American Journal of Bioethics 22 (7):4-20 (2022)

Authors
Lukas J. Meier
Cambridge University
Abstract
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?
Keywords artificial intelligence  Beauchamp and Childress  clinical ethics  decision-making  machine learning  principlism  computing ethics  algorithms  medical ethics  advisory system  patient autonomy
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DOI 10.1080/15265161.2022.2040647
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References found in this work BETA

Principles of Biomedical Ethics.Tom L. Beauchamp - 1979 - Oxford University Press.
A Theory of Justice: Revised Edition.John Rawls - 1999 - Harvard University Press.
Utilitarianism.J. S. Mill - 1861 - Oxford University Press UK.
Summa Theologica.Thomasn D. Aquinas - 1274 - Hayes Barton Press.

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Citations of this work BETA

Important Design Questions for Algorithmic Ethics Consultation.Danton Char - 2022 - American Journal of Bioethics 22 (7):38-40.

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