Contemporary medical diagnostics has a dynamic moral landscape, which includes a variety of agents, factors, and components. A significant part of this landscape is composed of information technologies that play a vital role in doctors’ decision-making. This paper focuses on the so-called Intelligent Decision-Support System that is widely implemented in the domain of contemporary medical diagnosis. The purpose of this article is twofold. First, I will show that the IDSS may be considered a moral agent (...) in the practice of medicine today. To develop this idea I will introduce the approach to artificial agency provided by Luciano Floridi. Simultaneously, I will situate this approach in the context of contemporary discussions regarding the nature of artificial agency. It is argued here that the IDSS possesses a specific sort of agency, includes several agent features (e.g. autonomy, interactivity, adaptability), and hence, performs an autonomous behavior, which may have a substantial moral impact on the patient’s well-being. It follows that, through the technology of artificial neural networks combined with ‘deep learning’ mechanisms, the IDSS tool achieves a specific sort of independence (autonomy) and may possess a certain type of moral agency. Second, I will provide a conceptual framework for the ethical evaluation of the moral impact that the IDSS may have on the doctor’s decision-making and, consequently, on the patient’s wellbeing. This framework is the Object-Oriented Model of Moral Action developed by Luciano Floridi. Although this model appears in many contemporary discussions in the field of information and computer ethics, it has not yet been applied to the medical domain. This paper addresses this gap and seeks to reveal the hidden potentialities of the OOP model for the field of medical diagnosis. (shrink)

IDSSs should contribute to the enhancement of human performance, but their effectiveness can be guaranteed only in the case of certain decision types. The issues explored in this paper show that they can help to overcome some human limitations, especially in complex data and information processes, in uncertainty management, and in coherent reasoning. Integrating human and machine expertise is clearly beneficial, nevertheless with the aim of building intelligent solutions we should not ignore the role of human factors and (...) the problems deriving from the integration of knowledge of multiple experts. The risk is that the systems will become clumsy and vulnerable to embarrassing failures.The paper explores the opportunities for exploitation of IDSSs to provide intelligent advice, intelligent analysis and intelligent evaluation. Some suggestions for research have been proposed looking at the ideas put forward in a recent research project dealing with the development of a system supporting local government authorities on environmental impact assessment procedure. (shrink)