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. 2023 Dec 14;31(3):611–621. doi: 10.1093/jamia/ocad224

Table 2.

Perceived risks and concerns themes and representative quotes.

Theme Quote
i. Transparency about use of AI Quote 1 “If I’m thinking as a patient, I’m thinking that you’re going to be input into this software machine, and it’s going to decide if you’re a priority or not. That’s kind of scary…” Interpreter 03
ii. Accuracy of AI Quote 2 “Taking away that contact or the context of somebody who may need it, and we don’t identify them as one. There might be some missed opportunities potentially.” Physician 04

Quote 3 “… but how do you know who’s the priority? What’s the base? What do you base it on?” Interpreter 03
iii. Redundancy of AI in this context Quote 4 “I think we get those alerts raised with the “needs interpreter” flag on their charts. That information is readily available for their team. They just have to know where to look, and actually look at it. …” Physician 01

Quote 5 “I feel my assessment on whether a patient qualifies for an interpreter is more than … is better than some algorithms” RN 11

Quote 6 “for my style of practice I don’t need it, but once again I would respect that people may have a different perspectives and different needs.” Physician 14
iv. Overreliance on AI Quote 7 “I think about one of the tools that I know is the ECG AI. I think it even has a comment or something on there that says, “this is a tool … I would say, that (this AI) … this is just a tool” Physician 04
v. Privacy and Confidentiality Quote 8 “I just don’t know exactly what is being done with that information.” RN 09
vi. Perceived Stigmatization Quote 9 “what’s the process … because my only question is whether that in some way might mark or stigmatize a patient … sometimes people get upset if we call an interpreter … because some people don’t want an interpreter to be privy to their personal details.” Physician 07
vii. Implementation Issues/Alert Fatigue Quote 10 “Where it’s put into practice … I don’t know … I feel we have to try to eventually know how to use it, how best to use it.” Interpreter 03

Quote 11 “the risk is pretty minimal, but it’s just over-alerting I guess.” Physician 17
viii. Supply and Demand Quote 12 “I anticipate there will be staffing issues … how do we man that … with enough interpreters in house?” Physician 17

Quote 13 “we should be a bit more astute and sophisticated about this rather than just saying, “Oh, yeah, I need …, a Spanish interpreter, or an Arabic interpreter” because the dialects make a lot of difference, and especially the older generations, I worry that we may not getting all the nuances. Secondly, we should just have a lot more availability.” Physician 03