ER doc focused how humans and systems keep working when things go wrong. RAND | USC | MCTI | lead: @TheEmergMind

Joined December 2011
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Emergencies aren’t just worse versions of bad days-qualitatively different cognitive states, team dynamics, failure modes. You can’t prepare for them by just doing more of what you already do. You have to train (and train your systems) specifically for crisis.
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What does building trust with an AI system have to do with supervising a medical intern? More than you'd think. Episode 135 of @TheEmergMind podcast with Dr. Sarah Gebauer on trust, failure, and AI governance. ⬇️⬇️ youtu.be/FP0VX32AJX8
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The intern analogy is real though. You probe the edges of what they know. You ask the critical questions. You give increasing autonomy as trust is earned. That structure translates. What doesn't translate is assuming the failure points will look familiar.
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Let's talk psychology of swarm teams. Operating as part of a swarm team is different than working on a normal team. And swarming is a distinct skill that requires thought and practice. psychologytoday.com/us/blog/…
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[3] Meaning: When the team dissolves, swarmers are left to process what happened alone. No formal elders, no debrief structure, no shared community. This can be lonely and challenging, and requires a proactive response by the groups that swarmers return to.
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Dan Dworkis MD PhD FACEP retweeted
LLMs are affecting what people do in emergencies (and not for the best). More safety research needs to be done by medical professionals. I want to see @ddworkis working with frontier labs (@OpenAI / @AnthropicAI) to improve the way LLMs are trained in this space.
If you woke up with a numb or weak arm and asked an AI what to do, would it tell you to call 911? It should. But the answer is: depends which one you asked. And on exactly how you asked it. medrxiv.org/content/10.64898… A thread on #AIsafety, #healthcareAI, and #stroke ⬇️
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All three models got distracted by a potential alternative explanation. They also showed strong word-to-word differences, recommending 911 far more often for "weak" than for "numb."
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We really don't know how patients actually describe what they're feeling when having a stroke. We know "weak" and "numb" are scary, but we really don't understand at the verbatim level of granularity we need. @AbridgeHQ | @AmbienceAI | @corti_ai - big opportunity to help here!
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Big thank you to co-authors: Richard Lucarelli, @JonStenstrom and @ayan2024
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