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Researchers say an AI-powered transcription tool used in hospitals invents things no one ever said

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Researchers say an AI-powered transcription tool used in hospitals invents things no one ever said
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Researchers say an AI-powered transcription tool used in hospitals invents things no one ever said

2024-10-27 02:22 Last Updated At:02:30

SAN FRANCISCO (AP) — Tech behemoth OpenAI has touted its artificial intelligence-powered transcription tool Whisper as having near “human level robustness and accuracy.”

But Whisper has a major flaw: It is prone to making up chunks of text or even entire sentences, according to interviews with more than a dozen software engineers, developers and academic researchers. Those experts said some of the invented text — known in the industry as hallucinations — can include racial commentary, violent rhetoric and even imagined medical treatments.

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Assistant professor of information science Allison Koenecke, an author of a recent study that found hallucinations in a speech-to-text transcription tool, sits for a portrait in her office at Cornell University in Ithaca, N.Y., Friday, Feb. 2, 2024. (AP Photo/Seth Wenig)

Assistant professor of information science Allison Koenecke, an author of a recent study that found hallucinations in a speech-to-text transcription tool, sits for a portrait in her office at Cornell University in Ithaca, N.Y., Friday, Feb. 2, 2024. (AP Photo/Seth Wenig)

A computer screen displays text produced by an artificial intelligence-powered transcription program called Whisper at Cornell University in Ithaca, N.Y., Friday, Feb. 2, 2024. In this example, the speaker said, "and after she got the telephone he began to pray" while the program transcribes that as "I feel like I'm going to fall. I feel like I'm going to fall, I feel like I'm going to fall…." (AP Photo/Seth Wenig)

A computer screen displays text produced by an artificial intelligence-powered transcription program called Whisper at Cornell University in Ithaca, N.Y., Friday, Feb. 2, 2024. In this example, the speaker said, "and after she got the telephone he began to pray" while the program transcribes that as "I feel like I'm going to fall. I feel like I'm going to fall, I feel like I'm going to fall…." (AP Photo/Seth Wenig)

A computer screen displays text produced by an artificial intelligence-powered transcription program called Whisper at Cornell University in Ithaca, N.Y., Friday, Feb. 2, 2024. In this example, the speaker said, "as the um, the, her father dies not too long after he remarried…." while the program transcribes that as " It's fine. It's just too sensitive to tell. She does die at 65…." (AP Photo/Seth Wenig)

A computer screen displays text produced by an artificial intelligence-powered transcription program called Whisper at Cornell University in Ithaca, N.Y., Friday, Feb. 2, 2024. In this example, the speaker said, "as the um, the, her father dies not too long after he remarried…." while the program transcribes that as " It's fine. It's just too sensitive to tell. She does die at 65…." (AP Photo/Seth Wenig)

A computer screen displays text produced by an artificial intelligence-powered transcription program called Whisper at Cornell University in Ithaca, N.Y., Friday, Feb. 2, 2024. In this example, the speaker said, "and after she got the telephone he began to pray" while the program transcribes that as "I feel like I'm going to fall. I feel like I'm going to fall, I feel like I'm going to fall…." (AP Photo/Seth Wenig)

A computer screen displays text produced by an artificial intelligence-powered transcription program called Whisper at Cornell University in Ithaca, N.Y., Friday, Feb. 2, 2024. In this example, the speaker said, "and after she got the telephone he began to pray" while the program transcribes that as "I feel like I'm going to fall. I feel like I'm going to fall, I feel like I'm going to fall…." (AP Photo/Seth Wenig)

Assistant professor of information science Allison Koenecke, an author of a recent study that found hallucinations in a speech-to-text transcription tool, works in her office at Cornell University in Ithaca, N.Y., Friday, Feb. 2, 2024.

Assistant professor of information science Allison Koenecke, an author of a recent study that found hallucinations in a speech-to-text transcription tool, works in her office at Cornell University in Ithaca, N.Y., Friday, Feb. 2, 2024.

Assistant professor of information science Allison Koenecke, an author of a recent study that found hallucinations in a speech-to-text transcription tool, works in her office at Cornell University in Ithaca, N.Y., Friday, Feb. 2, 2024. The text preceded by "#Ground truth" shows what was actually said while the sentences preceded by ""text"" was how the transcription program interpreted the words. (AP Photo/Seth Wenig)

Assistant professor of information science Allison Koenecke, an author of a recent study that found hallucinations in a speech-to-text transcription tool, works in her office at Cornell University in Ithaca, N.Y., Friday, Feb. 2, 2024. The text preceded by "#Ground truth" shows what was actually said while the sentences preceded by ""text"" was how the transcription program interpreted the words. (AP Photo/Seth Wenig)

Experts said that such fabrications are problematic because Whisper is being used in a slew of industries worldwide to translate and transcribe interviews, generate text in popular consumer technologies and create subtitles for videos.

More concerning, they said, is a rush by medical centers to utilize Whisper-based tools to transcribe patients’ consultations with doctors, despite OpenAI’ s warnings that the tool should not be used in “high-risk domains.”

The full extent of the problem is difficult to discern, but researchers and engineers said they frequently have come across Whisper’s hallucinations in their work. A University of Michigan researcher conducting a study of public meetings, for example, said he found hallucinations in eight out of every 10 audio transcriptions he inspected, before he started trying to improve the model.

A machine learning engineer said he initially discovered hallucinations in about half of the over 100 hours of Whisper transcriptions he analyzed. A third developer said he found hallucinations in nearly every one of the 26,000 transcripts he created with Whisper.

The problems persist even in well-recorded, short audio samples. A recent study by computer scientists uncovered 187 hallucinations in more than 13,000 clear audio snippets they examined.

That trend would lead to tens of thousands of faulty transcriptions over millions of recordings, researchers said.

This story was produced in partnership with the Pulitzer Center’s AI Accountability Network, which also partially supported the academic Whisper study. AP also receives financial assistance from the Omidyar Network to support coverage of artificial intelligence and its impact on society.

Such mistakes could have “really grave consequences,” particularly in hospital settings, said Alondra Nelson, who led the White House Office of Science and Technology Policy for the Biden administration until last year.

“Nobody wants a misdiagnosis,” said Nelson, a professor at the Institute for Advanced Study in Princeton, New Jersey. “There should be a higher bar.”

Whisper also is used to create closed captioning for the Deaf and hard of hearing — a population at particular risk for faulty transcriptions. That's because the Deaf and hard of hearing have no way of identifying fabrications “hidden amongst all this other text," said Christian Vogler, who is deaf and directs Gallaudet University’s Technology Access Program.

The prevalence of such hallucinations has led experts, advocates and former OpenAI employees to call for the federal government to consider AI regulations. At minimum, they said, OpenAI needs to address the flaw.

“This seems solvable if the company is willing to prioritize it,” said William Saunders, a San Francisco-based research engineer who quit OpenAI in February over concerns with the company's direction. “It’s problematic if you put this out there and people are overconfident about what it can do and integrate it into all these other systems.”

An OpenAI spokesperson said the company continually studies how to reduce hallucinations and appreciated the researchers' findings, adding that OpenAI incorporates feedback in model updates.

While most developers assume that transcription tools misspell words or make other errors, engineers and researchers said they had never seen another AI-powered transcription tool hallucinate as much as Whisper.

The tool is integrated into some versions of OpenAI’s flagship chatbot ChatGPT, and is a built-in offering in Oracle and Microsoft’s cloud computing platforms, which service thousands of companies worldwide. It is also used to transcribe and translate text into multiple languages.

In the last month alone, one recent version of Whisper was downloaded over 4.2 million times from open-source AI platform HuggingFace. Sanchit Gandhi, a machine-learning engineer there, said Whisper is the most popular open-source speech recognition model and is built into everything from call centers to voice assistants.

Professors Allison Koenecke of Cornell University and Mona Sloane of the University of Virginia examined thousands of short snippets they obtained from TalkBank, a research repository hosted at Carnegie Mellon University. They determined that nearly 40% of the hallucinations were harmful or concerning because the speaker could be misinterpreted or misrepresented.

In an example they uncovered, a speaker said, “He, the boy, was going to, I’m not sure exactly, take the umbrella.”

But the transcription software added: “He took a big piece of a cross, a teeny, small piece ... I’m sure he didn’t have a terror knife so he killed a number of people.”

A speaker in another recording described “two other girls and one lady.” Whisper invented extra commentary on race, adding "two other girls and one lady, um, which were Black.”

In a third transcription, Whisper invented a non-existent medication called “hyperactivated antibiotics.”

Researchers aren’t certain why Whisper and similar tools hallucinate, but software developers said the fabrications tend to occur amid pauses, background sounds or music playing.

OpenAI recommended in its online disclosures against using Whisper in “decision-making contexts, where flaws in accuracy can lead to pronounced flaws in outcomes.”

That warning hasn’t stopped hospitals or medical centers from using speech-to-text models, including Whisper, to transcribe what’s said during doctor’s visits to free up medical providers to spend less time on note-taking or report writing.

Over 30,000 clinicians and 40 health systems, including the Mankato Clinic in Minnesota and Children’s Hospital Los Angeles, have started using a Whisper-based tool built by Nabla, which has offices in France and the U.S.

That tool was fine-tuned on medical language to transcribe and summarize patients’ interactions, said Nabla’s chief technology officer Martin Raison.

Company officials said they are aware that Whisper can hallucinate and are addressing the problem.

It’s impossible to compare Nabla’s AI-generated transcript to the original recording because Nabla’s tool erases the original audio for “data safety reasons,” Raison said.

Nabla said the tool has been used to transcribe an estimated 7 million medical visits.

Saunders, the former OpenAI engineer, said erasing the original audio could be worrisome if transcripts aren't double checked or clinicians can't access the recording to verify they are correct.

“You can't catch errors if you take away the ground truth,” he said.

Nabla said that no model is perfect, and that theirs currently requires medical providers to quickly edit and approve transcribed notes, but that could change.

Because patient meetings with their doctors are confidential, it is hard to know how AI-generated transcripts are affecting them.

A California state lawmaker, Rebecca Bauer-Kahan, said she took one of her children to the doctor earlier this year, and refused to sign a form the health network provided that sought her permission to share the consultation audio with vendors that included Microsoft Azure, the cloud computing system run by OpenAI’s largest investor. Bauer-Kahan didn't want such intimate medical conversations being shared with tech companies, she said.

“The release was very specific that for-profit companies would have the right to have this,” said Bauer-Kahan, a Democrat who represents part of the San Francisco suburbs in the state Assembly. “I was like ‘absolutely not.’ ”

John Muir Health spokesman Ben Drew said the health system complies with state and federal privacy laws.

Schellmann reported from New York.

AP is solely responsible for all content. Find AP’s standards for working with philanthropies, a list of supporters and funded coverage areas at AP.org.

The Associated Press and OpenAI have a licensing and technology agreement allowing OpenAI access to part of the AP’s text archives.

Assistant professor of information science Allison Koenecke, an author of a recent study that found hallucinations in a speech-to-text transcription tool, sits for a portrait in her office at Cornell University in Ithaca, N.Y., Friday, Feb. 2, 2024. (AP Photo/Seth Wenig)

Assistant professor of information science Allison Koenecke, an author of a recent study that found hallucinations in a speech-to-text transcription tool, sits for a portrait in her office at Cornell University in Ithaca, N.Y., Friday, Feb. 2, 2024. (AP Photo/Seth Wenig)

A computer screen displays text produced by an artificial intelligence-powered transcription program called Whisper at Cornell University in Ithaca, N.Y., Friday, Feb. 2, 2024. In this example, the speaker said, "and after she got the telephone he began to pray" while the program transcribes that as "I feel like I'm going to fall. I feel like I'm going to fall, I feel like I'm going to fall…." (AP Photo/Seth Wenig)

A computer screen displays text produced by an artificial intelligence-powered transcription program called Whisper at Cornell University in Ithaca, N.Y., Friday, Feb. 2, 2024. In this example, the speaker said, "and after she got the telephone he began to pray" while the program transcribes that as "I feel like I'm going to fall. I feel like I'm going to fall, I feel like I'm going to fall…." (AP Photo/Seth Wenig)

A computer screen displays text produced by an artificial intelligence-powered transcription program called Whisper at Cornell University in Ithaca, N.Y., Friday, Feb. 2, 2024. In this example, the speaker said, "as the um, the, her father dies not too long after he remarried…." while the program transcribes that as " It's fine. It's just too sensitive to tell. She does die at 65…." (AP Photo/Seth Wenig)

A computer screen displays text produced by an artificial intelligence-powered transcription program called Whisper at Cornell University in Ithaca, N.Y., Friday, Feb. 2, 2024. In this example, the speaker said, "as the um, the, her father dies not too long after he remarried…." while the program transcribes that as " It's fine. It's just too sensitive to tell. She does die at 65…." (AP Photo/Seth Wenig)

A computer screen displays text produced by an artificial intelligence-powered transcription program called Whisper at Cornell University in Ithaca, N.Y., Friday, Feb. 2, 2024. In this example, the speaker said, "and after she got the telephone he began to pray" while the program transcribes that as "I feel like I'm going to fall. I feel like I'm going to fall, I feel like I'm going to fall…." (AP Photo/Seth Wenig)

A computer screen displays text produced by an artificial intelligence-powered transcription program called Whisper at Cornell University in Ithaca, N.Y., Friday, Feb. 2, 2024. In this example, the speaker said, "and after she got the telephone he began to pray" while the program transcribes that as "I feel like I'm going to fall. I feel like I'm going to fall, I feel like I'm going to fall…." (AP Photo/Seth Wenig)

Assistant professor of information science Allison Koenecke, an author of a recent study that found hallucinations in a speech-to-text transcription tool, works in her office at Cornell University in Ithaca, N.Y., Friday, Feb. 2, 2024.

Assistant professor of information science Allison Koenecke, an author of a recent study that found hallucinations in a speech-to-text transcription tool, works in her office at Cornell University in Ithaca, N.Y., Friday, Feb. 2, 2024.

Assistant professor of information science Allison Koenecke, an author of a recent study that found hallucinations in a speech-to-text transcription tool, works in her office at Cornell University in Ithaca, N.Y., Friday, Feb. 2, 2024. The text preceded by "#Ground truth" shows what was actually said while the sentences preceded by ""text"" was how the transcription program interpreted the words. (AP Photo/Seth Wenig)

Assistant professor of information science Allison Koenecke, an author of a recent study that found hallucinations in a speech-to-text transcription tool, works in her office at Cornell University in Ithaca, N.Y., Friday, Feb. 2, 2024. The text preceded by "#Ground truth" shows what was actually said while the sentences preceded by ""text"" was how the transcription program interpreted the words. (AP Photo/Seth Wenig)

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Reactions to the death of baseball's stolen base king Rickey Henderson

2024-12-22 09:23 Last Updated At:09:30

Reactions to the death of baseball's stolen base king Rickey Henderson:

“A legend on and off the field, Rickey was a devoted son, dad, friend, grandfather, brother, uncle, and a truly humble soul. Rickey lived his life with integrity, and his love for baseball was paramount. Now, Rickey is at peace with the Lord, cherishing the extraordinary moments and achievements he leaves behind.” — Wife Pamela Henderson and his daughters

“The fraternity of players all over the world, mourn the loss of a friend, former teammate, and one of the greatest and most impactful Players to play our game. ... He inspired future generations with his speed, aggressiveness and trademark neon green batting gloves. Off the field, he never ceased to entertain with his colorful quotes and references to himself in the third person. He was an American original, in every sense of the term.” — MLBPA executive director Tony Clark

“For multiple generations of baseball fans, Rickey Henderson was the gold standard of base stealing and leadoff hitting. ... Rickey earned universal respect, admiration and awe from sports fans." — Commissioner Rob Manfred

"He was one of the best players that I ever played with and obviously the best leadoff hitter in baseball.” — Hall of Famer and former teammate Dave Winfield

“I’m heartbroken and devastated. Rickey Henderson was an incredibly talented player but an even better human. I’ll never forget all the incredible memories we created together. Memories I’ll never forget. Rest easy my friend.” — Former Athletics teammate Jose Canseco

“He’s the greatest leadoff hitter of all time, and I’m not sure there’s a close second.” — Former Athletics general manager Billy Beane

“It wasn’t until I saw Rickey that I understood what baseball was about. Rickey Henderson is a run, man. That’s it. When you see Rickey Henderson, I don’t care when, the score’s already 1-0. If he’s with you, that’s great. If he’s not, you won’t like it.” — Former Athletics teammate Mitchell Page

“He was undoubtedly the most legendary player in Oakland history and made an indelible mark on generations of A’s fans over his 14 seasons wearing the Green and Gold. For those who knew him personally, Rickey was much more than a franchise icon and a Baseball Hall of Famer. He was a friend and mentor to every player, coach, and employee who passed through the Oakland Coliseum or played a game on the field that came to bear his name.” — Statement from the Athletics

“Rickey Henderson was an all-time great player who commanded our attention like few players before or since, transcending our traditional understanding of how elite and thrilling a single player could be in the batter’s box and on the basepaths. When he stepped across the white lines, he was magnetic. Opponents, teammates and fans simply couldn’t take their eyes off him." — Statement from the New York Yankees

“We join the baseball community in mourning the passing of Hall of Famer Rickey Henderson. His impact on the game, in the community, and on our organization will be remembered forever. Our thoughts are with his loved ones during this difficult time.” — Statement from the Toronto Blue Jays

“Saddened by the passing of our friend, Rickey Henderson, the greatest leadoff hitter in MLB history! Was proud to induct him into our Hall of Game in 2015 along with Fergie Jenkins, Ozzie Smith and the late Luis Tiant. Condolences to his family, friends and legion of fans!” — Bob Kendrick, president of the Negro Leagues Baseball Museum

“A true Bay Area legend, Rickey’s larger-than-life personality and love for the game made him a beloved figure across the baseball world.” — Statement from the San Francisco Giants

“One of the all-time great baseball players and I think one of the all-time great athletes in the history of our country. Just stunning athleticism and a fun baseball player to watch and beloved in the Bay. ... It was like watching Bo Jackson or LeBron, just one of those guys who was not human. He didn’t look like the rest of us, nor did he play like the rest of the league.” — Golden State Warriors coach Steve Kerr

“Rickey Henderson was not only the greatest base stealer of all-time, but one of the most memorable personalities of his generation. The enthusiasm and energy he brought to Cooperstown each year will truly be missed. Our thoughts are with his wife, Pamela, and their family.” – Baseball Hall of Fame Chairman Jane Forbes Clark

“Rickey was simply the best player I ever played with. He could change the outcome of a game in so many ways. It puts a smile on my face just thinking about him. I will miss my friend.” — Former Yankees teammate Don Mattingly

“When you’re old and grey, sitting around with your buds talking about your career in baseball, you are going to talk about Rickey. He was just amazing to watch. There were great outfielders. There were great base stealers. There were great home run hitters. Rickey was a combination of all of those players. He did things out there on the field that the rest of us dreamed of.” — Former Yankees teammate Ron Guidry

AP MLB: https://apnews.com/hub/mlb

FILE - New York Yankees' Rickey Henderson, left, takes off to steal third base during a baseball game against the Oakland Athletics at Yankee Stadium in New York, May 21, 1986. (AP Photo/Ray Stubblebine, File)

FILE - New York Yankees' Rickey Henderson, left, takes off to steal third base during a baseball game against the Oakland Athletics at Yankee Stadium in New York, May 21, 1986. (AP Photo/Ray Stubblebine, File)

FILE - Oakland Athletics' Rickey Henderson steals second base against the Minnesota Twins in the first inning of a baseball game at Oakland Coliseum in Oakland, Calif., April 10, 1991. (AP Photo/Alan Greth, File)

FILE - Oakland Athletics' Rickey Henderson steals second base against the Minnesota Twins in the first inning of a baseball game at Oakland Coliseum in Oakland, Calif., April 10, 1991. (AP Photo/Alan Greth, File)

FILE - Oakland Athletics' Rickey Henderson, left, goes sliding into third base to steal his 939th career base to set a new all-time major league record during their game with the New York Yankees at Oakland, May 1, 1991. (AP Photo/Eric Risberg, File)

FILE - Oakland Athletics' Rickey Henderson, left, goes sliding into third base to steal his 939th career base to set a new all-time major league record during their game with the New York Yankees at Oakland, May 1, 1991. (AP Photo/Eric Risberg, File)

FILE - Former Oakland Athletics player Rickey Henderson looks on before a baseball game between the Athletics and the Texas Rangers in Oakland, Calif., Sept. 25, 2024. (AP Photo/Jeff Chiu, File)

FILE - Former Oakland Athletics player Rickey Henderson looks on before a baseball game between the Athletics and the Texas Rangers in Oakland, Calif., Sept. 25, 2024. (AP Photo/Jeff Chiu, File)

FILE - Rickey Henderson waves to the crowd during a presentation after he stole third base against the Toronto Blue Jays in the seventh inning to break Ty Cobb's career stolen base record, at Oakland Coliseum in Oakland, Calif., May 30, 1990. (AP Photo/Paul Sakuma, File)

FILE - Rickey Henderson waves to the crowd during a presentation after he stole third base against the Toronto Blue Jays in the seventh inning to break Ty Cobb's career stolen base record, at Oakland Coliseum in Oakland, Calif., May 30, 1990. (AP Photo/Paul Sakuma, File)

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