Healthcare AI Safety Gap · Don't break patients
    Peer-reviewed / official15 Oct 2026·US

    Clinicians now put 270 million questions to one AI tool, half of them about patient care decisions

    JAMA: usage logs from the OpenEvidence platform show about 950,000 US physicians, physician assistants and nurse practitioners sent 270 million queries between January 2024 and June 2026, with 51.9% of sampled queries about clinical decision-making; the study did not assess answer accuracy.

    51.9%
    of sampled clinician queries to an AI tool were about clinical decision-making

    What the research found

    Harvard Medical School and Brigham and Women's Hospital researchers analysed de-identified usage logs from OpenEvidence, an AI clinical information platform, covering about 950,000 US physicians, physician assistants and nurse practitioners from January 2024 to June 2026. Monthly active users rose from 355 to more than 703,000, and in a random sample of 38.8 million queries classified by a language model, 51.9% concerned clinical decision-making and 13.9% diagnosis, often outside the asker's own specialty. The study measured use, not accuracy or patient outcomes: the authors name assessing accuracy and whether these tools improve care as the next step, and the platform supplied the data, with three co-authors employed by it during the study.

    Why it matters for providers

    AI is already shaping bedside decisions at national scale, so providers need their own view of when clinicians use these tools and how answers get checked, rather than waiting for outcome evidence to catch up.

    Original source
    JAMA (Harvard Medical School / Brigham and Women's Hospital)
    Read the full report ↗
    Peer-reviewed or official source — the most reliable tier.