Algorithms for Ethical Decision-Making in the Clinic: A Proof of Concept.

Machine intelligence already helps medical staff with a number of tasks. Ethical decision-making, however, has not been handed over to computers. In this proof-of-concept study, we show how an algorithm based on Beauchamp and Childress' prima-facie principles could be employed to advise on a range o...

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Publicado en:American Journal of Bioethics Vol. 22; no. 7; pp. 4 - 21
Autores principales: Meier, Lukas J., Hein, Alice, Diepold, Klaus, Buyx, Alena
Formato: pictorial research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Jul2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2022
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      pub: Taylor & Francis Ltd
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        10.1080/15265161.2022.2040647
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        atl: Algorithms for Ethical Decision-Making in the Clinic: A Proof of Concept.
      aug:
        au:
          Meier, Lukas J.
          Hein, Alice
          Diepold, Klaus
          Buyx, Alena
        affil: Technical University of Munich
      sug:
        subj:
          Algorithms
          Bioethics
          Decision Making, Ethical
          Health Facilities
          Human
          Artificial Intelligence
          Machine Learning
          Beneficence
          Medical Staff
          Task Performance and Analysis
          Patient Autonomy
      ab: Machine intelligence already helps medical staff with a number of tasks. Ethical decision-making, however, has not been handed over to computers. In this proof-of-concept study, we show how an algorithm based on Beauchamp and Childress' prima-facie principles could be employed to advise on a range of moral dilemma situations that occur in medical institutions. We explain why we chose fuzzy cognitive maps to set up the advisory system and how we utilized machine learning to train it. We report on the difficult task of operationalizing the principles of beneficence, non-maleficence and patient autonomy, and describe how we selected suitable input parameters that we extracted from a training dataset of clinical cases. The first performance results are promising, but an algorithmic approach to ethics also comes with several weaknesses and limitations. Should one really entrust the sensitive domain of clinical ethics to machine intelligence?
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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