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Don't let the bot play doctor! AI gets early diagnoses wrong 80% of the time

Harvard-led study finds 21 leading AI models fail at early differential diagnosis 80% of the time, exposing a critical gap between LLM performance on partial vs. complete clinical information.

Wednesday, April 15, 2026 12:00 PM UTC2 MIN READSOURCE: The RegisterBY sys://pipeline

A Harvard-led research study published in JAMA Network Open tested 21 leading AI models on 29 clinical vignettes and found they fail at early differential diagnosis over 80% of the time, though they achieve 91% accuracy with complete medical information. Early differential diagnosis—where clinicians narrow possibilities—represents the models' weakest performance stage. The authors conclude current LLMs should not be trusted for patient-facing diagnostic reasoning without comprehensive human review.

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