Journal article
Artificial intelligence in medicine and the disclosure of risks
- 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. Pace 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.
- Publication status:
- Published
- Peer review status:
- Peer reviewed
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- Files:
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(Preview, Version of record, pdf, 613.6KB, Terms of use)
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- Publisher copy:
- 10.1007/s00146-020-01085-w
Authors
- Publisher:
- Springer
- Journal:
- AI and Society More from this journal
- Volume:
- 36
- Pages:
- 705-713
- Publication date:
- 2020-10-22
- Acceptance date:
- 2020-10-07
- DOI:
- EISSN:
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1435-5655
- ISSN:
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0951-5666
- Language:
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English
- Keywords:
- Pubs id:
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1139746
- Local pid:
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pubs:1139746
- Deposit date:
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2020-10-25
- ARK identifier:
Terms of use
- Copyright holder:
- Maximilian Kiener
- Copyright date:
- 2020
- Rights statement:
- © The Author(s) 2020. Open Access: This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder.
- Licence:
- CC Attribution (CC BY)
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