American Journal of Bioethics 22 (7):4-20 (2022)
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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?
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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
An Introduction to the Principles of Morals and Legislation.Jeremy Bentham - 1780 - Dover Publications.
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Citations of this work BETA
How to Use AI Ethically for Ethical Decision-Making.Joanna Demaree-Cotton, Brian D. Earp & Julian Savulescu - 2022 - American Journal of Bioethics 22 (7):1-3.
Ethical Algorithmic Advice: Some Reasons to Pause and Think Twice.Torbjørn Gundersen & Kristine Bærøe - 2022 - American Journal of Bioethics 22 (7):26-28.
Implicit Fuzzy Specifications, Inferior to Explicit Balancing.Joseph P. DeMarco, Paul J. Ford & Susannah L. Rose - 2022 - American Journal of Bioethics 22 (7):21-23.
Important Design Questions for Algorithmic Ethics Consultation.Danton Char - 2022 - American Journal of Bioethics 22 (7):38-40.
The AI Needed for Ethical Decision Making Does Not Exist.Amelia Barwise & Brian Pickering - 2022 - American Journal of Bioethics 22 (7):46-49.
View all 13 citations / Add more citations
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