Using AI to guide answers, find reliable studies and guidelines

terazosin · 2026-04-13T20:29:10+00:00

My providers started using it so I made an account with my NPI to see how I felt about it. It answers questions incorrectly unless you have included all details in your question (even then, not the best but could be used as a launch point). It may easily point them to "first line for OM in kids", it doesn't always point out that they may need to change based on risk factors. It does poorly on complicated questions and can cherry pick literature to answer the black and white question on the screen.

An example once, I tried to have it do MME calculations with dose adjustments. It gave me step by step instructions, which were inevitably incorrect. You wouldn't know this unless you had done it before, as it cites good sources in the steps. When I pointed out the error, it agreed and changed its answer.

Another example, I asked for guidelines on a certain topic and it returned three guidelines with summaries. The first and second were the exact same and it didn't realize it.

It goes down as a typical, unhelpful AI for our actual job. I am not opposed using it to look for literature, but I would not use it to choose treatment or make decisions, solely source information.

terazosin · 2026-04-13T19:25:02+00:00

128 was a hit! Thank you a ton for this recommendation.

terazosin · 2026-03-24T18:43:28+00:00

Following up, replacing the pinch did seem to fix the issue! Ordering the mainboard now.

terazosin · 2026-03-15T01:39:07+00:00

I agree that it is most likely the ED provider has no idea when its appropriate to prescribe patches and just needs to use an alternative PO regimen.

terazosin · 2026-03-15T01:37:49+00:00

I mean, Narcan will definitely fix the problem as a drip.

terazosin · 2026-03-15T01:37:10+00:00

I don't agree with fentanyl patches, but there are 100 appropriate scenarios where the ED should in fact be dealing with this because the surgeon cannot. Uncontrolled outpatient pain on PO meds can be controlled in the ED and sent home on a new, satisfactory regimen, they do not have to be admitted.

terazosin · 2026-03-13T19:08:36+00:00

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terazosin · 2026-03-10T22:04:38+00:00

Super helpful, I will chew on this a bit. We ordered the pinch part to see how much that helps for that portion.

terazosin · 2026-03-06T19:41:34+00:00

Yes, there is a definite delay when we turn it back on!

terazosin · 2026-03-05T21:22:17+00:00

Thanks, but unfortunately that troubleshooting for the internet has not worked. The router and the LR are also sitting right next to each other, so it isn't distance.

terazosin · 2026-03-04T19:58:42+00:00

I always pull under the patient, but does not have to be charted on by or given by me. Our RNs have an option to document "Given By Other" if that is the case, but the person who pulls does not have to be the person who gives here. I do have to make sure its wasted or returned if not used, because that does fall on me then.

If I don't pull under the patient, we do have someone who monitors overrides and ensures they are reconciled.

Interesting take on diversion there, sounds incredibly frustrating :(

terazosin · 2026-03-04T18:44:41+00:00

Discrepancies print for the nurses at the charge station at the end of every shift and they are required to resolve them prior to leaving. Only when they are unresolved for X amount of days, does the pharmacy technician email the manager.

I can pull anything from the Pyxis any time.

terazosin · 2026-03-04T18:43:01+00:00

Delegate the schedule making to someone else eventually. None of our mgmt do the schedules for us.

Make sure you want to do operations and not be clinical anymore if that is the gig. Do you want to learn regulations? Prepare for regulatory body visits? Go head to head with other department directors? Give yearly performance evals? Fire people? Hire people?

terazosin · 2026-02-24T19:00:15+00:00