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Nurses Report Issues With Palantir Scheduling Software

HCA Healthcare, the largest hospital chain in the US, is facing criticism over its AI-powered scheduling software, Timpani, co-developed with Palantir. Nurses report persistent problems and potential patient safety concerns.

2 October 2026
Nurses Report Issues With Palantir Scheduling Software

HCA Healthcare, the largest hospital chain in the United States, is encountering significant criticism regarding its AI-based scheduling software, Timpani, which was co-developed with Palantir. Nurses across various locations report persistent issues with the system that they believe negatively impact both staff well-being and patient care.

According to nurses, the Timpani system does not adequately accommodate their shift preferences. While the software is designed to optimize staffing, healthcare workers describe being assigned to undesirable shifts, sometimes consecutively, leading to exhaustion. This contrasts with previous manual scheduling practices where employee preferences were more frequently honored.

Furthermore, nurses allege that Timpani may compromise patient safety. They report instances where the software schedules too few nurses or not enough experienced staff for certain shifts, particularly on Sundays. This can result in delays in care for critically ill patients as senior nurses are burdened with guiding less experienced colleagues.

Nurses also state they spend more time attempting to swap shifts or appeal their schedules since the software's implementation. Concerns have also been raised about increased absenteeism as staff try to avoid unfavorable assignments. HCA Healthcare has acknowledged ongoing improvements to Timpani based on feedback but emphasizes that final scheduling decisions rest with hospital management, not solely the software.

Despite the criticisms, HCA continues to utilize and refine Timpani. The company maintains that the tool aims to ensure the right caregivers are available while considering employee preferences. However, the reported issues suggest ongoing challenges with the software's integration into daily hospital operations.

Original source: wired.com