Philly's AI Pharmacist

I want Utah’s AI healthcare pilots to succeed. What does “success” look like?

Why AI healthcare companies cannot elaborate on patient safety before go-live, and why they must once patients are involved.

17 hrs ago • Ryan Sears, PharmD

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The 13 Narratives of Healthcare AI Companies (and how to reconcile them)

A framework for reading what healthcare AI companies tell investors, regulators, patients, and clinicians--and what to do when the stories don’t line…

May 18 • Ryan Sears, PharmD

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April 2026

Legion Health addressed YOUR questions. What do the answers (and the silences) tell us?

A thoughtful response is not the same as a complete public record. In a pilot with nationwide ambitions, that distinction matters.

Apr 24 • Ryan Sears, PharmD

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Chatbots “prescribing” psych meds? Here are the corrections, root causes, and bitter truths.

Learning how Utah got here does not require you to agree with their decision. It *will* force you to examine the desperate state of its mental…

Apr 9 • Ryan Sears, PharmD

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The Most Dangerous AI Agent Failure Isn't a Mistake. It's an Invention.

A 672-line implementation plan, three governance roles, and 17 stress tests weren't enough. Here's the silent failure pattern that slipped through, and…

Apr 6 • Ryan Sears, PharmD

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I Forced Claude Code to Refuse My Bad Requests

Agentic tools want to GO. Sometimes they should STOP.

Apr 2 • Ryan Sears, PharmD

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March 2026

The clinics that could benefit from AI the most might be the least equipped to govern it safely

⏱️ 5 minute read

Mar 24 • Ryan Sears, PharmD

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January 2026

The "Access-Competency" Paradox in Healthcare AI (and how I'm trying to solve it)

It's a circular dilemma: Healthcare professionals are denied access to the tools required to build AI literacy because they're not competent. They can't…

Jan 18 • Ryan Sears, PharmD

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November 2025

Corrupting the Mental Map: AI poses a critical risk to how healthcare students learn.

To an experienced clinician, AI's hallucinations are a nuisance. To an uninformed student, they are the truth.

Nov 19, 2025 • Ryan Sears, PharmD

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September 2025

AI is not Healthcare’s Magic Bullet

A critically ill ICU patient deteriorates while the hospital’s AI model stays silent. Later, researchers find it missed two-thirds of patient declines.

Sep 28, 2025 • Ryan Sears, PharmD

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August 2025

When PHI Meets AI: HIPAA Risks of Pasting Patient Data Into ChatGPT and Other Non-Compliant LLMs

Clinicians are entering patient information into ChatGPT to create therapy plans. But pasting protected health information into non-HIPAA AI models…

Aug 18, 2025 • Ryan Sears, PharmD

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Ambient AI Medical Scribes: How AI Hallucinations in Clinical Documentation Can Harm Patients

AI medical scribes promise to cut down on charting time. But when they invent medical "facts," the health record becomes a source of harm. Here's how to…

Aug 16, 2025 • Ryan Sears, PharmD

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