U.S. nurses clamor for a place in clinical AI decisions

Layoffs at Montefiore in the Bronx, protests at Kaiser Permanente: the largest health profession in terms of staff is getting organized in the face of the deployment of AI tools in hospitals.

As the largest health care profession, American nurses are increasingly openly expressing their concerns about the deployment of artificial intelligence in hospitals — for their jobs as well as for patient safety. In Montefiore, in the Bronx, laid-off nurses have questioned administrative AI systems that they say are replacing their jobs. In California, Kaiser Permanente staff protested against devices that monitor their work and take an increasing place in patient monitoring.

National Nurses United, which represents more than 200,000 professionals, is taking these demands to the unions. The STAT report, by Katie Palmer, points out, however, that part of the academic and research world is trying to get out of the balance of power: several initiatives aim to involve nurses in the design and deployment of tools, rather than presenting them with a fait accompli.

The issue goes beyond the social question. Nurses are, by design, the first users of clinical alerts and automated risk scores; their absence from the design stages is regularly identified as a factor in the failure of deployments.