder surgery difficulty well, but 16 of 18 studies were at high risk of bias · TRV-2026-0787
AUC 0.818 (95% CI 0.797 to 0.840)
18 studies · search to March 2, 2026
For 32 validation models, the pooled AUC was 0.818 (95% CI, 0.797-0.840).
AUC 0.848 (95% CI 0.829 to 0.868)
18 studies · search to March 2, 2026
The pooled AUC for 27 training models was 0.848 (95% CI, 0.829-0.868).
AI virtual patients and simulation helped trainees in several small studies, while reviews and interviews raise skill erosion as a risk. TRV-2026-1262TRV-2026-1044TRV-2026-0490TRV-2026-0147
See these 39 recordsSurveys find patients and clinicians wary of AI, and regulation and the NHS Palantir contract draw scrutiny. TRV-2026-1843TRV-2026-2394TRV-2026-2335TRV-2026-0359
See these 32 recordsSurgical, imaging and prediction tools mostly rest on small retrospective or preclinical tests with little prospective evidence. TRV-2026-2032TRV-2026-1623TRV-2026-0787TRV-2026-1693
See these 53 recordsEach record sits in one thread at most. A record with both a gain and a problem counts on both sides. 44 records fit none of these threads.
In a 7294-patient trial at Mount Sinai, an AI-triggered health-record alert did not reduce delirium (35.1% vs 32.7%, P = .37) or change adherence to best practices, though only 17.2% had a documented delirium assessment.
415 records · page 26 of 28
In a study published June 22, 2024, two hip preservation surgeons graded ChatGPT 3.5 answers to ten common hip arthroscopy questions drawn from patient education sites, using an A-to-D scale and readability scores FRES and FKGL.
Arthroscopy
Published March 28, 2026 in ACM Computing Surveys, this survey examines data-centric foundation models in computational healthcare, covering approaches from pre-training to inference aimed at…
This peer-reviewed survey from January 2026 traces recent advances in Medical Large Language Models, from background and adaptation techniques for general-purpose models to medical-specialized applications and a review…
A February 2026 narrative review in the International Journal of Medical Informatics synthesized studies from 2018 to 2025 on human-in-the-loop AI in healthcare.
Published August 20, 2024, this peer-reviewed perspective examines multimodal large language models in medicine. It notes that clinical work depends on diverse data types from MRI and CT scans to EHR time-series, audio,…
Published September 17, 2024, this scoping review in The Lancet Digital Health examined ethical discussions surrounding generative AI in health care, including ChatGPT and other models used to…
In August 2024 the EU Artificial Intelligence Act entered into force as a legally binding framework governing AI development and use across the EU.
Published September 28, 2024, this peer-reviewed review in npj Digital Medicine examined 142 studies of human evaluation methods for large language models in healthcare.
A peer-reviewed review published October 1 2024 describes how AI, machine learning, big data analytics, telemedicine, wearables, and 3D printing are being integrated into healthcare.
A rapid review published April 29 2025 synthesized 6 real-world studies of digital scribes using ambient listening and generative AI from 1450 screened records spanning academic health systems,…
Researchers assessed an AI-driven hierarchical medical system for chronic disease management in China using 2024 National Health Commission monitoring data and 12,468 patient follow-up records from…
Researchers designed the Skyer benchmark to evaluate fifteen large language models on 55 realistic pediatric emergency department scenarios using a weighting system for over-triage and under-triage…
From October 5 to 11, 2025, researchers tested five large language models on 20 pulmonary tuberculosis questions spanning five themes, generating 100 responses and rating them with C-PEMAT-P, GQS, and…
By July 2026, this scoping review had mapped the literature on AI in OSCEs, screening 421 records and including 22 studies across health professions education.
Researchers evaluated six AI chatbots using 36 simulated English-language patient questions about nipple discharge, generating 216 first-turn responses scored against clinical guidelines.
ace