De Micco Francesco, Grassi Simone, Tomassini Luca, Di Palma Gianmarco, Ricchezze Giulia, Scendoni Roberto
Research Unit of Bioethics and Humanities, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Rome, Italy.
Operative Research Unit of Clinical Affairs, Fondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy.
Front Med (Lausanne). 2024 Sep 6;11:1428504. doi: 10.3389/fmed.2024.1428504. eCollection 2024.
The integration of robotics and artificial intelligence into medical practice is radically revolutionising patient care. This fusion of advanced technologies with healthcare offers a number of significant benefits, including more precise diagnoses, personalised treatments and improved health data management. However, it is critical to address very carefully the medico-legal challenges associated with this progress. The responsibilities between the different players concerned in medical liability cases are not yet clearly defined, especially when artificial intelligence is involved in the decision-making process. Complexity increases when technology intervenes between a person's action and the result, making it difficult for the patient to prove harm or negligence. In addition, there is the risk of an unfair distribution of blame between physicians and healthcare institutions. The analysis of European legislation highlights the critical issues related to the attribution of legal personality to autonomous robots and the recognition of strict liability for medical doctors and healthcare institutions. Although European legislation has helped to standardise the rules on this issue, some questions remain unresolved. We argue that specific laws are needed to address the issue of medical liability in cases where robotics and artificial intelligence are used in healthcare.
将机器人技术和人工智能融入医疗实践正在从根本上彻底改变患者护理。先进技术与医疗保健的这种融合带来了许多显著益处,包括更精确的诊断、个性化治疗以及改善健康数据管理。然而,非常谨慎地应对与此进展相关的医学法律挑战至关重要。在医疗责任案件中,不同相关方之间的责任尚未明确界定,尤其是当人工智能参与决策过程时。当技术介入人的行为与结果之间时,复杂性增加,这使得患者难以证明受到伤害或存在疏忽。此外,还存在医生和医疗机构之间责任分配不公平的风险。对欧洲立法的分析凸显了与赋予自主机器人法律人格以及认可医生和医疗机构严格责任相关的关键问题。尽管欧洲立法有助于规范这一问题的规则,但一些问题仍未得到解决。我们认为,需要制定具体法律来解决在医疗保健中使用机器人技术和人工智能的情况下的医疗责任问题。