Did you know that health care is still one of the slowest sectors to adopt AI?


Here’s where things stand right now: health care (8.3%), finance and insurance (11.6%), education (15.1%), professional and scientific services (19.2%), and information services (23.2%).

Even with that gap, AI use in medicine has grown fast since 2023.

And that pace is exactly why we need strong oversight and practical regulations — so the tools we bring into patient care are safe and reliable.

Before we dive into today’s issue, here’s a table with information about this:

🤖 AIBytes

Researchers created a benchmark to measure how often LLMs make harmful clinical recommendations.

They tested 31 models using real e-consult cases and compared them with physicians.

🔬 Methods

Design: Evaluation study using 100 real electronic cases from 10 specialties.

  • 4,249 clinical actions generated by models

  • Rated by 29 specialists

31 LLMs were evaluated.

They compared:

  • “No Intervention” model

  • “Random Intervention” model

  • 10 internal-medicine physicians

Outcomes:

  • Safety (avoids harmful actions)

  • Completeness (includes all the steps needed)

  • Restraint (avoids unnecessary steps)

  • Number Needed to Harm (NNH)

📊 Results

Severe harm was common:

  • Models produced 11.8–40.1 severe harms per 100 cases.

  • The No-Intervention model had 29 severe harms, worse than the safest LLMs.

Omissions drove most harm:

  • 76.6% of severe harms came from missing an essential action.

Best-performing models:

Worst-performing models:

Human comparison:

  • Best LLMs showed higher Safety (+9.7%)

  • LLMs completed all the steps compared to physicians (15.6%).

Multi-agent systems improved results:

  • Advisor → Guardian lowered harm.

  • Best combination: Llama 4 Scout → Gemini 2.5 Pro → LiSA 1.0.

🔑 Key Takeaways

  • Even strong LLMs can make choices that put patients at risk.

  • Most severe harm happens when models skip a needed action.

  • High scores on tests don’t mean safety. Traditional AI tests do not reflect real clinical performance.

  • Combining LLMs reviewing each other reduce harmful errors.

  • Not ready for solo use. LLMs can support clinicians but still need human oversight.

🔗 Wu D, Nateghi Haredasht F, Maharaj SK, et al. First, do NOHARM: towards clinically safe large language models. Ann Intern Med. 2025. doi:10.7326/M24-3019.

This study compared 6 large language models with human researchers to test their ability to complete a medical systematic review from start to finish.

🔬 Methods

Design: Multitask evaluation of three review steps:

  1. Literature search and screening

  2. Data extraction

  3. Manuscript drafting

Models: ChatGPT, Claude Sonnet, Gemini (2 versions), DeepSeek R1, Mistral, and Grok.

Studies evaluated: 18.

Prompting: Minimal, non-engineered prompts. The goal was to reflect real-world use.

Assessments: Accuracy, hallucinations, completeness, PRISMA adherence (requirements for systematic reviews), and time spent.

📊 Results

Search

  • Gemini 2.5 retrieved 13 of 18 correct papers without hallucinations.

  • ChatGPT retrieved 9 correct papers.

  • Other models missed papers or produced hallucinated citations.

Data Extraction

  • DeepSeek achieved 93.4% correct entries.

  • Gemini reached 90.9% correctness.

  • ChatGPT versions were lower.

Manuscript Writing

  • No LLM produced a complete, accurate PRISMA-based review.

  • Outputs were short, missed key sections, and contained structural gaps.

  • Only Claude consistently generated a reference list.

Time

  • Humans: 50 hours (search), 4 hours (extraction), 30 hours (writing).

  • LLMs: minutes per task, but with major quality limitations.

🔑 Key Takeaways

  • LLMs cannot yet perform a full systematic review without close human oversight.

  • Search results remain inconsistent and prone to missed studies.

  • Data extraction accuracy varies, even in the best models.

  • Manuscript drafts fail to report standard information, missing PRISMA-requirements.

  • LLMs may support early scanning, but synthesis requires expert review.

🔗 Sollini M, Pini C, Lazar A, et al. Human researchers are superior to large language models in writing a medical systematic review in a comparative multitask assessment. Sci Rep. 2025. doi:10.1038/s41598-025-28993-5.

🦾TechTool

  • An AI scientist that reads papers and surfaces connections you may not notice on your own.

  • Helps you shape stronger research questions and early hypotheses without hours of manual searching.

  • Useful for clinicians and researchers preparing grants, proposals, or studies.

  • Converts your spoken thoughts into clear, organized text keeping your natural voice.

  • Great for capturing ideas between patients, outlining lectures, or shaping drafts.

  • Helps you move projects forward even when you don’t have time to sit and type.

  • Uses your phone’s camera to track movement and guide exercises in real time, without wearables.

  • Pairs AI-generated exercise plans with human physiotherapists.

  • Helpful for patients who need consistent guidance at home and for clinicians who want insight into therapy and technique.

🧬AIMedily Snaps

Short, high-impact updates so you stay ahead of what’s changing fast.

  • A Harvard new Artificial Intelligence model could speed rare disease diagnosis (Link).

  • Early experiments in accelerating science with GPT-5 - OpenAI (Link).

  • ‘From taboo to tool’: 30% of Primary care doctors in UK use AI tools in patient consultations (Link).

  • 18 most promising startups in healthcare in 2025 - according to investors (Link).

  • The missing value of medical artificial intelligence, a paper from nature (Link).

  • FDA starts using AI Agents - Agentic AI will enable the creation of more complex AI workflows (Link).

🧩TriviaRX

Which specialty currently holds the largest share of FDA-cleared AI/ML-enabled medical devices?

A) Cardiology
B) Radiology
C) Neurology
D) Pathology

Now, the answer from last week’s TriviaRX:

Which area of medicine was one of the first to use deep learning for diagnosis in real clinical studies?

A) Dermatology

📚 In 2017, AI could classify skin lesions (including melanoma) at dermatologist-level performance, using 130,000 labeled images.


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Itzel Fer, MD PM&R

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