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Alan J. Card

@alanjcard.bsky.social
4.3K followers 3.2K following 2.3K posts

PhD / MPH. Associate Professor. Systems design and improvement for health and care. #PatientSafety, #QISky #riskmgt, #designthinking, occupational safety/wellbeing, #academicsky. Also puns.

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Reposted by Alan J. Card
Nicole Bedera @nbedera.bsky.social · 09/10/2026
It is never just one case gone wrong. There are always so many other survivors who were mistreated before any of these stories make it into the public eye.
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Matt Novak @paleofuture.bsky.social · 10/10/2026
I keep trying to think of any historical example where a given technology's PROMOTERS AND TRUE BELIEVERS were like 'we are absolutely going to ruin your fucking life so be prepared like it's the end of the world'
Andrew Curran: Axios is reporting that the top labs are wargaming scenarios for the aftermath of a catastrophic event in the next 6 - 12 months, that some executives now see as being inevitable.

Axios: Top executives at Anthropic, OpenAl and other Al companies are privately gaming out scenarios for a public and political revolt after a catastrophic AI event.
Why it matters: These officials anticipate a large-scale event, most likely a cyberattack, that shuts down access to financial services, internet connectivity, or even power and water.

Edouard Harris: This is our view as well. Relatedly, average people will want to increase their level of personal resilience and preparedness as their resources allow. We will be publishing about this soon.

Nick Farina: Best ways to be prepared? Generators, water, books and DVDs?

Edouard Harris: Power, water, food, sanitation for most part. Parts of this depend on your geo latitude - solar vs propane for eg.

But also: set aside a computer that is not (and ideally has never been) connected to the internet. Buy faraday pouches and tape. Print out essential docs on paper.
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Alan J. Card @alanjcard.bsky.social · 16h
Whaaaaat?!!
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Alan J. Card @alanjcard.bsky.social · 23h
Not to mention that they mixed up the heroes and the villains in those stories.
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Alan J. Card @alanjcard.bsky.social · 10/10/2026
Nah. Reading has been my #1 hobby since I was a very little person, and I’ve bounced off every Dickens book I’ve ever tried. I was force-fed Great Expectations in high school and I’m still traumatized by how awful the story was—along with every character in it. Loathsome dreck from cover to cover.
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Physghoul 👻 🎃 @physgal.bsky.social · 09/10/2026
OMG. This is so typical academia. Sigh. Donna Strickland was only an associate professor when she won the Nobel Prize in Physics. #AcademicSky
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Barred and Boujee aka Madiba Dennie @audrelawdamercy.blacksky.app · 10/10/2026
"acting on their own" no, I need to know what the prompt was
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Alan J. Card @alanjcard.bsky.social · 10/10/2026
Exactly. Every behavior these LLMs engage in was specifically programmed into them as both a capability and a prompt. At BEST this excuse is like designing the first revolver, playing Russian Roulette, and then blaming the gun for deciding “on its own” who to shoot.
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Courtney Milan @courtneymilan.com · 09/10/2026
The exact personalization I want for my software is for it to not contain AI.
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c0nc0rdance @c0nc0rdance.bsky.social · 20/03/2026
In 2021, researchers from Boston University & Woods Hole Oceanographic Institute aboard the Schmidt Ocean research vessel Falkor had a rare encounter with Vitreledonella richardi, the GLASS OCTOPUS. This mesmerizing creature, rarely seen, has a nearly transparent body with visible eyes & gut.
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Alan J. Card @alanjcard.bsky.social · 08/10/2026
What a great day at work for the researchers!
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Anise K. Strong @anisekstrong.bsky.social · 08/10/2026
Why parents make great scientists: Because they recognize that "Lauren errors" happen all the time.
There was the incident that became known as “the Lauren error”: One day, her daughter Lauren, then four years old, was playing with the command module simulator at the Instrumentation Lab when she somehow activated a pre-launch program, called P01, while the simulator was in midflight — which crashed the simulator altogether. Hamilton created a program add-on in the technical documentation warning users not to launch P01 during flight. 

She also proposed a software fix to prevent the error happening during a real mission, but she was overruled on the grounds that the highly trained astronauts were never going to make that same mistake. Yet during the Apollo 8 mission in 1968, that’s exactly what happened: Jim Lovell inadvertently launched P01 during the flight, causing the on-flight navigational data to vanish. Hamilton and her team were called in to solve the error, and after that her proposed changes were integrated into the program. This was an early example of “defensive” programming, the practice of building software that could anticipate or fix errors on its own.
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Alan J. Card @alanjcard.bsky.social · 07/10/2026
Sure. Definitely not intending to imply that it’s easy—or that a market-driven approach is the right way to prepare for the future we’re all facing together.
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Alan J. Card @alanjcard.bsky.social · 07/10/2026
The way we’re burning through first line antibiotics, we really should be developing vaccines against a lot more bacterial infections—especially ones as deadly (sans antibiotics) as the plague.
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Jack Iwashyna @iwashyna.bsky.social · 07/10/2026
New @nejm.org Voices: how I write an introduction to a research manuscript “My first piece of advice…: write your introduction backwards. “My second piece of advice: innovate in your ideas, not in the structure of how you present the ideas.” voices.nejm.org/doi/full/10....
voices.nejm.org
Start Here to Write a Research Introduction Section
A step-by-step guide to writing a concise introduction to a clinical research manuscript
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Nicole Bedera @nbedera.bsky.social · 06/10/2026
I spent a year watching school administrators do their jobs—and interviewing the students most impacted. I spoke to @thecut.com in a long-form Q&A about what I saw. Mainly, a system designed to protect perpetrators and punish victims in each and every case.
thecut.com
The Reason Why Colleges Still Fail to Address Sexual Violence
The “Cornell Seven” case highlights what’s wrong with Trump’s Title IX rules — and how the system was always designed to fail.
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Nicole Bedera @nbedera.bsky.social · 06/10/2026
If you want to read more for yourself, including detailed analyses of individual cases and lots and lots of stories from survivors and perpetrators about how they were treated, here’s a link to the book:
bookshop.org
On the Wrong Side: How Universities Protect Perpetrators and Betray Survivors of Sexual Violence
"Bedera dispels deeply ingrained campus rape myths and puts the innate violence of the campus sexual assault reporting process into focus."--Jezebel"The book's grim conclusions are tempered with a hop...
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Science Magazine @science.org · 05/10/2026
Exclusive: A new analysis refutes James Watson’s claim that he was the first to recognize the significance of the famed photograph 51. scim.ag/4rTKck8
scim.ag
How did Rosalind Franklin miss the helix in her iconic DNA image? She didn’t
New analysis refutes James Watson’s claim he was first to recognize significance of famed photograph 51
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Dr. Damien P. Williams, dread portent down from a mountain cave @wolven.blacksky.app · 05/10/2026
Remember when us phil-tech types said effective altruism was just utilitarianism taken to its worst possible extents? This is what we meant: Real harm for unquantifiable potential benefit. "…'we believe that the world should accept some bad things happening for the benefits of this technology….'"
politico.com
Sam Altman to Decoded: ‘The world should accept some bad things happening’ for the benefits of AI
The OpenAI CEO sought to distinguish his policy stance from rival developer Anthropic.
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The New Yorker @newyorker.com · 04/10/2026
A cartoon by Rose Anne Prevec.
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Alan J. Card @alanjcard.bsky.social · 04/10/2026
Genius!
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Alan J. Card @alanjcard.bsky.social · 03/10/2026
That’s so gross!
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Nicole Bedera @nbedera.bsky.social · 02/10/2026
Earlier this week, I agreed to interviews with two USA Today journalists. They wrote fantastic articles about the Cornell case that I'm proud to have been a part of. What I did not know is that their employer considers interviews to proprietary and opens up recordings to be used by any journalist.
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Alan J. Card @alanjcard.bsky.social · 02/10/2026
Fraud, too, but kids are more important.
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Alan J. Card @alanjcard.bsky.social · 02/10/2026
This seems like a perfect state of affairs. Assuming your goal is to enable child abuse.
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Miranda Yaver @mirandayaver.bsky.social · 02/10/2026
If you need me, I'll be over here laughing at this for the next hour or two.
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Kathleen Bachynski @bachynski.bsky.social · 02/10/2026
This is quite the graph from a new retrospective cohort study in Neurology: “In conclusion, football is the leading cause of sports-related traumatic brain injury in children and young adults, and its risks are amplified by institutional promotion despite decades of accumulating evidence of harm.”
Figure one: age breakdown of traumatic brain injuries by activity. The graph clearly shows that American tackle football has the highest number of traumatic brain injuries.
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darth™️ @darthbluesky.bsky.social · 02/10/2026
my inner voice telling me not to go to sleep just yet there is one more thing to ponder
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Alan J. Card @alanjcard.bsky.social · 02/10/2026
“Every system is perfectly designed to get the results it gets.” — Paul Batalden
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Alan J. Card @alanjcard.bsky.social · 02/10/2026
To be fair, it did seem plausible that you were half fire daimon. 😂
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Kate Elliott @kateelliottsff.bsky.social · 02/10/2026
I hope that at the time When The Wolves Come is published (a Witch Roads novel, likely spring 2028) some nice podcaster will let me ramble for an hour about how this novel rebelled against the story i thought it was meant to be & I had to let go of my preconceptions.
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Alan J. Card @alanjcard.bsky.social · 30/09/2026
(And I would argue the kind of use you described is academic misconduct even if the journal did allow it.)
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Alan J. Card @alanjcard.bsky.social · 30/09/2026
It’s academic misconduct to A) feed someone else’s confidential submission into the plagiarism engine, and B) play off the outputs of a language model as the insights of a peer with actual content knowledge. I think I’d raise it with the editors.
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Robyn Swirling @rswirling.bsky.social · 30/09/2026
After being raped by a man on my hall sophomore year, I couldn’t leave my dorm room for weeks and failed several classes. I had to take out student loans so I could retake those credits. We almost never talk about the financial toll of campus sexual assault on survivors.
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Nicole Bedera @nbedera.bsky.social · 28/09/2026
While we’re talking about campus sexual violence, I want to revisit the recent history of a topic where we have seen some of the biggest backslides: Expelling rapists from school.
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Nicole Bedera @nbedera.bsky.social · 28/09/2026
Kat is right about all of this. One of the reasons that college sexual violence is uniquely devastating is because it changes the victim’s entire future.
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Alan J. Card @alanjcard.bsky.social · 29/09/2026
I’ve been leaning on it in reviewing proposed Title IX & discrimination policy changes for my university system (and recommending it to whoever is drafting them), and it’s really shaped the way I’m reading the news about Cornell. A super important book for anyone, but especially anyone in higher ed.
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Celeste Labedz @celestelabedz.bsky.social · 29/09/2026
If anyone is looking to better understand the horrific bigger picture around campus sexual violence, follow Dr. Bedera. I wish I could assign her book "On The Wrong Side" as homework to literally every single person in higher ed.
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Alan J. Card @alanjcard.bsky.social · 29/09/2026
All these tools are BUILT on stolen data. If you can’t trust the people who made them to respect the law, you definitely can’t trust them to respect user instructions.
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Alan J. Card @alanjcard.bsky.social · 27/09/2026
You’ve really gotta feel for quadrapeds. I’d hate it if I were physically unable to reach and scratch an itch.
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Alan J. Card @alanjcard.bsky.social · 27/09/2026
It’s as though they were specifically designing every aspect of the system to stoke the anger of their users. Really, just incredible work by that standard!
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Alan J. Card @alanjcard.bsky.social · 27/09/2026
Omg.
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Alan J. Card @alanjcard.bsky.social · 27/09/2026
static.klipy.com
Why Not Both Por Que No Los Dos
Alt: A little girl shrugs and suggests: ¿Por que no los dos?” In a cut scene, she is raised on the shoulders of a celebratory crowd.
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Alan J. Card @alanjcard.bsky.social · 27/09/2026
*Cries in AHRQ*
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Paris Marx @parismarx.com · 24/09/2026
Just when I think I can’t hate OpenAI and Sam Altman any more, new details come out about how ChatGPT helped a shooter plan one of the worst mass shootings in Canadian history in Tumbler Ridge, BC. OpenAI made an explicit decision not to report the user to authorities.
motherjones.com
ChatGPT helped the Tumbler Ridge school shooter focus on guns, tactics, and terror, our investigation reveals
OpenAI’s chatbot fed the shooter’s violent fantasies and planning up to the massacre.
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Alan J. Card @alanjcard.bsky.social · 25/09/2026
That’s awesome! I think my poor high school teachers were already too burned out and demoralized to do anything like that.
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Alan J. Card @alanjcard.bsky.social · 25/09/2026
Not the Beaker!
static.klipy.com
Freaking Out Were All Gonna Die
Alt: Beaker the Muppet stands shaking before a dark sky with a rotating asteroid. Text reads: We’re All Gonna Die
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Alan J. Card @alanjcard.bsky.social · 24/09/2026
Please and thank you.
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