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Kaiser Permanente nurses say technology is making their jobs — and patient care — worse

The Markup · · International · Surveillance & Civil Liberties

Nurses working in Kaiser Permanente's call centers say the company's surveillance technology and AI tools are designed around speed and cost rather than patient outcomes. They report the systems monitor their performance in ways that pressure them to move quickly through calls at the expense of quality care.

Why this matters: When a health system monitors nurses the same way a warehouse tracks package-scanning speed, patients pay the price. Call center nurses are often the first clinical contact someone has when something feels wrong. If the technology grading those nurses rewards short calls over careful ones, that is not an efficiency gain — it is a safety tradeoff made quietly, at scale, without patients knowing. The surveillance is aimed at workers, but the risk lands on everyone who calls in sick and needs someone to actually listen.

Who should care: Privacy officers · Cybersecurity · General readers · AI governance · Policy

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