Suppr超能文献

医学中的人工智能与风险披露。

Artificial intelligence in medicine and the disclosure of risks.

作者信息

Kiener Maximilian

机构信息

The Queen's College, Faculty of Philosophy, The University of Oxford, High Street, Oxford, OX1AW UK.

出版信息

AI Soc. 2021;36(3):705-713. doi: 10.1007/s00146-020-01085-w. Epub 2020 Oct 22.

Abstract

This paper focuses on the use of 'black box' AI in medicine and asks whether the physician needs to disclose to patients that even the best AI comes with the risks of cyberattacks, systematic bias, and a particular type of mismatch between AI's implicit assumptions and an individual patient's background situation. current clinical practice, I argue that, under certain circumstances, these risks do need to be disclosed. Otherwise, the physician either vitiates a patient's informed consent or violates a more general obligation to warn him about potentially harmful consequences. To support this view, I argue, first, that the already widely accepted conditions in the evaluation of risks, i.e. the 'nature' and 'likelihood' of risks, speak in favour of disclosure and, second, that principled objections against the disclosure of these risks do not withstand scrutiny. Moreover, I also explain that these risks are exacerbated by pandemics like the COVID-19 crisis, which further emphasises their significance.

摘要

本文聚焦于医学中“黑箱”人工智能的应用,并探讨医生是否需要向患者披露,即使是最好的人工智能也存在网络攻击、系统性偏差以及人工智能的隐含假设与个体患者背景情况之间特定类型的不匹配等风险。在当前的临床实践中,我认为,在某些情况下,这些风险确实需要披露。否则,医生要么损害患者的知情同意权,要么违反更一般的义务,即就潜在的有害后果向患者发出警告。为支持这一观点,我首先认为,在评估风险时已被广泛接受的条件,即风险的“性质”和“可能性”,支持进行披露;其次,对披露这些风险的原则性反对经不起推敲。此外,我还解释说,像新冠疫情这样的大流行会加剧这些风险,这进一步凸显了它们的重要性。

相似文献

1
Artificial intelligence in medicine and the disclosure of risks.医学中的人工智能与风险披露。
AI Soc. 2021;36(3):705-713. doi: 10.1007/s00146-020-01085-w. Epub 2020 Oct 22.
4
[The origin of informed consent].[知情同意的起源]
Acta Otorhinolaryngol Ital. 2005 Oct;25(5):312-27.
5
[Informed Consent: an Update].[知情同意书:最新情况]
Anasthesiol Intensivmed Notfallmed Schmerzther. 2019 Jul;54(7-08):457-473. doi: 10.1055/a-0821-6736. Epub 2019 Jul 25.
10
Informed Consent: What Must Be Disclosed and What Must Be Understood?知情同意:需要披露什么,需要理解什么?
Am J Bioeth. 2021 May;21(5):46-58. doi: 10.1080/15265161.2020.1863511. Epub 2021 Jan 18.

引用本文的文献

本文引用的文献

3
Consent in the time of COVID-19.新冠疫情时期的知情同意。
J Med Ethics. 2020 Sep;46(9):565-568. doi: 10.1136/medethics-2020-106402. Epub 2020 Jun 10.
4
: COVID-19 and What It Means for Cybersecurity.新冠疫情及其对网络安全的影响
Biomed Instrum Technol. 2020 May/Jun;54(3):216-219. doi: 10.2345/0899-8205-54.3.216.
5
Artificial intelligence in cancer therapy.癌症治疗中的人工智能
Science. 2020 Feb 28;367(6481):982-983. doi: 10.1126/science.aaz3023.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验